Saf Health Work.  2017 Jun;8(2):162-168. 10.1016/j.shaw.2016.10.003.

Recovery and Return to Work After a Pelvic Fracture

Affiliations
  • 1School of Social Sciences, Hellenic Open University, Patras, Greece. antpapas@hotmail.com
  • 2Academic Department of Trauma and Orthopaedics, Leeds General Infirmary Hospital, Leeds, UK.
  • 3Orthopedic Department, Psychiko Clinic, Athens Medical Group, Greece.
  • 4Statistics and Research Design Company, DatAnalysis, Ioannina, Greece.

Abstract

BACKGROUND
Pelvic ring fractures (PRFs) may influence the daily activities and quality of life of the injured. The aim of this retrospective study was to explore the functional outcomes and factors related to return to work (RTW) after PRF.
METHODS
During the years 2003–2012, 282 injured individuals aged 20–55 years on the date of the accident, were hospitalized and treated for PRFs in a large tertiary hospital in Athens, Greece. One hundred and three patients were traced and contacted; 77 who were on paid employment prior to the accident gave their informed consent to participate in the survey, which was conducted in early 2015 through telephone interviews. The questionnaire included variables related to injury, treatment and activities, and the Majeed pelvic score. Univariate and multiple regression analyses were used for statistical assessment.
RESULTS
Almost half of the injured (46.7%) fully RTW, and earning losses were reported to be 35% after PRF. The univariate analysis confirmed that RTW was significantly related to accident site (labor or not), the magnitude of the accident's force, concomitant injuries, duration of hospitalization, time to RTW, engagement to the same sport, Majeed score, and complications such as limp and pain as well as urologic and sexual complaints (p < 0.05 for all). On multiple logistic regression analysis, the accident sustained out of work (odds ratio: 6.472, 95% confidence interval: 1.626–25.769) and Majeed score (odds ratio: 3.749, 95% confidence interval: 2.092–6.720) were identified as independent predictive factors of full RTW.
CONCLUSION
PRFs have severe socioeconomic consequences. Possible predictors of RTW should be taken into account for health management and policies.

Keyword

Greece; occupational health; pelvic fracture; return to work; work ability
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