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Major Lower Limb Trauma Early Prediction of Work Disability

Purpose: To evaluate a patient with severe lower limb trauma for predictors of long-term work disability as reported by MacKenzie et al.

Description

MacKenzie et al identified risk factors for long-term work disability following major lower limb trauma that are present at the time of injury. These can help identify those who may benefit from more aggressive management early in the course of rehabilitation. The authors are from multiple surgical and trauma center in the United States.


 

Predictors for long-term disability:

(1) age

(2) race

(3) education level

(4) smoking status

(5) self-efficacy (belief that one is able to return to work within certain time parameters)

(6) preinjury tenure at job when injured

(7) job involvement (caring about work performance)

(8) litigation

 

Predictor

Return to Work

Longer Disability

age

< 25

>= 55 years

race

White

non-White

education level

high school graduate, some college

less than high school

smoking status

never smoked

current smoker

self-efficacy

average to high

low

preinjury job tenure

long

< 1 year

job involvement

high

low to moderate

litigation

none

present

 

Factors not associated with long-term disability:

(1) amputation vs reconstruction

(2) gender

 


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Specialty

Objective

ICD-10