Time off work in hand injury patients.
OBJECTIVE
To evaluate the average time off work for patients with hand injuries as well as factors influencing the length of time off work for subjects who had returned to work.


METHODS
A total of 124 subjects were recruited and followed up 2 weeks after being discharged from therapy or until they resumed work. Factors affecting the time off work such as the severity of injury, number of operations, educational level, physical job demand, and presence of compensation claims, complications, and posttraumatic stress were also examined by multiple regression. The relationship between the severity of injury, time off work, and length of rehabilitation time was also examined.


RESULTS
In 124 subjects, 109 resumed their previous jobs, with an average of 8 weeks off work and 9 weeks in regular rehabilitation. The result shows that the severity of injury, number of operations, and presence of compensation claims were the predictors for the length of time off work in hand injury patients. In addition, the time off work and length of rehabilitation time increased with more severe injury. However, a cross-over was noted in the severe grade of severity of injury; that is, the time off work was shorter than the length of rehabilitation time for those with a less severe level of injury (minor to moderate level) and vice versa for those with major severity of injury.


CONCLUSIONS
To a certain extent, the result enhances our understanding of prolonged time off work after hand injury and may help to optimize rehabilitation after injury. For those who are in the high-risk group with factors that are not under control, early planning and retraining should be given to avoid prolonged time off work.
Wong
Joyce Y P
JY
Occupational Therapy Department, Queen Mary Hospital, Hong Kong, China. joycewong@i-urban.com.hk
D000062:Accidents, Occupational; D000293:Adolescent; D000328:Adult; D016009:Chi-Square Distribution; D005260:Female; D006230:Hand Injuries / Q000534:rehabilitation*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D018582:Sick Leave / Q000706:statistics & numerical data*; D018709:Statistics, Nonparametric