ArticlePloS one2020
Prognostic factors for medical and productivity costs, and return to work after trauma.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Photography tele-transmission by regular ambulance staff for the management of mild traumatic injury: the NiCEPHORE randomised-controlled trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Trial
- What Works (or Doesn't) in Return to Work after Physical Injury? A Qualitative Study on the Perspectives of Trauma Patients and Health Care Professionals on Barriers and Facilitators in Return to Work.Journal of occupational rehabilitation · 2026Article
- The economic burden of road trauma injuries in Canada: a comparison of road user types.BMC public health · 2026Article
- Return to Work After Isolated Spinal Injury: Rates, Predictors, and Implications for Occupational Reintegration.Journal of occupational rehabilitation · 2026Article
- Return to work following traumatic fractures of the thoracolumbar spine without spinal cord injury: a scoping review.Acta orthopaedica · 2026Article
- Timing of rehabilitation initiation and rehabilitation duration, and related factors in occupational injuries: a single-center retrospective analysis.Frontiers in public health · 2026Article
- Long-term return to work and income trajectories after major trauma: a 10-year nationwide retrospective cohort study in Taiwan.BMJ open · 2025Article
- The role of video-assisted thoracoscopy in chest trauma: a retrospective monocentric experience.Updates in surgery · 2025Article
- Healthcare and productivity costs among Canadian road trauma survivors over the year following injury.Scientific reports · 2025Article
- Effects of a Virtual Trauma Clinic on admissions and length of stay for minor to moderate trauma.Emergency medicine Australasia : EMA · 2025Article
- Health care costs and service utilization in the first year following moderate to severe traumatic injury.BMC health services research · 2024Article
- Return to Work One Year after Moderate to Severe Traumatic Injury in a Working Age Population.Journal of clinical medicine · 2024Article
- Article
- Correlations between Mental Health, Physical Activity, and Body Composition in American College Students after the COVID-19 Pandemic Lockdown.International journal of environmental research and public health · 2023Article
- The effect of recombinant erythropoietin on long-term outcome after moderate-to-severe traumatic brain injury.Intensive care medicine · 2023Article
- The direct medical cost of trauma aetiologies and injuries in a resource limited setting of Papua New Guinea: A prospective cost of illness study.The Lancet regional health. Western Pacific · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe aim of this study was to determine prognostic factors for medical and productivity costs, and return to work (RTW) during the first two years after trauma in a clinical trauma population.
methodsThis prospective multicentre observational study followed all adult trauma patients (≥18 years) admitted to a hospital in Noord-Brabant, the Netherlands from August 2015 through November 2016. Health care consumption, productivity loss and return to work were measured in questionnaires at 1 week, 1, 3, 6, 12 and 24 months after injury. Data was linked with hospital registries. Prognostic factors for medical costs and productivity costs were analysed with log-linked gamma generalized linear models. Prognostic factors for RTW were assessed with Cox proportional hazards model. The predictive ability of the models was assessed with McFadden R2 (explained variance) and c-statistics (discrimination).
resultsA total of 3785 trauma patients (39% of total study population) responded to at least one follow-up questionnaire. Mean medical costs per patient (€9,710) and mean productivity costs per patient (€9,000) varied widely. Prognostic factors for high medical costs were higher age, female gender, spine injury, lower extremity injury, severe head injury, high injury severity, comorbidities, and pre-injury health status. Productivity costs were highest in males, and in patients with spinal cord injury, high injury severity, longer length of stay at the hospital and patients admitted to the ICU. Prognostic factors for RTW were high educational level, male gender, low injury severity, shorter length of stay at the hospital and absence of comorbidity.
conclusionsProductivity costs and RTW should be considered when assessing the economic impact of injury in addition to medical costs. Prognostic factors may assist in identifying high cost groups with potentially modifiable factors for targeted preventive interventions, hence reducing costs and increasing RTW rates.
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