title: The impact of occupational injury on injured worker and family: outcomes of upper extremity cumulative trauma disorders in Maryland workers.
abstract: BACKGROUND
  Surveys have identified a dramatically rising incidence of work-related upper extremity cumulative trauma disorders (UECTDs). Outcome studies have addressed time lost from work and cost of compensation; omitting other significant consequences. We assess health, functional and family outcomes.
  
  
  METHODS
  We identified 537 Workers' Compensation UECTD claimants. A computer-assisted telephone questionnaire was used to elicit symptom prevalence, functional impairment, depressive symptoms (CES-D scale), employment status.
  
  
  RESULTS
  One to 4 years post-claim, respondents reported persistent symptoms severe enough to interfere with work (53%), home/recreation activities (64%) and sleep (44%). Only 64% of responses to the activities of daily living scale items indicated "normal" function. Job loss was reported by 38% of respondents, and depressive symptoms by 31%.
  
  
  CONCLUSIONS
  Work-related UECTDs result in persisting symptoms and difficulty in performing simple activities of daily living, impacting home life even more than work. Job loss, symptoms of depression, and family disruption were common.
authors.affiliation: Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
authors.forename: J P
authors.initials: JP
authors.lastname: Keogh
authors.forename: I
authors.initials: I
authors.lastname: Nuwayhid
authors.forename: J L
authors.initials: JL
authors.lastname: Gordon
authors.forename: P W
authors.initials: PW
authors.lastname: Gucer
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001132:Arm; D002349:Carpal Tunnel Syndrome / Q000523:psychology; D012090:Cumulative Trauma Disorders / Q000453:epidemiology / Q000523:psychology*; D003863:Depression / Q000209:etiology; D004651:Employment; D005190:Family / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008396:Maryland; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology / Q000523:psychology*; D018434:Sickness Impact Profile; D012959:Socioeconomic Factors; D014942:Workers' Compensation