PMID- 25668512
OWN - NLM
STAT- MEDLINE
DCOM- 20151224
LR  - 20150224
IS  - 1439-3980 (Electronic)
IS  - 0722-1819 (Linking)
VI  - 47
IP  - 1
DP  - 2015 Feb
TI  - [Return to work after traumatic hand injuries: medical, personal and work-related 
      factors].
PG  - 44-57
LID - 10.1055/s-0034-1398661 [doi]
AB  - PURPOSE: This study aimed to examine the work-related impact of open hand 
      injuries, specifically, the amount of lost work days subsequent to the injury and 
      factors associated with work-related rehabilitation. PATIENTS AND METHODS: We 
      retrospectivley included consecutive patients with acute hand injuries who were 
      operated between 2008 and 2009 in the Division of Hand Surgery (n=435) at the 
      Department of Orthopaedic, Plastic and Hand Surgery. Information was obtained 
      from the medical records and via a self-reported questionnaire sent out in 2011. 
      Patients younger than 18 or older than 65 years, as well as the unemployed were 
      excluded from the study. Descriptive group analysis was used to establish 
      statistical relationships between time off work (TOW) and possible influencing 
      variables. Multiple linear regression was applied to analyse the impact of 
      injury, personal and/or work-related factors on TOW. RESULTS: The sample included 
      290 patients with a mean age of 38.9 (SD 13.2) years of whom 98.6% returned to 
      work after a median absence of 45.5 days. Univariate analysis demonstrated an 
      association of length of absence from work with socio-demographic, clinical and 
      work-related factors. Multiple regression analysis indicated that the location of 
      injury, the number of injured regions, the need for secondary surgery, age, and 
      the type of occupation were independently associated with TOW. CONCLUSION: Most 
      factors associated with TOW after traumatic hand injuries could not be 
      influenced. Possible interventions should probably target improved injury 
      prevention, optimal clinical treatment and rehabilitation starting early after 
      injury. Whether improvements in communication and enhancement of cooperation 
      between the treatment teams, the workplace and the insurance carrier may support 
      a staged and earlier return to work remains to be investigated.
CI  - (c) Georg Thieme Verlag KG Stuttgart . New York.
FAU - Oberfeld, Elisabeth
AU  - Oberfeld E
AD  - Klinik fur Plastische- und Handchirurgie, Universitatsspital Bern, Inselspital, 
      Bern, Schweiz.
FAU - Zwahlen, M
AU  - Zwahlen M
AD  - Institut fur Sozial- und Praventivmedizin, Universitat Bern, Bern, Schweiz.
FAU - Vogelin, E
AU  - Vogelin E
AD  - Klinik fur Plastische- und Handchirurgie, Universitatsspital Bern, Inselspital, 
      Bern, Schweiz.
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Wiederaufnahme der Arbeit nach traumatischen Handverletzungen: medizinische, 
      personliche und arbeitsplatzbezogene Faktoren.
DEP - 20150210
PL  - Germany
TA  - Handchir Mikrochir Plast Chir
JT  - Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen 
      Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen 
      Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ 
      der V...
JID - 8302815
SB  - IM
MH  - Absenteeism
MH  - Adult
MH  - *Disability Evaluation
MH  - Early Medical Intervention
MH  - Female
MH  - Germany
MH  - Hand Injuries/diagnosis/*rehabilitation/surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/diagnosis/rehabilitation/surgery
MH  - *Rehabilitation, Vocational
MH  - Reoperation
MH  - Risk Assessment
MH  - Surveys and Questionnaires
EDAT- 2015/02/11 06:00
MHDA- 2015/12/25 06:00
CRDT- 2015/02/11 06:00
PHST- 2015/02/11 06:00 [entrez]
PHST- 2015/02/11 06:00 [pubmed]
PHST- 2015/12/25 06:00 [medline]
AID - 10.1055/s-0034-1398661 [doi]
PST - ppublish
SO  - Handchir Mikrochir Plast Chir. 2015 Feb;47(1):44-57. doi: 10.1055/s-0034-1398661. 
      Epub 2015 Feb 10.