| Military return to duty and civilian return to work factors following burns with focus on the hand and literature review. | |
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MedLine Citation:
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PMID: 18695607 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Functional recovery and outcome from severe burns is oftentimes judged by the time required for a person to return to work (RTW) in civilian life. The equivalent in military terms is return to active duty. Many factors have been described in the literature as associated with this outcome. Hand function, in particular, is thought to have a great influence on the resumption of preburn activities. The purpose of this investigation was to compare factors associated with civilian RTW with combat injured military personnel. A review of the literature was performed to assimilate the many factors reported as involved with RTW or duty. Additionally, a focus on the influence of hand burns is included. Thirty-four different parameters influencing RTW have been reported inconsistently in the literature. In a military population of combat burns, TBSA burn, length of hospitalization and intensive care and inhalation injury were found as the most significant factors in determining return to duty status. In previous RTW investigations of civilian populations, there exists a scatter of factors reported to influence patient disposition with a mixture of conflicting results. In neither military nor civilian populations was the presence of a hand burn found as a dominant factor. Variety in patient information collected and statistical approaches used to analyze this information were found to influence the results and deter comparisons between patient populations. There is a need for a consensus data set and corresponding statistical approach used to evaluate RTW and duty outcomes after burn injury. |
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Authors:
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Ted T Chapman; Reg L Richard; Travis L Hedman; Gary B Chisholm; Charles D Quick; David G Baer; William S Dewey; John S Jones; Evan M Renz; David J Barillo; Leopold C Cancio; Kevin K Chung; John B Holcomb; Steven E Wolf |
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Publication Detail:
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Type: Comparative Study; Journal Article; Review |
Journal Detail:
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Title: Journal of burn care & research : official publication of the American Burn Association Volume: 29 ISSN: 1559-047X ISO Abbreviation: - Publication Date: 2008 Sep-Oct |
Date Detail:
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Created Date: 2008-09-10 Completed Date: 2009-01-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101262774 Medline TA: J Burn Care Res Country: United States |
Other Details:
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Languages: eng Pagination: 756-62 Citation Subset: IM |
Affiliation:
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United States Army Institute of Surgical Research, Fort Sam Houston, Texas 78234-6315, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Burns / psychology, rehabilitation* Female Health Status Health Status Indicators Humans Length of Stay Male Middle Aged Military Medicine* Occupational Health* Time Factors United States Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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