A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury. (March 2018)

• Record Type: Journal Article
• Authors: Spreadborough, Stephen; Radford, Kate; das Nair, Roshan; Brooks, Adam; Duffy, Miriam
• Is Part Of: Clinical rehabilitation. Volume 32:Number 3(2018)
• Page Start: 410
• Page End: 418
• Publication Date: 2018-03
• Subjects: Major trauma -- return to work -- rehabilitation -- health psychology; Medical rehabilitation -- Periodicals; 617.03
• DOI: 10.1177/0269215517730862
• Languages: English
• ISSNs: 0269-2155

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.