Predicting the Probability of Return To Work After Injury

Study Overview
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Brief Summary
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To evaluate return to work (RTW) status after moderate and major trauma in Hong Kong at one year after injury. To derive reliable prediction models for return to work.

Detailed Description
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Background: Trauma is a leading cause not only of death worldwide but also of disability, and in Hong Kong it ranks sixth as a cause of death for all age groups. The implementation of trauma systems has improved the survival of injured patients in many settings including Hong Kong. However, the aim of trauma care for the injured person is not only to prolong life but also to restore patients to the best possible health status, and where applicable, to return to work. Survivors of trauma often experience late sequelae that have a major impact on almost all aspects of everyday life, and improvements in functional outcome and health status may continue for at least five years post-injury. Objectives: to evaluate return to work (RTW) status after moderate and major trauma in Hong Kong at one year after injury; to derive reliable prediction models for RTW. Study design: This is a multi-centre, prospective long-term follow up cohort study of the 1163 trauma patients admitted to the Prince of Wales Hospital (PWH), Queen Elizabeth Hospital (QEH) and Tuen Mun Hospital (TMH) in Hong Kong in 2017-2018. Patients will be recruited within four weeks of ED attendance as soon as the patient is clinically stable and conscious. The follow-up period for return to work status of the 1163 trauma patients will extend from baseline to one year after trauma.

Official Title
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Predicting the Probability of Return to Work After Injury in Hong Kong: Prospective Multicentre Cohort Study

Conditions
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Trauma

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 18 years or above Eligible for the trauma registry Working or seeking employment before injury Exclusion Criteria: Isolated hip or pathological fractures Injury severity score (ISS) of 1 Patients who are unwilling to enter the study Patients who have left Hong Kong

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Return to work status at 12 months after injury | The proportion of trauma patients who return to work at 12 months after injury | 12 months after injury | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of Glasgow Outcome Scale-Extended (GOSE) over time | Change of GOSE over time | On admission, 30 days after injury, 3 months after injury, 6 months after injury, 9 month after injury and 12 months after injury | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Return to work status, Functional outcome, Quality of life