Influence of workers’ compensation eligibility upon functional recovery 10 to 28 years after polytrauma - 18/08/11
, Martin Panzica, M.D. a, Molly T. Vogt, Ph.D. b, Nicola A. Sittaro, M.D. c, Christian Krettek a : F.R.A.C.S., Hans C. Pape, M.D. a
Corresponding author. Ferguson Laboratory for Orthopaedic Research, C-313 Presbyterian University Hospital, 200 Lothrop St., Pittsburgh, PA 15213. Tel.: +1-412-628-8014; fax: +1-412-648-8412.Abstract |
Background |
Previous studies have shown that work-related injuries are often associated with inferior outcomes. The aim of the current study was to compare the long-term functional outcome after polytrauma between work-related and non-work-related injuries at a minimum follow-up of 10 years.
Methods |
Six hundred thirty-seven polytrauma patients were evaluated using a patient questionnaire and a physical examination. The average follow-up was 17.5 years (range 10–28 years); the average Injury Severity Score (ISS) was 20.7 (range 4 to 54).
Results |
A multivariate analysis, with adjustments for age, sex, injury severity, and injury pattern, demonstrated that work-related injuries resulted in significantly inferior outcomes measured by the Hannove Score for Polytrauma Outcome (HASPOC), 12-Item Short-Form Health Survey (SF-12), requirement for medical aids and devices, length of rehabilitation, and retirement status (P < .05).
Conclusions |
Polytrauma patients receiving workers’ compensation achieve significantly inferior long-term outcomes than other patients. The obtained results demonstrate that psychosocial variables such as insurance status have a significant impact on the functional recovery following polytrauma.
Le texte complet de cet article est disponible en PDF.Keywords : Injury, Compensation, Outcome
Plan
| This study was performed at the Department of Trauma Surgery at Hannover Medical School, Hannover, Germany. |
Vol 190 - N° 1
P. 30-36 - juillet 2005 Retour au numéro
Article précédent
- A prospective evaluation of ultrasound-directed transparenchymal vascular control with linear cutting staplers in major hepatic resections
- David L. Smith, James F. Arens, Carlton C. Barnett, Francesco Izzo, Steven A. Curley
- Small-bowel diverticulosis
- Steven C. Cunningham, Christopher J. Gannon, Lena M. Napolitano
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?