{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T14:32:43Z","timestamp":1794580363865,"version":"4.9.1"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The management of upper limb injury is aimed at a timely return to work, and other activities of daily living. The modified hand injury severity score (MHISS) has been found to predict a return to work. Upper limb injuries are common in our subregion, but there is little or no data on the time to return to work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This study, therefore, aimed to determine the prevalence of return to work and to identify the predictors of time to return to work following reconstruction of upper limb injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>\n                      This was a cross-sectional analytic study carried out between April 2022 and March 2023. The statistical test was at a confidence interval of 95%, and statistical significance set at a\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value of &lt;0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>\n                      A total of 49 upper-limb-injured patients had reconstruction in the time under review. Male-to-female ratio was 4.4:1. The mean MHISS was 87.9 \u00b1 79.2. Of the 43 patients who participated in the return-to-work analysis, 41.9% had returned to work, with a mean time of 14.3 \u00b1 10.5 weeks. Work-related injuries (r = 0.357,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.019), male gender (r = 0.354,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.020), and MHISS (r = 0.333,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.029) correlated significantly with late return to work. On multiple logistic regression, work-related injuries (\u03b2 =0.321,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.037), MHISS (\u03b2 =0.376,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.032), and male gender (\u03b2 =0.326,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.044) were found to be the significant predictors of late return to work.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is a low prevalence of return to work, with a high mean time to return. Work-related injuries, MHISS, and male gender are significant predictors of time to return to work.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_30_24","type":"journal-article","created":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T13:00:09Z","timestamp":1722085209000},"page":"880-885","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Predictors of Time to Return to Work Following Surgical Reconstruction of Upper Limb Injuries in a Cosmopolitan City in Western Nigeria"],"prefix":"10.4103","volume":"27","author":[{"given":"AI","family":"Michael","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive, and Aesthetic Surgery, University College Hospital, Ibadan, Nigeria"},{"name":"Department of Surgery, College of Medicine, University of Ibadan, 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