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

作　　者：Mahin Hosseininejad Shima Javadifar Saber Mohammadi Elham Mirzamohammadi 

机构地区：[1]Occupational Medicine Department,School of Medicine,Iran University of Medical Sciences,Tehran,Iran

出　　处：《Chinese Journal of Traumatology》2023年第2期77-82,共6页中华创伤杂志（英文版）

摘　　要：Purpose:Upper limb disorders are one of the most common and important types of occupational injuries.Besides,identifying the factors influencing return to work following these injuries is essential to reduce the dimensions of the problem.In this study,we investigated the return to work and associated factors following occupational injuries leading to upper limb impairment.Methods: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 2018.The 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.Individuals’’ 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 reviewed.The WPI was calculated to assess the extent of the injury.All analyzes were performed by SPSS version 25.0.Result:The rate of return to work was 54.3%,in which 51.8% for the same job and 48.2% for a new job.The 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 work.In 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 

分 类 号：R135[医药卫生—劳动卫生]