2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Rates of return to work (RTW) after burn injury vary. A 2012 systematic
|
|
|
|
|
|
|
|
review of the burn literature reported that nearly 28\% of all adult
|
|
|
|
|
|
|
|
burn survivors never return to any form of employment. These authors
|
|
|
|
|
|
|
|
called for interventions designed to assist survivors'' ability to
|
|
|
|
|
|
|
|
function in an employed capacity. In 2010, our burn center outpatient
|
|
|
|
|
|
|
|
clinic instituted an intervention aimed to return injured workers to
|
|
|
|
|
|
|
|
employment within 90 days of their insurance claims. The interventions
|
|
|
|
|
|
|
|
include patient/family education focused on recovery rather than
|
|
|
|
|
|
|
|
disability, employer contact and education by the vocational
|
|
|
|
|
|
|
|
rehabilitation (VR) counselor, physician recommendations for work
|
|
|
|
|
|
|
|
accommodations, provision of employee status letters, and Activity
|
|
|
|
|
|
|
|
Prescription Forms (APFs). The purpose of this study is to report on the
|
|
|
|
|
|
|
|
effectiveness of these interventions. Following institutional review
|
|
|
|
|
|
|
|
board (IRB) approval, medical records of adults with occupation-related
|
|
|
|
|
|
|
|
burn injuries and receiving care at a single regional burn center from
|
|
|
|
|
|
|
|
June 2010 to July 2015 were reviewed. Data on patient and injury
|
|
|
|
|
|
|
|
characteristics and outpatient VR services provided were collected. The
|
|
|
|
|
|
|
|
primary outcome of interest was the percentage of patients who RTW; 338
|
|
|
|
|
|
|
|
individuals met study entry criteria. The VR counselor evaluated all
|
|
|
|
|
|
|
|
patients. All patients received an employer letter(s) and APF
|
|
|
|
|
|
|
|
documentation. Workplace accommodations were provided to more than 30\%
|
|
|
|
|
|
|
|
of patients. RTW rate was 93\%, with an average of 24 days from injury
|
|
|
|
|
|
|
|
to RTW. In an intervention bundle involving the patient, employer,
|
|
|
|
|
|
|
|
Workers'' compensation, and the burn clinic staff, injured workers
|
|
|
|
|
|
|
|
achieved a high rate of RTW. Although we cannot correlate individual
|
|
|
|
|
|
|
|
bundle components to outcome, we postulate that the combination of
|
|
|
|
|
|
|
|
employer/employee/insurer engagement and flexibility contributed to the
|
|
|
|
|
|
|
|
success of this program.'
|
|
|
|
affiliation: 'Carrougher, GJ (Corresponding Author), Harborview Med Ctr, UW Med Reg
|
|
|
|
Burn Ctr, Dept Surg, 325 9th Ave,Box 359796, Seattle, WA 98104 USA.
|
|
|
|
|
|
|
|
Carrougher, Gretchen J.; Pham, Tam N.; Mandell, Samuel P.; Gibran, Nicole S., Univ
|
|
|
|
Washington, Dept Surg, Seattle, WA 98195 USA.
|
|
|
|
|
|
|
|
Brych, Sabina B., Univ Washington, Dept Burn \& Plast Surg, Outpatient Clin, Seattle,
|
|
|
|
WA 98195 USA.'
|
|
|
|
author: Carrougher, Gretchen J. and Brych, Sabina B. and Pham, Tam N. and Mandell,
|
|
|
|
Samuel P. and Gibran, Nicole S.
|
|
|
|
author-email: carrough@uw.edu
|
|
|
|
author_list:
|
|
|
|
- family: Carrougher
|
|
|
|
given: Gretchen J.
|
|
|
|
- family: Brych
|
|
|
|
given: Sabina B.
|
|
|
|
- family: Pham
|
|
|
|
given: Tam N.
|
|
|
|
- family: Mandell
|
|
|
|
given: Samuel P.
|
|
|
|
- family: Gibran
|
|
|
|
given: Nicole S.
|
|
|
|
da: '2023-09-28'
|
|
|
|
doi: 10.1097/BCR.0000000000000410
|
|
|
|
eissn: 1559-0488
|
|
|
|
files: []
|
|
|
|
issn: 1559-047X
|
|
|
|
journal: JOURNAL OF BURN CARE \& RESEARCH
|
|
|
|
keywords-plus: QUALITY-OF-LIFE; FUNCTIONAL OUTCOMES; EMPLOYMENT; BARRIERS; HEALTH;
|
|
|
|
LONG
|
|
|
|
language: English
|
|
|
|
month: JAN-FEB
|
|
|
|
number: '1'
|
|
|
|
number-of-cited-references: '31'
|
|
|
|
orcid-numbers: 'Mandell, Samuel/0000-0002-8426-4518
|
|
|
|
|
|
|
|
'
|
|
|
|
pages: E70-E78
|
|
|
|
papis_id: 6f13f09ee443877608e3a2a2d3cebacd
|
|
|
|
ref: Carrougher2017interventionbundle
|
|
|
|
researcherid-numbers: 'Mandell, Samuel/JDC-6762-2023
|
|
|
|
|
|
|
|
Mandell, Samuel/AAM-4647-2021'
|
|
|
|
times-cited: '16'
|
|
|
|
title: 'An Intervention Bundle to Facilitate Return to Work for Burn-Injured Workers:
|
|
|
|
Report From a Burn Model System Investigation'
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000391867500011
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
usage-count-since-2013: '7'
|
|
|
|
volume: '38'
|
|
|
|
web-of-science-categories: Critical Care Medicine; Dermatology; Surgery
|
|
|
|
year: '2017'
|