Probability of return to work after moderate and severe trauma in Hong Kong: 4 year prospective multicentre cohort study
Refereed conference paper presented and published in conference proceedings

The aim of this study was to provide preliminary data on RTW status for patients in Hong Kong with moderate and major trauma.

Participants and methods
A multi-centre prospective cohort study of trauma patients was conducted in three trauma centres in Hong Kong: the Prince of Wales Hospital (PWH), Queen Elizabeth Hospital (QEH) and Tuen Mun Hospital (TMH). Patients were included if they were in the trauma registry, aged≥18 years, had moderate or major trauma (ISS≥9), and answered ‘yes’ to question 5c of GOSE which specifically asks about whether the patient was working or seeking work prior to injury. Patients were followed up for 48 months. The primary outcome was 48-month post-injury RTW.

From 1st January to 31st September 2010, 400 patients recruited to the study (mean age 53.3 years; range 18-106; 69.5% male), of which 197 (49.3%) met the inclusion criteria (mean age 42.9 years; range 18-87; 78.7% male). Of these patients, 31 (21.1%[C1] ) had RTW at 1-month, 39 (37.5%) at 12-months and 46 (52.3%) at 48 months. Return to work within four years was significantly associated with shorter total length of hospital stay, head injury AIS <3, abdominal injury AIS <3, and multiple injury sites, and higher PCS at one month post injury. After multivariate analysis, one-month PCS on SF36 testing (OR 1.068, P=0.039) significantly predicted 48 month RTW.

The 48-month post-trauma RTW rate in patients with ISS≥9 was 52.3%. One month PCS post injury may be used to predict 48 month RTW.

This study was supported by Health and Health Services Research Grant 07080261 and Health and Medical Research Fund Grant 10110251.
著者Colin A GRAHAM, Kevin Kc HUNG, Janice Hh YEUNG, Wai S POON, Hiu F HO, Chak W KAM, Timothy H RAINER
會議名稱10th European Congress on Emergency Medicine 2016
會議論文集題名10th European Congress on Emergency Medicine 2016

上次更新時間 2018-22-01 於 05:59