Reha-Management in der gesetzlichen Unfallversicherung

Lugeder, A.; Berkenbrink, A.; Zeichen, J.

doi:10.1007/s00113-011-2149-9

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…Covering plasty procedures for soft tissue damage in our own collective were, as was expected, associated with long-term inpatient treatments. Early involvement of DGUV rehabilitation managers has proved useful in our clinic in such cases, making it possible to structure the approach to subsequent treatment during the acute treatment phase [27]. We recommend close monitoring by the treating clinic and the accident insurance consulting physician during the period of medical rehabilitation, since many accident victims complain of persistent symptoms even after completion of the rehabilitation measures.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Insbesondere die plastische Deckung von begleitenden Weichteilschädigungen war im eigenen Kollektiv erwartungsgemäß mit einem langwierigen stationären Heilverfahren assoziiert. Die frühzeitige Einbindung von Reha-Managern der DGUV hat sich in solchen Fällen in unserem Haus bewährt, um bereits während der stationären Akutbehandlung das weitere Heilverfahren strukturiert ausrichten zu können 27 .…”

Section: Diskussionunclassified

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Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

Ull¹,

Ehlers²,

Yılmaz³

et al. 2021

Z Orthop Unfall

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Introduction The use of forklift trucks during work has a high accident potential. The aim of this study is to describe injury patterns, treatment and outcome after forklift truck accidents in the context of the employersʼ liability insurance association. Methods Retrospective data collection of all cases between 2004 and 2019. Excluded were patients < 18 years, without follow-up or with definitive external treatment. Trauma mechanism, injury patterns and distribution, treatment, complications, time of incapacity for work, return to work and impairment of earning capacity were recorded. Results Of 109 patients with 110 injuries, 52.7% showed isolated injuries and 47.3% combined injuries, which affected the lower extremity in 95 cases. There were fractures in 85.5%, including 32.7% in open form. The mean length of stay was 29.1 days (range 1 – 129); an indication for surgery was seen in 80.9%. Surgical treatment required an average of 3 interventions, with significantly more operations for soft tissue closure than for the fractures (p ≤ 0.023). Amputations were necessary in 8 cases; complications occurred in 29.1%. Return to work was possible in 90%, after a mean period of incapacity for work of 33.6 weeks. A total of 40% showed a pensionable impairment of earning capacity. Conclusion Accidents with forklift trucks result in complex lower extremities injuries with the need of multi-stage treatment and show relatively high complication rates. A return to work is often possible after a long period of convalescence, and a pensionable impairment of earning capacity often persists.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Diskussionunclassified

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Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

Ull¹,

Ehlers²,

Yılmaz³

et al. 2021

Z Orthop Unfall

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Stationäre und ambulante Rehabilitation in Deutschland

Kladny¹

2015

Unfallchirurg

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Rehabilitation in Orthopädie und Unfallchirurgie

Kladny¹

2013

Orthopäde

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Diseases and injuries of the musculoskeletal system are the most common reasons for rehabilitation in Germany. The statutory health insurance, pension funds and the German social accident insurance are service providers for rehabilitation. Rehabilitation is based on the international classification of functioning, disability and health (ICF). The extensive possibilities for medical rehabilitation are increasingly being supplemented by options for combined medical and occupational rehabilitation. The demographic changes in Germany are also a challenge for rehabilitation. In a situation of predicted labor deficit, even now it becomes essential to keep employees longer in their jobs. The increasing number of elderly persons causes an increase in frequent age-dependent diseases, such as osteoporosis and osteoarthritis in combination with age-dependent injuries. This will be a burden for the health system in acute care medicine and rehabilitation. Improving activities and participation following diseases and injuries of the musculoskeletal system will end in an increase in utilization of rehabilitation. This needs to be considered and reflected in an adjusted higher budget for costs in rehabilitation.

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Reha-Management in der gesetzlichen Unfallversicherung

Cited by 5 publications

References 4 publications

Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

Stationäre und ambulante Rehabilitation in Deutschland

Rehabilitation in Orthopädie und Unfallchirurgie

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