Article

OBJECTIVE: To investigate if a Saturday rehabilitation service in addition to
usual care improved return to work outcomes 12 months post discharge and to
report predictors of return to work. DESIGN: Subgroup analysis of a single-blind
randomized controlled trial. SETTING: General inpatient rehabilitation service.
SUBJECTS: A mixed cohort of 137 adults previously engaged in work, who were
admitted for inpatient rehabilitation and allocated to a control group (n=63) or
an intervention group (n=74). INTERVENTION: The control group received usual care
rehabilitation from Monday to Friday and the intervention group received usual
care plus an additional rehabilitation service on Saturdays (physiotherapy and
occupational therapy). MAIN OUTCOME: Return to paid or unpaid work. RESULTS:
After 12 months, 36 participants (57%) in the control group and 38 participants
(51%) in the intervention group had returned to work. There was no difference
between groups (mean difference -1.06 hours per week, 95% CI -8.70 to 6.57) in
return to work outcomes. Functional status on discharge (OR 1.05, 95%CI 1.00 to
1.10), an orthopaedic diagnosis (OR 4.92, 95%CI 2.01 to 12.03) and engagement in
unpaid work prior to rehabilitation (OR 5.08, 95%CI 1.39 to 18.58) were
predictive of return to work at 12 months. CONCLUSION: A Saturday rehabilitation
service in addition to usual care showed no improvement in return to work
outcomes at 12 months. Predictors of return to work may help identify those at
risk of not returning to work and who require follow-up vocational rehabilitation
services.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS