Prediction of Return to Work following Multiple Trauma in Patients with ISS of at least 25

Abstract

Survival rates after severe multiple trauma have continually increased in the last decades. Return to work (RTW) of persons affected by severe multiple trauma is important to assure their quality of life and social participation. Therefore, knowledge about aspects associated with RTW is essential for acute and rehabilitative care and treatment. Aim of the study is to analyze RTW in patients with multiple trauma and to identify predictors for RTW. To identify aspects that predict RTW, 84 patients in working age and with ISS ≥ 25 were included in a mono-center study. Data were collected by using routine data of the German TraumaRegister DGU® and POLO chart, a standardized patient-reported outcome assessed during follow-up. Bivariate analyses (Chi-Quadrat-test, Wilcoxon Mann-Whitney-test, t-test) were used to test for associations with RTW. Selected variables were included in a logistic regression model to predict RTW. In total, 58% of patients returned to work during follow-up. Age, duration of treatment in ICU and time between admission and follow-up were selected as predictors for RTW. Self-reported general health was also crucial for RTW in patients, whereas pre-existing comorbidities or other stressful events do not contribute to the prediction of RTW. RTW of patients with severe multiple trauma is determined by several factors. Older patients with low general health have problems to return to previous work.