Time Off Work After Occupational Hand Injuries

Skov, Ole; Jeune, Bernard; Lauritsen, Jens; Barfred, Troels

doi:10.1054/jhsb.1998.0180

Cited by 35 publications

(40 citation statements)

References 6 publications

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“…It is well known from clinical experience and previous studies that injuries to bones and joints as well as injuries to tendons and nerves are significant indicators for being off work and having a prolonged time off work [14]. It is also generally recognised that hand injuries of manual workers result in longer time off work than of other members of the working population [15].…”

Section: Discussionmentioning

confidence: 99%

Mind your hand during the energy crunch: Functional Outcome of Circular Saw Hand Injuries

Frank

Hecht

Napp

et al. 2010

J Trauma Manage Outcomes

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BackgroundAlthough injuries due to circular saws are very common all over the world, there is surprisingly little information available about their functional outcomes. As the socioeconomic impact of these injuries is immense and determined by the casualties' disability and impairment, it is the objective of this study to present data on the functional outcome, disability, and impairment of hand injuries due to electric circular saws.MethodsPatients treated from 1999 through 2007 for circular saw-related hand injuries were contacted and asked for clinical follow-up assessment. The clinical follow-up protocol consisted of a physical examination and an assessment of static muscle power (grip and pinch strength). For assessment of the subjective experience of the patients regarding their injury-related disability and impairment, the DASH follow-up questionnaire was used. The occupational impact of these injuries was measured by number of lost working days. Finally, safety-related behaviour of the patients was investigated.Results114 Patients were followed-up on average 52 months after the injury. Average in-house treatment was 8.8 days. Average time lost from work was 14.8 weeks. A significant reduction of static muscle testing parameters compared with the uninjured hand was revealed for grip strength, tip pinch, key pinch, and palmar pinch. Average DASH score was 17.4 (DASH work 15.8, DASH sports/music 17.7). Most patients had more than ten years experience in using these power tools.ConclusionThe everyday occurrence of circular saw-related hand injuries followed by relatively short periods of in-house treatment might distort the real dimension of the patients' remaining disability and impairment. While the trauma surgeon's view is generally confined to the patients' clinical course, the outcome parameters in this follow-up investigation, with loss of working time as the key factor, confirm that the whole socioeconomic burden is much greater than the direct cost of treatment.

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Section: Discussionmentioning

confidence: 99%

Mind your hand during the energy crunch: Functional Outcome of Circular Saw Hand Injuries

Frank

Hecht

Napp

et al. 2010

J Trauma Manage Outcomes

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“…The patients are diagnosed according to the ICD10 code system. Data validation has been performed continuously since the formation of the register 12 16 17. From 2003–2010, a total of 33 030 work-related injuries were registered in the ED, representing 26 129 persons with one or more visits in the period.…”

Section: Methodsmentioning

confidence: 99%

Patterns of work injuries: cases admitted to emergency room treatment compared to cases reported to the Danish Working Environment Authority during 2003–2010

et al. 2013

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“…Manual laborers reported difficulties in performing their work as a result of the decrease in hand strength. A former study confirmed this association, showing that manual laborers had a longer period of absenteeism and subsequent difficulty in returning to the workplace 28 . The multivariate analysis showed that greater worker satisfaction in relation to occupational performance was associated with the RTW.…”

Section: Discussionmentioning

confidence: 75%

Fatores associados ao retorno ao trabalho após um trauma de mão: uma abordagem qualiquantitativa

Cabral¹,

Sampaio²,

Figueiredo³

et al. 2010

Rev. bras. fisioter.

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Objectives: To describe workers who returned to work after a hand injury and to analyze the factors associated with this outcome three years after discharge from rehabilitation. Methods: An observational, cross-sectional study was carried out with triangulation of quantitative and qualitative methods. The quantitative analysis used a database with sociodemographic, functional and clinical information on 35 individuals who were classified into two groups (return/no return to work). Multivariate analysis was conducted using the CART (Classification and Regression Tree) algorithm to assess the predictive value of four models, thereby identifying workers who had returned or not returned to work. Using the results from the statistical analysis, a semi-structured form was prepared for interviews, which were conducted with seven workers randomly selected from the sample. Results: Out of the 35 workers who participated in this study, 30 returned and five did not return to work. The majority were male, married and of low educational level, and the mean age was 37 years. The variables with the greatest predictive power were grip strength, occupational performance scores, occupational category and age. The qualitative analysis confirmed the multifactorial nature of the return to work and demonstrated that the presence of a professional to follow-up the process, adjustments to the workstation and working hours (to enable treatment continuity) and also accident benefits may contribute to a successful return. Conclusions: This study showed the complexity of the return to work by workers with hand injuries, highlighting a number of factors associated with this outcome and the importance of individualized assessment centered on the worker.Key words: return to work; work accident; hand trauma. ResumoObjetivos: Descrever os trabalhadores que retornaram ao trabalho após um trauma de mão e analisar os fatores que se associaram a esse desfecho após três anos da alta da reabilitação. Métodos: Foi realizado um estudo observacional, de corte transversal, com triangulação dos métodos quantitativo e qualitativo. A análise quantitativa utilizou um banco de dados com informações sociodemográficas, funcionais e clínicas referentes a 35 indivíduos, classificados em dois grupos (retornou/não retornou ao trabalho).Foi conduzida análise multivariada, utilizando o algoritmo CART (Classification and Regression Tree) para avaliar o valor preditivo de quatro modelos, identificando trabalhadores que retornaram ou não ao trabalho. A partir dos resultados da análise estatística, foi elaborado um roteiro semiestruturado para as entrevistas que foram realizadas com sete trabalhadores selecionados aleatoriamente da amostra. Resultados: Dos 35 trabalhadores que participaram deste estudo, 30 retornaram e cinco não retornaram ao trabalho. A maioria era do sexo masculino, com média de idade de 37 anos, casada e de baixa escolaridade. As variáveis com maior força preditiva foram força de preensão, escores do desempenho ocupacional, categoria ocupacion...

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Time Off Work After Occupational Hand Injuries

Cited by 35 publications

References 6 publications

Mind your hand during the energy crunch: Functional Outcome of Circular Saw Hand Injuries

Mind your hand during the energy crunch: Functional Outcome of Circular Saw Hand Injuries

Patterns of work injuries: cases admitted to emergency room treatment compared to cases reported to the Danish Working Environment Authority during 2003–2010

Fatores associados ao retorno ao trabalho após um trauma de mão: uma abordagem qualiquantitativa

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