A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury
Objective: To assess return to work outcomes of major trauma patients treated at a level 1 UK major trauma centre and evaluate factors associated with improved outcomes. Design: Cross-sectional cohort design. Subjects: In total, 99 patients at one, two or three years post-discharge from a Major Trau...
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| Veröffentlicht in: | Clinical rehabilitation 2018-03, Vol.32 (3), p.410-418 |
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| creator | Spreadborough, Stephen Radford, Kate das Nair, Roshan Brooks, Adam Duffy, Miriam |
| description | Objective:
To assess return to work outcomes of major trauma patients treated at a level 1 UK major trauma centre and evaluate factors associated with improved outcomes.
Design:
Cross-sectional cohort design.
Subjects:
In total, 99 patients at one, two or three years post-discharge from a Major Trauma Centre with an injury severity score above 9, in full-time work or education prior to injury, aged 18–70 and discharged between April 2012 and June 2015.
Main Measures:
Self-report questionnaire including the Trauma Outcome Profile, the Multiple Sclerosis Neuropsychological Screening questionnaire and questions pertaining to work and education.
Results:
Of the 99 patients in full-time work pre-injury, 65 made a complete return to work, 15 made an incomplete return to work and 19 did not return to work, where incomplete return to work was defined as working below 80% of previous working hours. In all, 25 participants scored below the cut-off point on physical disabilities, 46 below the cut-off point on mental functioning and 38 below the cut-off point on social interaction. Reduced anxiety and higher mental functioning were consistently associated with complete return to work.
Conclusion:
In all, 66% of patients with moderate to severe injuries made a complete return to work. A range of psycho-social, physical and functional health issues were persistent at long-term follow-up. |
| doi_str_mv | 10.1177/0269215517730862 |
| format | Article |
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To assess return to work outcomes of major trauma patients treated at a level 1 UK major trauma centre and evaluate factors associated with improved outcomes.
Design:
Cross-sectional cohort design.
Subjects:
In total, 99 patients at one, two or three years post-discharge from a Major Trauma Centre with an injury severity score above 9, in full-time work or education prior to injury, aged 18–70 and discharged between April 2012 and June 2015.
Main Measures:
Self-report questionnaire including the Trauma Outcome Profile, the Multiple Sclerosis Neuropsychological Screening questionnaire and questions pertaining to work and education.
Results:
Of the 99 patients in full-time work pre-injury, 65 made a complete return to work, 15 made an incomplete return to work and 19 did not return to work, where incomplete return to work was defined as working below 80% of previous working hours. In all, 25 participants scored below the cut-off point on physical disabilities, 46 below the cut-off point on mental functioning and 38 below the cut-off point on social interaction. Reduced anxiety and higher mental functioning were consistently associated with complete return to work.
Conclusion:
In all, 66% of patients with moderate to severe injuries made a complete return to work. A range of psycho-social, physical and functional health issues were persistent at long-term follow-up.</description><identifier>ISSN: 0269-2155</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1177/0269215517730862</identifier><identifier>PMID: 28929802</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Clinical outcomes ; Cohort Studies ; Cross-Sectional Studies ; Disability Evaluation ; Employment ; Follow-Up Studies ; Health Status ; Humans ; Injuries ; Injury Severity Score ; Logistic Models ; Medical screening ; Middle Aged ; Multiple sclerosis ; Physical disabilities ; Physical Therapy Modalities ; Questionnaires ; Return to work ; Return to Work - statistics & numerical data ; Self report ; Severity ; Social anxiety ; Social interaction ; Time Factors ; Trauma ; Trauma Centers - organization & administration ; Treatment Outcome ; United Kingdom ; Working hours ; Wounds and Injuries - diagnosis ; Wounds and Injuries - rehabilitation ; Young Adult</subject><ispartof>Clinical rehabilitation, 2018-03, Vol.32 (3), p.410-418</ispartof><rights>The Author(s) 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c407t-7e619310e2b8b1dec71b3337e2f687294ee04bed05e016c808b89a6f897676ea3</citedby><cites>FETCH-LOGICAL-c407t-7e619310e2b8b1dec71b3337e2f687294ee04bed05e016c808b89a6f897676ea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0269215517730862$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0269215517730862$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21800,27903,27904,30978,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28929802$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spreadborough, Stephen</creatorcontrib><creatorcontrib>Radford, Kate</creatorcontrib><creatorcontrib>das Nair, Roshan</creatorcontrib><creatorcontrib>Brooks, Adam</creatorcontrib><creatorcontrib>Duffy, Miriam</creatorcontrib><title>A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>Objective:
To assess return to work outcomes of major trauma patients treated at a level 1 UK major trauma centre and evaluate factors associated with improved outcomes.
Design:
Cross-sectional cohort design.
Subjects:
In total, 99 patients at one, two or three years post-discharge from a Major Trauma Centre with an injury severity score above 9, in full-time work or education prior to injury, aged 18–70 and discharged between April 2012 and June 2015.
Main Measures:
Self-report questionnaire including the Trauma Outcome Profile, the Multiple Sclerosis Neuropsychological Screening questionnaire and questions pertaining to work and education.
Results:
Of the 99 patients in full-time work pre-injury, 65 made a complete return to work, 15 made an incomplete return to work and 19 did not return to work, where incomplete return to work was defined as working below 80% of previous working hours. In all, 25 participants scored below the cut-off point on physical disabilities, 46 below the cut-off point on mental functioning and 38 below the cut-off point on social interaction. Reduced anxiety and higher mental functioning were consistently associated with complete return to work.
Conclusion:
In all, 66% of patients with moderate to severe injuries made a complete return to work. A range of psycho-social, physical and functional health issues were persistent at long-term follow-up.</description><subject>Adult</subject><subject>Aged</subject><subject>Clinical outcomes</subject><subject>Cohort Studies</subject><subject>Cross-Sectional Studies</subject><subject>Disability Evaluation</subject><subject>Employment</subject><subject>Follow-Up Studies</subject><subject>Health Status</subject><subject>Humans</subject><subject>Injuries</subject><subject>Injury Severity Score</subject><subject>Logistic Models</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Multiple sclerosis</subject><subject>Physical disabilities</subject><subject>Physical Therapy Modalities</subject><subject>Questionnaires</subject><subject>Return to work</subject><subject>Return to Work - statistics & numerical data</subject><subject>Self report</subject><subject>Severity</subject><subject>Social anxiety</subject><subject>Social interaction</subject><subject>Time Factors</subject><subject>Trauma</subject><subject>Trauma Centers - organization & administration</subject><subject>Treatment Outcome</subject><subject>United Kingdom</subject><subject>Working hours</subject><subject>Wounds and Injuries - diagnosis</subject><subject>Wounds and Injuries - rehabilitation</subject><subject>Young Adult</subject><issn>0269-2155</issn><issn>1477-0873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kUtLxDAUhYMozvjYu5KAGzfVm6STx1LEFw640XVJ21vtMG3GJBVm7R83ZUYFwVUO53733MAh5ITBBWNKXQKXhrPZLGkBWvIdMmW5UhloJXbJdBxn43xCDkJYAIDmOdsnE64NNxr4lHxe0RCHek1dQ90QK9dhGPXKxhb7GGj0aCPW1EZq6csj7ezC-eTaobO0SohH2iSnczX6RNKkA35gstt-Mfh2zOuRRkfjm0eka7Q-UNtE9BtifUT2GrsMeLx9D8nL7c3z9X02f7p7uL6aZ1UOKmYKJTOCAfJSl6zGSrFSCKGQN1IrbnJEyEusYYbAZKVBl9pY2WijpJJoxSE53-SuvHsfMMSia0OFy6Xt0Q2hYCZnYGaQi4Se_UEXbvB9-l3BAaSRgucqUbChKu9C8NgUK9921q8LBsVYUPG3oLRyug0eyg7rn4XvRhKQbYBgX_H36r-BX2kUl9k</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Spreadborough, Stephen</creator><creator>Radford, Kate</creator><creator>das Nair, Roshan</creator><creator>Brooks, Adam</creator><creator>Duffy, Miriam</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201803</creationdate><title>A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury</title><author>Spreadborough, Stephen ; Radford, Kate ; das Nair, Roshan ; Brooks, Adam ; Duffy, Miriam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-7e619310e2b8b1dec71b3337e2f687294ee04bed05e016c808b89a6f897676ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Clinical outcomes</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Disability Evaluation</topic><topic>Employment</topic><topic>Follow-Up Studies</topic><topic>Health Status</topic><topic>Humans</topic><topic>Injuries</topic><topic>Injury Severity Score</topic><topic>Logistic Models</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Multiple sclerosis</topic><topic>Physical disabilities</topic><topic>Physical Therapy Modalities</topic><topic>Questionnaires</topic><topic>Return to work</topic><topic>Return to Work - statistics & numerical data</topic><topic>Self report</topic><topic>Severity</topic><topic>Social anxiety</topic><topic>Social interaction</topic><topic>Time Factors</topic><topic>Trauma</topic><topic>Trauma Centers - organization & administration</topic><topic>Treatment Outcome</topic><topic>United Kingdom</topic><topic>Working hours</topic><topic>Wounds and Injuries - diagnosis</topic><topic>Wounds and Injuries - rehabilitation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spreadborough, Stephen</creatorcontrib><creatorcontrib>Radford, Kate</creatorcontrib><creatorcontrib>das Nair, Roshan</creatorcontrib><creatorcontrib>Brooks, Adam</creatorcontrib><creatorcontrib>Duffy, Miriam</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spreadborough, Stephen</au><au>Radford, Kate</au><au>das Nair, Roshan</au><au>Brooks, Adam</au><au>Duffy, Miriam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury</atitle><jtitle>Clinical rehabilitation</jtitle><addtitle>Clin Rehabil</addtitle><date>2018-03</date><risdate>2018</risdate><volume>32</volume><issue>3</issue><spage>410</spage><epage>418</epage><pages>410-418</pages><issn>0269-2155</issn><eissn>1477-0873</eissn><abstract>Objective:
To assess return to work outcomes of major trauma patients treated at a level 1 UK major trauma centre and evaluate factors associated with improved outcomes.
Design:
Cross-sectional cohort design.
Subjects:
In total, 99 patients at one, two or three years post-discharge from a Major Trauma Centre with an injury severity score above 9, in full-time work or education prior to injury, aged 18–70 and discharged between April 2012 and June 2015.
Main Measures:
Self-report questionnaire including the Trauma Outcome Profile, the Multiple Sclerosis Neuropsychological Screening questionnaire and questions pertaining to work and education.
Results:
Of the 99 patients in full-time work pre-injury, 65 made a complete return to work, 15 made an incomplete return to work and 19 did not return to work, where incomplete return to work was defined as working below 80% of previous working hours. In all, 25 participants scored below the cut-off point on physical disabilities, 46 below the cut-off point on mental functioning and 38 below the cut-off point on social interaction. Reduced anxiety and higher mental functioning were consistently associated with complete return to work.
Conclusion:
In all, 66% of patients with moderate to severe injuries made a complete return to work. A range of psycho-social, physical and functional health issues were persistent at long-term follow-up.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>28929802</pmid><doi>10.1177/0269215517730862</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical rehabilitation, 2018-03, Vol.32 (3), p.410-418 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List; MEDLINE |
| subjects | Adult Aged Clinical outcomes Cohort Studies Cross-Sectional Studies Disability Evaluation Employment Follow-Up Studies Health Status Humans Injuries Injury Severity Score Logistic Models Medical screening Middle Aged Multiple sclerosis Physical disabilities Physical Therapy Modalities Questionnaires Return to work Return to Work - statistics & numerical data Self report Severity Social anxiety Social interaction Time Factors Trauma Trauma Centers - organization & administration Treatment Outcome United Kingdom Working hours Wounds and Injuries - diagnosis Wounds and Injuries - rehabilitation Young Adult |
| title | A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury |
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