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Self Perceptions as Predictors for Return to Work 2 Years After Rehabilitation in Orthopedic Trauma Inpatients

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      Purpose This study aimed to identify self-perception variables which may predict return to work (RTW) in orthopedic trauma patients 2 years after rehabilitation. Methods A prospective cohort investigated 1,207 orthopedic trauma inpatients, hospitalised in rehabilitation, clinics at admission, discharge, and 2 years after discharge. Information on potential predictors was obtained from self administered questionnaires. Multiple logistic regression models were applied. Results In the final model, a higher likelihood of RTW was predicted by: better general health and lower pain at admission; health and pain improvements during hospitalisation; lower impact of event (IES-R) avoidance behaviour score; higher IES-R hyperarousal score, higher SF-36 mental score and low perceived severity of the injury. Conclusion RTW is not only predicted by perceived health, pain and severity of the accident at the beginning of a rehabilitation program, but also by the changes in pain and health perceptions observed during hospitalisation.

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            Author and article information

            [1 ]Département de l’appareil locomoteur, Clinique Romande de Réadaptation SUVA Care, Avenue Grand-Champsec 90, 1951 Sion, Switzerland
            [2 ]Research Department, Clinique Romande de Réadaptation SUVA Care, Sion, Switzerland
            [3 ]Institut de recherche en réadaptation et Service de recherche médicale, Clinique Romande de Réadaptation SUVA Care, Sion, Switzerland
            [4 ]Department of Vocational Rehabilitation, Rehaklinik Bellikon, Bellikon, Switzerland
            [5 ]Département de l’appareil locomoteur, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland
            [6 ]Institute of Social and Preventive Medicine (IUMSP), Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland
            +41-27-6032156 , +41-27-6032214 ,
            J Occup Rehabil
            J Occup Rehabil
            Journal of Occupational Rehabilitation
            Springer US (Boston )
            5 May 2012
            5 May 2012
            December 2012
            : 22
            : 4
            : 532-540
            © The Author(s) 2012
            Custom metadata
            © Springer Science+Business Media New York 2012

            Occupational & Environmental medicine

            return to work, injury, accident, pain, ptsd, ies-r


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