Return to work after injury in Hong Kong: prospective multi-center cohort study

Return to work after injury in Hong Kong: prospective multi-center cohort study

Purpose Trauma remains a major cause of morbidity and disability worldwide; however, reliable data on the health status of an urban Asian population after injury are scarce. The aim was to evaluate 1-year post-trauma return to work (RTW) status in Hong Kong. Methods This was a prospective, multi-cen...

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Published in:European journal of trauma and emergency surgery (Munich : 2007) Vol. 48; no. 4; pp. 3287 - 3298
Main Authors: Hung, Kevin Kei Ching, Leung, Ling Yan, Yeung, Janice Hiu Hung, Wong, Tak Kan, Yiu, Tsz Ying, Leung, Yuk Ki, Chan, Lily Po Shan, Wong, John Kit Shing, Leung, Melissa Po Shan, Goggins, William Bernard, Chan, David Yuen Chung, Lui, Chun Tat, Ng, Wai Kuen, Ho, Hiu Fai, Cheng, Chi Hung, Cheung, Nai Kwong, Graham, Colin Alexander
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-08-2022
Springer Nature B.V
Subjects:
Cohort analysis
Critical Care Medicine
Disability
Emergency Medicine
Employment
Intensive
Medicine
Medicine & Public Health
NCT
NCT03219424
Original Article
Recovery (Medical)
Sports Medicine
Surgery
Surgical Orthopedics
Trauma
Traumatic Surgery
Hong Kong
Wounds and injuries
Patient-reported outcome measures
Trauma center
Return to work
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Summary:Purpose Trauma remains a major cause of morbidity and disability worldwide; however, reliable data on the health status of an urban Asian population after injury are scarce. The aim was to evaluate 1-year post-trauma return to work (RTW) status in Hong Kong. Methods This was a prospective, multi-center cohort study involving four regional trauma centers from 2017 to 2019 in Hong Kong. Participants included adult patients entered into the trauma registry who were working or seeking employment at the time of injury. The primary outcome was the RTW status up to 1 year. The Extended Glasgow Outcome Scale, 12-item Short Form (SF-12) survey and EQ5D were also obtained during 1-, 3-, 6-, 9-, and 12-month follow-ups. Multivariable Cox proportional hazards regression analysis was used for analysis. Results Six hundred and seven of the 1115 (54%) recruited patients had RTW during the first year after injury. Lower physical requirements ( p  = 0.003, HR 1.51) in pre-injury job nature, higher educational levels ( p  < 0.001, HR 1.95), non-work-related injuries ( p  < 0.001, HR 1.85), shorter hospital length of stay ( p  = 0.007, HR 0.98), no requirement for surgery ( p  = 0.006, HR 1.34), and patients who could be discharged home ( p  = 0.006, HR 1.43) were associated with RTW within 12 months post-injury. In addition, 1-month outcomes including extended Glasgow Outcome Scale ≥ 6 ( p  = 0.001, HR 7.34), higher mean SF-12 physical component summary ( p  = 0.002, HR 1.02) and mental component summary ( p  < 0.001, HR 1.03), and higher EQ5D health index ( p  = 0.018, HR 2.14) were strongly associated with RTW. Conclusions We have identified factors associated with failure to RTW during the first year following in Hong Kong including socioeconomic factors, injury factors and treatment-related factors and 1-month outcomes. Future studies should focus on the interventions that can impact on RTW outcomes. Trial registration ClinicalTrials.gov Identifier NCT03219424.
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ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-022-01899-x