Evidence map›Paper›PMID 41454281›Full record

ArticleBMC public health2025

Predictors of prolonged sickness absence after work injuries: a retrospective study using Tukey's Fence in 66,658 Hong Kong workers.

Ziyu Wan, Hayley Y W Gu, Heidi K Y Lo, Jianfei Xie, Karen P Y Liu, Andy S K Cheng, Peter H F Ng

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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Ziyu WanDepartment of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China.
Hayley Y W GuDepartment of Computing, Hong Kong Polytechnic University, Hong Kong, China.
Heidi K Y LoDepartment of Psychiatry, The University of Hong Kong, Hong Kong, China.
Jianfei XieNursing Department, The Third Xiangya Hospital of Central South University, Changsha, China.
Karen P Y LiuDepartment of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China.
Andy S K ChengDepartment of Health and Physical Education, The Education University of Hong Kong, Hong Kong, China.
Peter H F NgDepartment of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China. peter.nhf@polyu.edu.hk.

Funding

Innovation and Technology Fund of the Government of the Hong Kong Special Administrative Region ITP/039/24LP
6 · The paper itself

Abstract

objectivesTo identify key predictors of prolonged sickness absence among workers with occupational injuries in Hong Kong, with a focus on demographic, occupational, and injury-related factors.

methodsWe conducted a retrospective analysis of 66,658 occupational injury cases managed by a major rehabilitation coordination provider in Hong Kong, representing approximately 20% of all such cases in the region between 2003 and 2020. Prolonged absence outliers were defined as cases of sickness absence exceeding 129 days, based on Tukey’s Fence, a non-parametric method based on interquartile range. Multivariable logistic regression was used to examine associations between outlier status and the following predictors: age, gender, year of accident, physical demand, industry sector, skill level, injury type, and injured body region. All covariates were mutually adjusted in a single multivariable model.

resultsOutliers constituted 16.0% of the total sample. Older age and female gender were significant individual-level predictors. Fractures were strongly associated with extended sickness absence, whereas soft tissue injuries were linked to shorter recovery durations. Torso injuries—particularly to the back and pelvis—carried higher risks of prolonged absence, while lower limb injuries were associated with earlier return to work. Workers in physically demanding roles, especially within the construction and transportation industries, were associated with elevated risk. Notably, semiskilled workers had higher odds of prolonged absence than unskilled workers.

conclusionThis study identifies patterns that may influence prolonged sickness absence, suggesting that intersecting demographic, occupational, and injury-related factors contribute to variation in recovery outcomes. The present findings may help inform future efforts to prioritize tailored interventions for high-risk subgroups, including older employees, women, semiskilled laborers, and those engaged in physically strenuous jobs. Future research should also incorporate psychosocial variables to better capture additional drivers of delayed recovery.

Indexed as

Occupational InjuriesSick LeaveAdultFemaleHong KongHumansMaleMiddle AgedRetrospective StudiesReturn to WorkRisk FactorsTime FactorsYoung AdultHong kongOccupational injuriesOutlier detectionPredictive factorsProlonged sickness absence

Identifiers

PMID41454281
PMCPMC12870400

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.