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Factors affecting employment after burn injury in the United States: A Burn Model System national database investigation

Archives of Physical Medicine and Rehabilitation Nov 20, 2019

Carrougher GJ, Bamer AM, Mandell SP, et al. - Using the multicenter Burn Model System national database, researchers analyzed the impact of patient and injury features on employment for working-age, adult survivors of burn injury. At 12 months after injury, 967 adult burn survivors age ≥ 18 years with known employment status prior to injury were incorporated in the analysis. White, non-Hispanic people were also more likely to be employed. Older people, females, those with longer hospitalizations, amputation during the acute hospitalization, and those with high pain interference at hospital discharge had lower chances of working after injury. At 12 months after burn injury, preinjury living situation, preinjury alcohol and drug misuse, number of acute operations and burn size (total body surface area, %) were not significant predictors of employment status. Overall, the authors concluded that preinjury employment was the most important predictor for postburn employment. While previous studies have concentrated on predictors for postburn employment, the authors believe that they need to pursue a greater understanding of modifiable risk factors for unemployment and examine issues related to work retention, performance, accommodations, and career trajectories for the working-age survivor of burn injury.
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