abstract: 'Purpose To determine the incidence of employed people who try and fail to return-to-work (RTW) following a transport crash. To identify predictors of RTW failure. Methods: A historical cohort study was conducted in the state of Victoria, Australia. People insured through the state-based compulsory third party transport accident compensation scheme were included. Inclusion criteria included date of crash between 2003 and 2012 (inclusive), age 15-70years at the time of crash, sustained a non-catastrophic injury and received at least 1 day of income replacement. A matrix was created from an administrative payments dataset that mapped their RTW pattern for each day up to 3 years'' post-crash. A gap of 7 days of no payment followed by resumption of a payment was considered a RTW failure and was flagged. These event flags were then entered into a regression analysis to determine the odds of having a failed RTW attempt. Results: 17\% of individuals had a RTW fail, with males having 20\% lower odds of experiencing RTW failure. Those who were younger, had minor injuries (sprains, strains, contusions, abrasions, non-limb fractures), or were from more advantaged socio-economic group, were less likely to experience a RTW failure. Most likely to experience a RTW failure were individuals with whiplash, dislocations or particularly those admitted to hospital. Conclusions: Understanding the causes and predictors of failed RTW can help insurers, employers and health systems identify at-risk individuals. This can enable earlier and more targeted support and more effective employment outcomes.' affiliation: 'Gray, SE (Corresponding Author), Monash Univ, Fac Med Nursing \& Hlth Sci, Insurance Work \& Hlth Grp, Melbourne, Vic, Australia. Gray, SE (Corresponding Author), Ctr Res Excellence Recovery Following Rd Traff In, Herston, Qld, Australia. Gray, SE (Corresponding Author), 553 St Kilda Rd, Melbourne, Vic 3004, Australia. Gray, Shannon E.; Hassani-Mahmooei, Behrooz; Collie, Alex, Monash Univ, Fac Med Nursing \& Hlth Sci, Insurance Work \& Hlth Grp, Melbourne, Vic, Australia. Cameron, Ian D., Univ Sydney, Kolling Inst, John Walsh Ctr Rehabil Res, St Leonards, NSW, Australia. Kendall, Elizabeth, Griffith Univ, Hopkins Ctr, Menzies Hlth Inst Queensland, Meadowbrook, Qld, Australia. Kenardy, Justin, Univ Queensland, Sch Psychol, St Lucia, Qld, Australia. Gray, Shannon E.; Cameron, Ian D.; Kendall, Elizabeth; Kenardy, Justin; Collie, Alex, Ctr Res Excellence Recovery Following Rd Traff In, Herston, Qld, Australia. Gray, Shannon E., 553 St Kilda Rd, Melbourne, Vic 3004, Australia.' author: Gray, Shannon E. and Hassani-Mahmooei, Behrooz and Cameron, Ian D. and Kendall, Elizabeth and Kenardy, Justin and Collie, Alex author-email: shannon.gray@monash.edu author_list: - family: Gray given: Shannon E. - family: Hassani-Mahmooei given: Behrooz - family: Cameron given: Ian D. - family: Kendall given: Elizabeth - family: Kenardy given: Justin - family: Collie given: Alex da: '2023-09-28' doi: 10.1007/s10926-018-9761-2 eissn: 1573-3688 files: [] issn: 1053-0487 journal: JOURNAL OF OCCUPATIONAL REHABILITATION keywords: Injuries; Return to work; Rehabilitation keywords-plus: BRAIN-INJURY; OUTCOMES; DISABILITY; COMPENSATION; SURVIVORS language: English month: DEC number: '4' number-of-cited-references: '29' orcid-numbers: 'Gray, Shannon/0000-0002-8029-6838 Hassani-Mahmooei, Behrooz/0000-0002-3616-4715 Kenardy, Justin A/0000-0001-9475-8450 Collie, Alex/0000-0003-2617-9339 Kendall, Elizabeth/0000-0003-2399-1460' pages: 740-748 papis_id: 0fc7953d6e954427024e6b31a1c27328 ref: Gray2018patternspredictors researcherid-numbers: 'Gray, Shannon/GWM-5653-2022 Gray, Shannon/I-3500-2019 kendall, elizabeth/F-5065-2013 Hassani-Mahmooei, Behrooz/U-4317-2019 Kenardy, Justin A/H-6603-2014 ' times-cited: '13' title: Patterns and Predictors of Failed and Sustained Return-to-Work in Transport Injury Insurance Claimants type: article unique-id: WOS:000450856600016 usage-count-last-180-days: '1' usage-count-since-2013: '3' volume: '28' web-of-science-categories: Rehabilitation; Social Issues year: '2018'