Factors influencing the return to work of patients after hip replacement and rehabilitation.

Abstract:

OBJECTIVE:To determine the incidence of medical and sociocultural factors on the return to work of patients after hip replacement and rehabilitation treatment. DESIGN:Case review. Frequency and association of variables' analysis. SETTING:The rehabilitation unit of a general hospital in Oviedo (Spain). This setting is a part of an institutional referral center and is the only state-owned hospital that provides rehabilitation treatment for hospitalized patients from a rural and urban area of about 1,000,000 inhabitants. PATIENTS:747 patients of both sexes, all of them working before receiving treatment, age range 18 to 64 years. MAIN OUTCOME MEASURES:Relationship of several variables: age, sex, habitat, level of education, type of work, underlying illness, walking ability, pain, and type of social security versus return to work. RESULTS:At discharge, 25% of patients return to work. There is a significant association (p < .001) between return to work and any of the following variables: underlying illness, kind of work, walking ability, habitat, and educational level. CONCLUSION:This physiopathology of symptoms and signs of the patients is not the unique indicator of whether a person will continue working after hip replacement and rehabilitation treatment. Extramedical factors, such as social status, kind of work, and cultural background, are very influential.

journal_name

Arch Phys Med Rehabil

authors

Suarez J,Arguelles J,Costales M,Arechaga C,Cabeza F,Vijande M

doi

10.1016/s0003-9993(96)90110-0

subject

Has Abstract

pub_date

1996-03-01 00:00:00

pages

269-72

issue

3

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(96)90110-0

journal_volume

77

pub_type

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