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Exploring the Factors Associated with 12-Month Non-return to work among Motorcyclists Involved in Road Accidents

Open Journal of Preventive Medicine 2024年第1期14卷 1-16页

作者： Yolaine Glèlè-Ahanhanzo Donatien Daddah Alphonse Kpozehouen Bella Hounkpè Dos Santos Moussiliou N. Paraiso Multidisciplinary Research Unity for Road Crashes Prevention (ReMPARt) Department of Epidemiology and Bio-Statistics Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin Regional Direction of Health Lokossa Benin Regional Direction of Health Abomey-Calavi Benin Health Promotion Department Regional Institute of Public Health Ouidah Benin

Introduction: Motorcyclists bear a disproportionate burden of morbidity and mortality from road accidents. In addition, the consequences of these accidents affect the ability of victims to return to work. This study aimed to determine the prevalence and factors associated with non-return to work among surviving motorcyclists involved in road accidents 12 months after the event. Materials and Methods: It was a cross-sectional study conducted using data from a cohort of motorcyclists involved in accidents and recruited in five hospitals in Benin from July 2019 to January 2020. The dependent variable was non-return to work 12 months after the accident (yes vs no). The independent variables were categorized into two groups: baseline and 12-month follow-up variables. Logistic regression was used to determine the factors associated with non-return to work at 12 months among the participants. Results: Among the 362 participants, 55 (15.19%, 95% CI = 11.84 - 19.29) had not returned to work 12 months after the accident. Risk factors for non-return to work identified were: smoking (aOR = 4.41, 95% CI = 1.44 - 13.56, p = 0.010), hospitalization (aOR = 2.87, 95% CI = 1.14 - 7.24, p Conclusion: The prevalence of non-return to work at 12 months was high among surviving motorcyclists involved in road accidents in Benin. Integrated support for patients based on identified risk factors should effectively improve their return to work.

关键词： Road Accident return to work Motorcyclists Hospital Mental Health Cohort Benin

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return to work following shoulder arthroplasty:A systematic review

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World Journal of Orthopedics 2022年第9期13卷 837-852页

作者： Simon P Lalehzarian Avinesh Agarwalla Joseph N Liu The Chicago Medical School Rosalind Franklin University of Medicine and ScienceNorth ChicagoIL 60064United States Department of Orthopedic Surgery Westchester Medical CenterValhallaNY 10595United States USC Epstein Family Center for Sports Medicine Keck Medicine for USCLos AngelesCA 90033United States

BACKGROUND Many patients prioritize the ability to return to work(RTW)after shoulder replacement surgeries such as total shoulder arthroplasty(TSA),reverse TSA(rTSA),and shoulder hemiarthroplasty(HA).Due to satisfactory clinical and functional long-term outcomes,the number of shoulder replacements performed will continue to rise into this next *** younger individuals who compose a significant amount of the workforce receiving shoulder replacements,patients will begin to place a higher priority on their ability to RTW following shoulder *** To summarize RTW outcomes following TSA,rTSA,and HA,and analyze the effects of workers’compensation status on RTW rates and *** This systematic review and analysis was performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.A literature search regarding RTW following shoulder arthroplasty was performed using four databases(PubMed,Scopus,Embase,and Cochrane Library),and the Reference Citation Analysis(https://***/).All studies in English relevant to shoulder arthroplasty and RTW through January 2021 that had a level of evidence I to IV were *** studies,literature reviews,case reports,and those not reporting on RTW after shoulder arthroplasty were *** The majority of patients undergoing TSA,rTSA,or HA were able to RTW betweenone to four months,depending on work demand *** sedentary or light demand jobs generally have higher rates of RTW,moderate or heavy demand jobs tend to have poorer rates of *** rates of RTW following TSA(71%-93%)were consistently higher than those reported for HA(69%-82%)and rTSA(56%-65%).Furthermore,workers’compensation status negatively influenced clinical outcomes following shoulder *** a pooled means analysis,we proposed guidelines for the average time to RTW after TSA,rTSA,and *** TSA,rTSA,and HA,the average time to RTW re

关键词： Shoulder replacement Total shoulder arthroplasty Reverse total shoulder arthroplasty Hemiarthroplasty return to work

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Assessment of the relationship between the return to work and the severity of work-related upper limb injuries using the whole person impairment

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中华创伤杂志：英文版 2023年第2期26卷 77-82页

作者： Mahin Hosseininejad Shima Javadifar Saber Mohammadi Elham Mirzamohammadi Occupational Medicine Department School of MedicineIran University of Medical SciencesTehranIran

Purpose:Upper limb disorders are one of the most common and important types of occupational ***,identifying the factors influencing return to work following these injuries is essential to reduce the dimensions of the *** this study,we investigated the return to work and associated factors following occupational injuries leading to upper limb ***:In this retrospective cohort study,the rate of return to work and associated factors were assessed in 256 workers with work-related upper limb injury referred to a teaching hospital from March 2011 to December *** inclusion criterion was a history of occupational injury resulting in upper limb impairment,and exclusion criteria included the presence of simultaneous impairment in other organs,congenital or non-occupational limb defects as well as patients with incomplete information in their medical ***’’ records,including age at the time of injury,gender,date of injury,marital status,education,level of amputation and injury,whole person impairment (WPI) and physiotherapy (prescribed by the physician) were *** WPI was calculated to assess the extent of the *** analyzes were performed by SPSS version ***:The rate of return to work was 54.3%,in which 51.8% for the same job and 48.2% for a new *** main factors associated with non-return to work were more days off work (p = 0.001),higher injury severity (p = 0.001),and dominant hand injury (p = 0.034).Conclusion:The number of days off work,the WPI,and dominant hand injury are the most important determinant in returning to *** addition,increased job satisfaction and support from co-workers and employers are work-related factors that can lead to an increased return to work.

关键词： Occupational injury Upper limb impairment return to work Whole person impairment

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Exploring influences and risk of bias of studies on return to sport and work after lateral ankle sprain:A systematic review and metaanalysis

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World Journal of Meta-Analysis 2024年第1期12卷 11-25页

作者： Priscilla A Maria Gwendolyn Vuurberg Gino MMJ Kerkhoffs Department of Orthopaedic Surgery and Sports Medicine Amsterdam UMC-Location AMCAmsterdam 1105 AZNetherlands Amsterdam Movement Sciences Amsterdam UMCAmsterdam 1105 AZNetherlands Amsterdam Collaboration on Health and Safety in Sports Amsterdam UMCAmsterdam 1105 AZNetherlands Academic Center for Evidencebased Sports medicine Amsterdam UMCAmsterdam 1105 AZNetherlands Faculty of Medicine University of AmsterdamAmsterdam 1105 AZNetherlands Department of Radiology and Nuclear Medicine Rijnstate ArnhemArnhem 6815ADNetherlands Department of Radiology and Nuclear Medicine Amsterdam UMCAmsterdam 1105 AZNetherlands Faculty of Medicine University of AmsterdamAmsterdam1105 AZNetherlands

BACKGROUND Lateral ankle sprains are the most common traumatic musculoskeletal injuries of the lower extremity,with an incidence rate of 15%-20%.The high incidence and prevalence highlights the economic impact of this *** sprains lead to a high socioeconomic burden due to the combination of the high injury incidence and high medical *** to 40%of patients who suffer from an ankle sprain develop chronic ankle *** instability can lead to prolonged periods of pain,immobility and injury *** of factors that influence return to work(RTW)and return to sports(RTS)after a lateral ankle sprain(LAS)may help seriously reduce healthcare *** To explore which factors may potentially affect RTW and RTS after sustaining an *** EMBASE and PubMed were systematically searched for relevant studies published until June *** criteria were as follows:(1)Injury including LAS or chronic ankle instability;(2)Described any form of treatment;(3)Assessment of RTW or RTS;(4)Studies published in English;and(5)Study designs including randomized controlled clinical trials,clinical trials or cohort *** criteria were:(1)Studies involving children(age<16 year);or(2)Patients with concomitant ankle injury besides lateral ankle ligament damage.A quality assessment was performed for each of the included studies using established risk of bias *** quality of evidence was assessed using the GRADEpro tool in cases where outcomes were included in the quantitative analysis.A best evidence synthesis was performed in cases of qualitative outcome *** all studied outcomes suitable for quantitative analysis a forest plot was created to calculate the effect on RTW and *** A total of 8904 patients were included in 21 studies,10 randomized controlled trials,7 retrospective cohort studies and 4 prospective cohort *** studies were eligible for *** overall RTS rate ranged wer

关键词： Ankle sprain Prognostic factors Bias return to work return to sport Preoperative motivation

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Predictors of functional independence, quality of life, and return to work in patients with burn injuries in China's Mainland

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Burns & Trauma 2016年第4期4卷 273-283页

作者： Dan Tang Cecilia W.P.Li-Tsang Ricky K.C.Au Xia Shen Kui-cheng Li Xian-feng Yi Lin-rong Liao Hai-yan Cao Ya-nan Feng Chuan-shun Liu Department of Rehabilitation Sciences The Hong Kong Polytechnic UniversityHung HomHong Kong Special Administrative RegionChina Guangdong Provincial work Injury Rehabilitation Hospital GuangzhouChina Department of Rehabilitation Sciences The Hong Kong Polytechnic UniversityHung HomHong Kong Special Administrative RegionChina Department of Physiotherapy Guangdong Provincial Work Injury Rehabilitation HospitalGuangzhouChina Department of Occupational Therapy Guangdong Provincial Work Injury Rehabilitation HospitalGuangzhouChina Department of Burn Surgery and Burn Rehabilitation Guangdong Provincial Work Injury Rehabilitation HospitalGuangzhouChina

Background:Burn injury may be associated with long-term rehabilitation and disability,while research studies on the functional performance after injuries,quality of life(QOL),and abilities to return to work of burn patients are *** outcomes are related not just to the degree and nature of injuries,but also to the socio-economical background of the *** study aimed to identify the factors which might affect burn patients’abilities to reintegrate back to the society based on a sample in China's ***:A retrospective study was conducted to collect data of demographic characteristics,medical data about burn injuries,physical and psychological status,and self-perceived QOL at the initial phase and upon discharge from a rehabilitation hospital,timing of rehabilitation,and duration of rehabilitation *** hundred fifteen patients with burn injuries were recruited in the *** linear regression and logistic regression were used to obtain a model to predict the functional abilities and the perceived QOL at discharge and their changes during rehabilitation,as well as the post-injury work status within 6 months after ***:The functional performance at discharge and its change were significantly predicted by the functional abilities and QOL at the admission,duration of treatment,timing of rehabilitation,payer source,and total body surface area *** perceived QOL at discharge and its change were significantly predicted by the baseline QOL at admission and duration of *** significant predictors of work status within 6 months post-discharge included age,education,payer source,total body surface area burned,perceived QOL,and bodily pain at ***:The present study identified a number of factors affecting the rehabilitation outcomes of people with burn *** of these predictors may help clinicians assess the rehabilitation potential of burn survivors and assist in resource

关键词： Burns Functional independence Quality of life return to work Predictors Rehabilitation

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Eight of ten patients return to daily activities, work, and sports after total knee arthroplasty

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World Journal of Orthopedics 2024年第7期15卷 608-617页

作者： Maud Cornelia Wilhelmina Maria Peters Yvette Pronk Justus-Martijn Brinkman Department of Research Kliniek ViaSanaMill 5451 AANetherlands Department of Orthopedic Surgery Kliniek ViaSanaMill 5451 AANetherlands

BACKGROUND Besides return to work(RTW)and return to sports(RTS),patients also prefer to return to daily activities(RTA)such as walking,sleeping,grocery shopping,and domestic work following total knee arthroplasty(TKA).However,evidence on the timelines and probability of patients’RTA is *** To assess the percentage of patients able to RTA,RTW,and RTS after TKA,as well as the timeframe and influencing factors of this *** A retrospective cohort study with prospectively collected data was conducted at a medium-sized Dutch orthopedic *** of RTA,RTW,and RTS were performed at 3 mo and/or 6 mo following *** factors en-compassed patient characteristics,surgical characteristics,and preoperative patient-reported *** TKA patients[n=2063;66 years old(interquartile range[IQR]:7 years);47%male;28 kg/m2(IQR:4 kg/m2)]showed RTA ranging from 28%for kneeling to 94%for grocery shopping,with 20 d(IQR:27 d)spent for putting on shoes to 74 d(IQR:57 d)for *** rates varied from 62%for medium-impact work to 87%for low-impact work,taking 33 d(IQR:29 d)to 78 d(IQR:55 d).RTS ranged from 48%for medium-impact sports to 90%for low-impact sports,occurring within 43 d(IQR:24 d)to 90 d(IQR:60 d).One or more of the investigated factors influenced the return to each of the 14 activities examined,with R²values ranging from 0.013 to *** Approximately 80%of patients can RTA,RTW,and RTS within 6 mo after *** is not consistently in-fluenced by predictive *** help set realistic pre-and postoperative expectations.

关键词： Knee Arthroplasty Replacement return to work return to daily activities return to sports

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Epidemiology of electrical burns and its impact on quality of life-the developing world scenario

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World Journal of Critical Care Medicine 2022年第1期11卷 58-69页

作者： Giriraj Gandhi Atul Parashar Ramesh K Sharma Department of Plastic Surgery Post Graduate Institute of Medical Education and ResearchChandigarh 160012India

BACKGROUND Electrical burns are devastating injuries and can cause deep burns with significant morbidity and delayed *** data regarding the etiology,socioeconomic differences and geographic variation are necessary to assess the disease burden and plan an effective preventive *** severe injuries often lead to amputations and thus hamper quality of life in the long term AIM To identify the population at maximum risk of sustaining electrical *** also studied the impact of electrical burns on these patients in terms of quality of life as well as return to *** The study was conducted at a tertiary referral teaching hospital over a period of eighteen *** patients with a history of sustaining electrical burns and satisfying the inclusion criteria were included in the *** relevant epidemiological parameters and treatment details were *** patients were subsequently followed up at 3 mo,6 mo and 9 *** standardized Brief Version of the Burn Specic Health Scale(BSHS-B)was adopted to assess quality of *** analysis was conducted using IBM SPSS statistics(version 22.0).A P value of<0.05 was considered statistically *** A total of 103 patients were included in the *** mean age of the patients was 31.83 years(range 18-75 years).A significant majority(91.3%)of patients were *** mean total body surface area(TBSA)in these patients was 21.1%.In most of the patients(67%),the injury was *** voltage injuries were implicated in 72.8%of *** the 75 high voltage burn patients,31(41%)required *** mean number of surgeries the patients underwent in hospital was 2.03(range 1 to 4).The quality of life parameters amongst the patients sustaining high voltage electrical burns were poorer when compared to low voltage injuries at all follow-up intervals across nine *** eight of these domains,the difference was statistically ***,

关键词： Electrical burns Quality of life Amputation return to work Occupational therapy High voltage injuries

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Major concerns and issues in burn survivors in Australia

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Burns & Trauma 2014年第2期2卷 84-87页

作者： Deborah J Dowda Frank Li Burns Unit Concord Repatriation General Hospital Sydney Australia

Burninjury significantly impacts the victim's long-term quality of life, both physical y and psychosocial y. This prospective, observational study aimed to assess the physical and psychological health status in adult burn survivors in Sydney Australia using the Burns Specific Health Scale-Brief Version (BSHS-B) questionnaire, together with analysis of the baseline demographic data col ected from medical records. A total of 24 adult acute burn victims admitted consecutively to the Burns Unit at Concord Repatriation General Hospital, Sydney, Australia between March 2007 and February 2009 fulfil ed the inclusion criteria and participated in the study. The BSHS-B questionnaire (which includes nine domains or subscales) was administered to al 24 participants in person at time of discharge and by mail 6, 12, and 24 months post discharge. By 12 months, 11 participants dropped out and the final analysis was performed on the remaining 13 participants. The analyzed results showed that: 1) Perceived return to work was the only variable that continued to change with time at 12 months after discharge (P return to work was significantly correlated with simple functional ability (P returning to work changes significantly with time post discharge and this perception is affected by certain subscales of the BSHS-B. Given that return to work is one of the most important outcome concerns and issues of recovery for adult burn injury victims and families, it is essential that therapists be aware of the factors influencing return to work and address these factors through a comprehensive rehabilitation program.

关键词： Burns domains burn specific health scale return to work

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Vocational Rehabilitation after Acquired Brain Injury: A Swedish Study of Benefits and Costs

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Open Journal of Therapy and Rehabilitation 2014年第3期2卷 133-145页

作者： Kersti Samuelsson Maria Tropp Anna Lundqvist Clinical Department of Rehabilitation Medicine and Department of Medicine and Health Sciences Linkoping UniversityLinkopingSweden

Purpose: To examine the benefits from a vocational rehabilitation program for patients suffering from Acquired Brain Injury (ABI) in terms of quality of life, and overall health. In addition, to examine the direct societal costs of healthcare interventions related to vocational rehabilitation and indirect societal costs related to production loss. Method: Identified interventions in 45 patients with ABI who were discharged from a vocational rehabilitation program between 2010 and 2011 were documented, classified and translated into costs. Expenses associated with production loss were calculated by comparing sick leave production loss at first contact with the team, with sick leave production loss at discharge. Health related QoL and overall health, was measured at first contact and at discharge by using the EQ5D. Results: For vocational rehabilitation interventions, mean costs were €6303/individual/month. At first contact with the team, mean production loss was estimated to be €4409/individual/month compared;at discharge to be €2446. QoL ratings increased from first contact to discharge, although estimated health did not change. At discharge, significant correlations were found between QoL ratings and estimated health and the extent of production loss

关键词： Clinical Evidence Health Economics return to work work Training

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Job and housework during radiotherapy: Comparisons between leaving out activities and disease treatment

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Health 2013年第6期5卷 1062-1068页

作者： Cristiane Helena Gallasch Neusa Maria Costa Alexandre Sergio Carlos Barros Esteves Faculty of Nursing State University of CampinasSao PauloBrazil Department of Tocogynecology CAISM Hospital of Women Dr.Jose Aristodemo PinottiState University of CampinasSao PauloBrazil

Background: Researches about work limitations related to cancer treatment and survival are recent. This study describes the characteristics of patients who keep their work and house work activities during radiotherapy, and comparison between some disease data and leaving out those activities. Methods: Data were collected from medical records of patients admitted in a Brazilian Radiotherapy Private Health Service. Descriptive statistical analysis was performed, as hypotheses texts, Chi-square and Fisher’s exact test. Results: Data of 111 individuals were presented;being 65.77% of workers of paid activities and 34.34% of careers of home. Between employees, 50.7% kept their job activities, and 92.1% between house workers. The association between absence from work activities and tumor type (primary or metastasis) and between absence and KPS (p workers from their activities. Data from the literature review clearly demonstrated the importance of work activities in social support of the worker, but his overall performance may be impaired. Implications for cancer survivors: The study indicates the need for assessment of the individual, work or activity environment and required as well as the continuity research aiming at the development and validation of evaluation tools such as questionnaires or scales.

关键词： Radiation Therapy Cancer Survivorship return to work Occupational Health Nursing

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