RETURN-TO-WORK AFTER ACETABULAR FRACTURES: THE IMPACT OF INJURY SEVERITY ON THE POST-REHABILITATION WORKING CAPACITY AND WORKLOAD.

Anna L Schiltenwolf, Tina Histing, Maximilian M Menger, Christof K Audretsch, Florian Laux, Markus A Kueper, Steven C Herath
{"title":"RETURN-TO-WORK AFTER ACETABULAR FRACTURES: THE IMPACT OF INJURY SEVERITY ON THE POST-REHABILITATION WORKING CAPACITY AND WORKLOAD.","authors":"Anna L Schiltenwolf, Tina Histing, Maximilian M Menger, Christof K Audretsch, Florian Laux, Markus A Kueper, Steven C Herath","doi":"10.2340/jrm-cc.v8.44156","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Acetabular fractures are among the most severe injuries in trauma surgery. In younger patients, they typically result from high-energy trauma and are often associated with polytrauma. Treatment complexity and rehabilitation outcomes are influenced by overall injury severity. This study aimed to evaluate return to work (RTW) after acetabular fracture in relation to the overall injury severity score (ISS).</p><p><strong>Design/subjects/patients: </strong>A retrospective study included 22 patients treated for acetabular fractures at a Level I Trauma Centre spanning a period from January 2009 - December 2020.</p><p><strong>Methods: </strong>Patients completed a questionnaire assessing work-related factors and workload before (PRE) and after (POST) trauma (median [MD] = 126.4 ± 46.4 months POST). Based on ISS, patients were categorized as < 16 = \"no polytrauma\" (<i>n</i> = 8) and ≥ 16 = \"polytrauma\" (<i>n</i> = 14).</p><p><strong>Results: </strong>The RTW rate was 75% in both groups. However, descriptively the median workload reduction was greater in the \"polytrauma\" group (-50%) compared to the \"no polytrauma\" group (-33.3%). A shift toward sedentary work was seen in both groups, more prominently in the \"polytrauma\" subgroup (+40%) compared to the \"no polytrauma\" group (+11.4%).</p><p><strong>Conclusion: </strong>Possible workload was reduced after acetabular fracture. Despite similar RTW rates, polytrauma patients descriptively returned to less physically demanding work. Thus, ISS significantly predicts the outcome of the rehabilitations process after acetabular fractures.</p>","PeriodicalId":73929,"journal":{"name":"Journal of rehabilitation medicine. Clinical communications","volume":"8 ","pages":"44156"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12416338/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of rehabilitation medicine. Clinical communications","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2340/jrm-cc.v8.44156","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: Acetabular fractures are among the most severe injuries in trauma surgery. In younger patients, they typically result from high-energy trauma and are often associated with polytrauma. Treatment complexity and rehabilitation outcomes are influenced by overall injury severity. This study aimed to evaluate return to work (RTW) after acetabular fracture in relation to the overall injury severity score (ISS).

Design/subjects/patients: A retrospective study included 22 patients treated for acetabular fractures at a Level I Trauma Centre spanning a period from January 2009 - December 2020.

Methods: Patients completed a questionnaire assessing work-related factors and workload before (PRE) and after (POST) trauma (median [MD] = 126.4 ± 46.4 months POST). Based on ISS, patients were categorized as < 16 = "no polytrauma" (n = 8) and ≥ 16 = "polytrauma" (n = 14).

Results: The RTW rate was 75% in both groups. However, descriptively the median workload reduction was greater in the "polytrauma" group (-50%) compared to the "no polytrauma" group (-33.3%). A shift toward sedentary work was seen in both groups, more prominently in the "polytrauma" subgroup (+40%) compared to the "no polytrauma" group (+11.4%).

Conclusion: Possible workload was reduced after acetabular fracture. Despite similar RTW rates, polytrauma patients descriptively returned to less physically demanding work. Thus, ISS significantly predicts the outcome of the rehabilitations process after acetabular fractures.

Abstract Image

Abstract Image

Abstract Image

髋臼骨折后恢复工作:损伤严重程度对康复后工作能力和工作量的影响。
目的:髋臼骨折是创伤外科中最严重的损伤之一。在年轻患者中,它们通常由高能创伤引起,通常与多发创伤有关。治疗复杂性和康复结果受整体损伤严重程度的影响。本研究旨在评估髋臼骨折后恢复工作(RTW)与总体损伤严重程度评分(ISS)的关系。设计/受试者/患者:一项回顾性研究包括2009年1月至2020年12月在一级创伤中心接受髋臼骨折治疗的22例患者。方法:患者在创伤前(PRE)和后(POST)(中位[MD] = 126.4±46.4个月后)完成一份评估工作相关因素和工作量的问卷。根据ISS将患者分为< 16 =“无多发伤”(n = 8)和≥16 =“多发伤”(n = 14)两组。结果:两组RTW率均为75%。然而,与“无多发伤”组(-33.3%)相比,“多发伤”组(-50%)的工作量中位数减少更大。两组都出现了向久坐工作的转变,与“无多伤”组(+11.4%)相比,“多伤”组(+40%)更为明显。结论:髋臼骨折后可能的工作量减少。尽管有相似的RTW率,但多发性创伤患者的体力要求较低。因此,ISS显著预测髋臼骨折后康复过程的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信