Predicting the Probability of Return To Work After Injury

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

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.

Study Overview

• Status: Completed
• Conditions: Trauma

Detailed Description

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:

1. to evaluate return to work (RTW) status after moderate and major trauma in Hong Kong at one year after injury;
2. 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.

• Study Type: Observational
• Enrollment (Actual): 1115

Contacts and Locations

Study Locations

• Hong Kong
  • NT
    • Sha Tin, NT, Hong Kong
      • Prince of Wales Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

All adult patients aged 18 years or above who enter into the trauma registry of the hospitals involved in the study between 1 September 2017 and 31 August 2018 inclusive will be included.

Description

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

Study Plan

How is the study designed?

What is the study measuring?

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

Collaborators and Investigators

• Sponsor: Chinese University of Hong Kong
• Collaborators: Queen Elizabeth Hospital, Hong Kong; Tuen Mun Hospital

Publications and helpful links

General Publications

• Hung KKC, Leung LY, Yeung JHH, Wong TK, Yiu TY, Leung YK, Chan LPS, Wong JKS, Leung MPS, Goggins WB, Chan DYC, Lui CT, Ng WK, Ho HF, Cheng CH, Cheung NK, Graham CA. Return to work after injury in Hong Kong: prospective multi-center cohort study. Eur J Trauma Emerg Surg. 2022 Aug;48(4):3287-3298. doi: 10.1007/s00068-022-01899-x. Epub 2022 Feb 17.

Study record dates

Study Major Dates

• Study Start (ACTUAL): September 1, 2017
• Primary Completion (ACTUAL): December 31, 2019
• Study Completion (ACTUAL): February 28, 2022

Study Registration Dates

• First Submitted: July 7, 2017
• First Submitted That Met QC Criteria: July 13, 2017
• First Posted (ACTUAL): July 17, 2017

Study Record Updates

• Last Update Posted (ACTUAL): April 5, 2022
• Last Update Submitted That Met QC Criteria: March 24, 2022
• Last Verified: March 1, 2022

More Information

Terms related to this study

• Keywords: Quality of life; Functional outcome; Return to work status
• Other Study ID Numbers: CREC2016.667-T

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No