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

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: Ninety-nine Patients at 1, 2 or 3 years post-discharge from a Major Trauma Ce...

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Main Authors: Spreadborough, Stephen, Radford, Kathryn A., das Nair, Roshan, Brooks, Adam, Duffy, Miriam
Format: Article
Published: SAGE 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/45062/
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author Spreadborough, Stephen
Radford, Kathryn A.
das Nair, Roshan
Brooks, Adam
Duffy, Miriam
author_facet Spreadborough, Stephen
Radford, Kathryn A.
das Nair, Roshan
Brooks, Adam
Duffy, Miriam
author_sort Spreadborough, Stephen
building Nottingham Research Data Repository
collection Online Access
description 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: Ninety-nine Patients at 1, 2 or 3 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 to 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 ninety-nine in full time work pre injury, sixty-five made a complete return to work, fifteen made an incomplete return to work, and nineteen did not return to work, where incomplete return to work was defined as working below 80% of previous working hours. Twenty-five participants scored below the cut-off point on physical disabilities, forty-six below the cut-off point on mental functioning and thirty-eight below the cut-off point on social interaction. Reduced anxiety and higher mental functioning was consistently associated with complete return to work. Conclusions: Sixty-six percent 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.
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spelling nottingham-450622020-05-04T19:08:04Z https://eprints.nottingham.ac.uk/45062/ A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury Spreadborough, Stephen Radford, Kathryn A. das Nair, Roshan Brooks, Adam Duffy, Miriam 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: Ninety-nine Patients at 1, 2 or 3 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 to 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 ninety-nine in full time work pre injury, sixty-five made a complete return to work, fifteen made an incomplete return to work, and nineteen did not return to work, where incomplete return to work was defined as working below 80% of previous working hours. Twenty-five participants scored below the cut-off point on physical disabilities, forty-six below the cut-off point on mental functioning and thirty-eight below the cut-off point on social interaction. Reduced anxiety and higher mental functioning was consistently associated with complete return to work. Conclusions: Sixty-six percent 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. SAGE 2017-09-20 Article PeerReviewed Spreadborough, Stephen, Radford, Kathryn A., das Nair, Roshan, Brooks, Adam and Duffy, Miriam (2017) A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury. Clinical Rehabilitation, 32 (3). pp. 410-418. ISSN 1477-0873 Major trauma return to work rehabilitation health psychology http://journals.sagepub.com/doi/10.1177/0269215517730862 doi:10.1177/0269215517730862 doi:10.1177/0269215517730862
spellingShingle Major trauma
return to work
rehabilitation
health psychology
Spreadborough, Stephen
Radford, Kathryn A.
das Nair, Roshan
Brooks, Adam
Duffy, Miriam
A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury
title A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury
title_full A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury
title_fullStr A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury
title_full_unstemmed A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury
title_short A study of outcomes of patients treated at a UK major trauma centre for moderate or severe injuries one to three years after injury
title_sort study of outcomes of patients treated at a uk major trauma centre for moderate or severe injuries one to three years after injury
topic Major trauma
return to work
rehabilitation
health psychology
url https://eprints.nottingham.ac.uk/45062/
https://eprints.nottingham.ac.uk/45062/
https://eprints.nottingham.ac.uk/45062/