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Quality of Life Research

Erschienen in:

01.11.2013

Integrating health-related quality of life with sickness leave days for return-to-work assessment in traumatic limb injuries

verfasst von: Wen-Hsuan Hou, Huey-Wen Liang, Ching-Lin Hsieh, Ching-Fan Sheu, Jing-Shiang Hwang, Hung-Yi Chuang

Erschienen in: Quality of Life Research | Ausgabe 9/2013

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Abstract

Purpose

A novel indicator called health-adjusted leave days (HALDs) is proposed. It integrates the opposite level of health-related quality of life (HRQoL) with the sick leave days (LDs) before return-to-work (RTW) to better measure the impact of injuries on occupational health.

Methods

A total of 1,167 limb injuries were consecutively recruited in a teaching hospital from January to December 2009. The number of LDs was calculated between the date of injury and the first episode of RTW. Each subject was repeatedly assessed with EuroQol instrument (EQ-5D) before RTW. The HRQoL index is defined as 1 minus the EQ-5D utility and re-scaled to 0–1 range to reflect the impact of injuries. The expected HALD of each group is calculated by integrating the product of the proportion of non-RTW function and the mean HRQoL index function over the days followed up to 2 years for the group. We compared the expected HALDs between subgroups according to various demographic characteristics and consequences of injury.

Results

Older and female workers tended to have longer LDs than men and younger workers, with an increase in percentage change of 16.0 or 139.5 %, respectively. After adjusting for HRQoL index, the percentages for HALDs were changed to 28.7 or 186.6 %, respectively. The percentages for the less-educated workers and blue collar workers were 185.7 and 155.8 %. The expected HALDs showed statistical significant differences in all subgroup analyses.

Conclusion

We believed that the proposed HALD could better measure the impact of injuries and is potentially useful for the clinical decision and industrial policy-making with respect to the assessment of the importance of limb injury due to a worker’s sick leaves.

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Titel: Integrating health-related quality of life with sickness leave days for return-to-work assessment in traumatic limb injuries
verfasst von: Wen-Hsuan Hou
Huey-Wen Liang
Ching-Lin Hsieh
Ching-Fan Sheu
Jing-Shiang Hwang
Hung-Yi Chuang
Publikationsdatum: 01.11.2013
Verlag: Springer Netherlands
Erschienen in: Quality of Life Research / Ausgabe 9/2013
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-013-0364-2

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Abstract

Purpose

Methods

Results

Conclusion

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