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Factors associated with long term work incapacity following a non-catastrophic road traffic injury: analysis of a two-year prospective cohort study

BACKGROUND: Road traffic injuries (RTIs), primarily musculoskeletal in nature, are the leading cause of unintentional injury worldwide, incurring significant individual and societal burden. Investigation of a large representative cohort is needed to validate early identifiable predictors of long-ter...

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Autores principales: Papic, Christopher, Kifley, Annette, Craig, Ashley, Grant, Genevieve, Collie, Alex, Pozzato, Ilaria, Gabbe, Belinda, Derrett, Sarah, Rebbeck, Trudy, Jagnoor, Jagnoor, Cameron, Ian D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9356415/
https://www.ncbi.nlm.nih.gov/pubmed/35931966
http://dx.doi.org/10.1186/s12889-022-13884-5
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author Papic, Christopher
Kifley, Annette
Craig, Ashley
Grant, Genevieve
Collie, Alex
Pozzato, Ilaria
Gabbe, Belinda
Derrett, Sarah
Rebbeck, Trudy
Jagnoor, Jagnoor
Cameron, Ian D.
author_facet Papic, Christopher
Kifley, Annette
Craig, Ashley
Grant, Genevieve
Collie, Alex
Pozzato, Ilaria
Gabbe, Belinda
Derrett, Sarah
Rebbeck, Trudy
Jagnoor, Jagnoor
Cameron, Ian D.
author_sort Papic, Christopher
collection PubMed
description BACKGROUND: Road traffic injuries (RTIs), primarily musculoskeletal in nature, are the leading cause of unintentional injury worldwide, incurring significant individual and societal burden. Investigation of a large representative cohort is needed to validate early identifiable predictors of long-term work incapacity post-RTI. Therefore, up until two years post-RTI we aimed to: evaluate absolute occurrence of return-to-work (RTW) and occurrence by injury compensation claimant status; evaluate early factors (e.g., biopsychosocial and injury-related) that influence RTW longitudinally; and identify factors potentially modifiable with intervention (e.g., psychological distress and pain). METHODS: Prospective cohort study of 2019 adult participants, recruited within 28 days of a non-catastrophic RTI, predominantly of mild-to-moderate severity, in New South Wales, Australia. Biopsychosocial, injury, and compensation data were collected via telephone interview within one-month of injury (baseline). Work status was self-reported at baseline, 6-, 12-, and 24-months. Analyses were restricted to participants who reported paid work pre-injury (N = 1533). Type-3 global p-values were used to evaluate explanatory factors for returning to ‘any’ or ‘full duties’ paid work across factor subcategories. Modified Poisson regression modelling was used to evaluate factors associated with RTW with adjustment for potential covariates. RESULTS: Only ~ 30% of people with RTI returned to full work duties within one-month post-injury, but the majority (76.7%) resumed full duties by 6-months. A significant portion of participants were working with modified duties (~ 10%) or not working at all (~ 10%) at 6-, 12-, and 24-months. Female sex, low education, low income, physically demanding occupations, pre-injury comorbidities, and high injury severity were negatively associated with RTW. Claiming injury compensation in the fault-based scheme operating at the time, and early identified post-injury pain and psychological distress, were key factors negatively associated with RTW up until two years post-injury. CONCLUSIONS: Long-term work incapacity was observed in 20% of people following RTI. Our findings have implications that suggest review of the design of injury compensation schemes and processes, early identification of those at risk of delayed RTW using validated pain and psychological health assessment tools, and improved interventions to address risks, may facilitate sustainable RTW. TRIAL REGISTRATION: This study was registered prospectively with the Australian New Zealand Clinical Trials Registry (ACTRN12613000889752).
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spelling pubmed-93564152022-08-07 Factors associated with long term work incapacity following a non-catastrophic road traffic injury: analysis of a two-year prospective cohort study Papic, Christopher Kifley, Annette Craig, Ashley Grant, Genevieve Collie, Alex Pozzato, Ilaria Gabbe, Belinda Derrett, Sarah Rebbeck, Trudy Jagnoor, Jagnoor Cameron, Ian D. BMC Public Health Research BACKGROUND: Road traffic injuries (RTIs), primarily musculoskeletal in nature, are the leading cause of unintentional injury worldwide, incurring significant individual and societal burden. Investigation of a large representative cohort is needed to validate early identifiable predictors of long-term work incapacity post-RTI. Therefore, up until two years post-RTI we aimed to: evaluate absolute occurrence of return-to-work (RTW) and occurrence by injury compensation claimant status; evaluate early factors (e.g., biopsychosocial and injury-related) that influence RTW longitudinally; and identify factors potentially modifiable with intervention (e.g., psychological distress and pain). METHODS: Prospective cohort study of 2019 adult participants, recruited within 28 days of a non-catastrophic RTI, predominantly of mild-to-moderate severity, in New South Wales, Australia. Biopsychosocial, injury, and compensation data were collected via telephone interview within one-month of injury (baseline). Work status was self-reported at baseline, 6-, 12-, and 24-months. Analyses were restricted to participants who reported paid work pre-injury (N = 1533). Type-3 global p-values were used to evaluate explanatory factors for returning to ‘any’ or ‘full duties’ paid work across factor subcategories. Modified Poisson regression modelling was used to evaluate factors associated with RTW with adjustment for potential covariates. RESULTS: Only ~ 30% of people with RTI returned to full work duties within one-month post-injury, but the majority (76.7%) resumed full duties by 6-months. A significant portion of participants were working with modified duties (~ 10%) or not working at all (~ 10%) at 6-, 12-, and 24-months. Female sex, low education, low income, physically demanding occupations, pre-injury comorbidities, and high injury severity were negatively associated with RTW. Claiming injury compensation in the fault-based scheme operating at the time, and early identified post-injury pain and psychological distress, were key factors negatively associated with RTW up until two years post-injury. CONCLUSIONS: Long-term work incapacity was observed in 20% of people following RTI. Our findings have implications that suggest review of the design of injury compensation schemes and processes, early identification of those at risk of delayed RTW using validated pain and psychological health assessment tools, and improved interventions to address risks, may facilitate sustainable RTW. TRIAL REGISTRATION: This study was registered prospectively with the Australian New Zealand Clinical Trials Registry (ACTRN12613000889752). BioMed Central 2022-08-05 /pmc/articles/PMC9356415/ /pubmed/35931966 http://dx.doi.org/10.1186/s12889-022-13884-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Papic, Christopher
Kifley, Annette
Craig, Ashley
Grant, Genevieve
Collie, Alex
Pozzato, Ilaria
Gabbe, Belinda
Derrett, Sarah
Rebbeck, Trudy
Jagnoor, Jagnoor
Cameron, Ian D.
Factors associated with long term work incapacity following a non-catastrophic road traffic injury: analysis of a two-year prospective cohort study
title Factors associated with long term work incapacity following a non-catastrophic road traffic injury: analysis of a two-year prospective cohort study
title_full Factors associated with long term work incapacity following a non-catastrophic road traffic injury: analysis of a two-year prospective cohort study
title_fullStr Factors associated with long term work incapacity following a non-catastrophic road traffic injury: analysis of a two-year prospective cohort study
title_full_unstemmed Factors associated with long term work incapacity following a non-catastrophic road traffic injury: analysis of a two-year prospective cohort study
title_short Factors associated with long term work incapacity following a non-catastrophic road traffic injury: analysis of a two-year prospective cohort study
title_sort factors associated with long term work incapacity following a non-catastrophic road traffic injury: analysis of a two-year prospective cohort study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9356415/
https://www.ncbi.nlm.nih.gov/pubmed/35931966
http://dx.doi.org/10.1186/s12889-022-13884-5
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