Christensen, Karl Bang

Kuhlman, Michael Bilde

Larsen, Claus Falck

Lohse, Nicolai

Steinmetz, Jacob

Sørensen, Anne Marie

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

English

PubMed

Michael Kuhlman

Nicolai Lohse

Anne Sørensen

Claus Larsen

Karl Christensen

Jacob Steinmetz

Crossref

Scandinavian Journal of Trauma Resuscitation and Emergency Medicine

Impact of the severity of trauma on early retirement

Springer - Publisher Connector

POSTER PRESENTATION Open Access
Impact of the severity of trauma on early
retirement
Michael Bilde Kuhlman1*, Nicolai Lohse2, Anne Marie Sørensen1,3, Claus Falck Larsen1,4, Karl Bang Christensen5,
Jacob Steinmetz1,3
From 4th Danish Emergency Medicine Conference
Roskilde, Denmark. 25-26 November 2011
Background
Injury Severity Score (ISS) classifies patients according
to the degree of traumatic anatomical injuries and pre-
dicts subsequent risk of mortality. Trauma is known to
cause loss of income. However, it is not yet known
whether the ISS correlates with the risk of early retire-
ment. Our aim was to assess the association between
ISS and subsequent risk of voluntary early retirement-
or disability pension.
Methods
An observational cohort study based on prospectively
collected data was conducted. We included patients aged
18-64 years who entered a level-one urban trauma centre
during 1999-2007 and were still alive after three days of
in-hospital care. Patients who were early retired (received
voluntary early retirement- or disability pension) at the
time of admission were excluded. Trauma data were
linked to data on pension reception in the Danish Regis-
ter-based Evaluation of Marginalization (DREAM) data-
base. Patients were followed until new retirement
(measured as being a new pension recipient), death or
emigration. Risk of retirement according to ISS (low, ISS
< 15 vs. high, ISS > 15) was assessed by Cox proportional
hazards analysis, adjusted for gender and age.
Results
In total, 1722 trauma patients were followed for a med-
ian of 6.2 years, interquartile range (IQR) 3.7-9.1. Of
these, 76.2% were males, median age was 35.0 (IQR
25.4-46.5) years, and median ISS was 16 (IQR 9-25).
Three hundred and twenty-two patients retired during
follow-up. Patients with high ISS, compared to patients
with low ISS, had an increased risk of early retirement,
hazard ratio (HR) 2.50 (95% confidence interval 1.95-
3.13; p < 0.001), adjusted HR 2.60 (2.05-3.30; p < 0.001).
Conclusion
Severely injured patients with an ISS > 15 are at signifi-
cantly increased risk of early retirement due to disability
pension or voluntary early retirement.
Author details
1Rigshospitalet, Copenhagen University Hospital, Trauma Center, 3193,
Blegdamsvej 9, DK-2100 København Ø, Denmark. 2Global Stakeholder
Engagement, Novo Nordisk A/S, Denmark. 3Rigshospitalet, Copenhagen
University Hospital, Department of Anaesthesia ANHOC, Blegdamsvej 9, 2100
København Ø, Denmark. 4Rigshospitalet, Copenhagen University Hospital,
Centre of Head and Orthopaedics, 2161, Blegdamsvej 9, DK-2100 København
Ø, Denmark. 5Department of Biostatistics, University of Copenhagen,
Denmark.
Published: 16 April 2012
doi:10.1186/1757-7241-20-S2-P26
Cite this article as: Kuhlman et al.: Impact of the severity of trauma on
early retirement. Scandinavian Journal of Trauma, Resuscitation and
Emergency Medicine 2012 20(Suppl 2):P26.
* Correspondence: mibiku@hotmail.com
1Rigshospitalet, Copenhagen University Hospital, Trauma Center, 3193,
Blegdamsvej 9, DK-2100 København Ø, Denmark
Full list of author information is available at the end of the article
Kuhlman et al. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
2012, 20(Suppl 2):P26
http://www.sjtrem.com/content/20/S2/P26
© 2012 Kuhlman et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly cited.


http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3327150

Impact of the severity of trauma on early retirement

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