abstract: 'Objective: To identify barriers to return to work after burn injury as

  identified by the patient.

  Design: A cohort study with telephone interview up to 1 year.

  Setting: Hospital-based burn centers at 3 national sites.

  Participants: Hospitalized patients (N=154) meeting-the American Burn

  Association criteria for major burn injury, employed at least 20 hours a

  week at the time of injury, and with access to a telephone after

  discharge.

  Intervention: Patients were contacted via telephone every 2 weeks up to

  4 months, then monthly up to I year after discharge.

  Main Outcome Measures: A return to work survey was used to identify

  barriers that prevented patients from returning to work. A graphic

  rating scale determined the impact of each barrier.

  Results: By 1 year, 79.7\% of patients returned to work. Physical and

  wound issues were barriers early after discharge. Although physical

  abilities continued to be a significant barrier up to I year, working

  conditions (temperature, humidity, safety) and psychosocial factors

  (nightmares, flashbacks, appearance concerns) became important issues in

  those with long-term disability.

  Conclusions: The majority of patients return to work after a burn

  injury. Although physical and work conditions are important barriers,

  psychosocial issues need to be evaluated and treated to optimize return

  to work.'
affiliation: 'Esselman, PC (Corresponding Author), Univ Washington, Dept Rehabil Med,
  325 9th Ave,Box 359740, Seattle, WA 98104 USA.

  Esselman, Peter C.; Askay, Shelley Wiechman, Univ Washington, Dept Rehabil Med,
  Seattle, WA 98104 USA.

  Carrougher, Gretchen J.; Engrav, Loren H., Univ Washington, Dept Surg, Div Plast
  Surg, Seattle, WA 98104 USA.

  Lezotte, Dennis C., Univ Colorado, Hlth Sci Ctr, Dept Prevent Med \& Biometr, Denver,
  CO 80262 USA.

  Holavanahalli, Radha K., Univ Texas SW Med Ctr Dallas, Dept Phys Med \& Rehabil,
  Dallas, TX 75390 USA.

  Magyar-Russell, Gina; Fauerbach, James A., Johns Hopkins Univ, Sch Med, Dept Psychiat
  \& Behav Sci, Baltimore, MD 21205 USA.'
author: Esselman, Peter C. and Askay, Shelley Wiechman and Carrougher, Gretchen J.
  and Lezotte, Dennis C. and Holavanahalli, Radha K. and Magyar-Russell, Gina and
  Fauerbach, James A. and Engrav, Loren H.
author-email: esselman@u.washington.edu
author_list:
- family: Esselman
  given: Peter C.
- family: Askay
  given: Shelley Wiechman
- family: Carrougher
  given: Gretchen J.
- family: Lezotte
  given: Dennis C.
- family: Holavanahalli
  given: Radha K.
- family: Magyar-Russell
  given: Gina
- family: Fauerbach
  given: James A.
- family: Engrav
  given: Loren H.
da: '2023-09-28'
doi: 10.1016/j.apmr.2007.09.009
eissn: 1532-821X
files: []
issn: 0003-9993
journal: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
keywords: burns; employment; rehabilitation; work
keywords-plus: 'REHABILITATION; EMPLOYMENT; HEALTH; INTERVENTIONS; DISABILITY;

  WORKPLACE; OUTCOMES; RATES; ICF'
language: English
month: DEC
number: 12, 2
number-of-cited-references: '31'
pages: S50-S56
papis_id: 163ff63c7b4c0446002f7bbf51dc868c
ref: Esselman2007barriersreturn
times-cited: '66'
title: Barriers to return to work after burn injuries
type: Article
unique-id: WOS:000251939900009
usage-count-last-180-days: '1'
usage-count-since-2013: '5'
volume: '88'
web-of-science-categories: Rehabilitation; Sport Sciences
year: '2007'