Employment Outcome Ten Years after Moderate to Severe Traumatic Brain Injury
Autor: | Gerard M. Ribbers, Majanka H. Heijenbrok-Kal, Ian K. Haitsma, Erik Grauwmeijer |
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Přispěvatelé: | Rehabilitation Medicine, Neurosurgery |
Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Adult
Employment Male 030506 rehabilitation medicine.medical_specialty Adolescent Traumatic brain injury medicine.medical_treatment Poison control Severity of Illness Index Young Adult 03 medical and health sciences 0302 clinical medicine Internal medicine Brain Injuries Traumatic Outcome Assessment Health Care Severity of illness Injury prevention medicine Humans Prospective cohort study Aged Netherlands Trauma Severity Indices Rehabilitation business.industry Glasgow Outcome Scale Middle Aged medicine.disease Functional Independence Measure Physical therapy Female Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery Follow-Up Studies |
Zdroj: | Journal of Neurotrauma, 34(17), 2575-2581. Mary Ann Liebert Inc. |
ISSN: | 1557-9042 0897-7151 |
Popis: | The objective of this prospective cohort study was to evaluate the probability of employment and predictors of employment in patients with moderate- to- severe traumatic brain injury (TBI) over 10-year follow-up. One hundred nine patients (18-67 years) were included with follow-up measurements 3, 6, 12, 18, 24, and 36 months and 10 years post-TBI. Potential predictors of employment probability included patient characteristics, injury severity factors, functional outcome measured at discharge from the hospital with the Glasgow Outcome Scale (GOS), Barthel Index (BI), Functional Independence Measure (FIM), and the Functional Assessment Measure (FAM). Forty-eight patients (42%) completed the 10-year follow-up. Three months post-TBI, 12% were employed, which gradually, but significantly, increased to 57% after 2-years follow-up (p 0.001), followed by a significant decrease to 43% (p = 0.041) after 10 years. Ten years post-TBI, we found that employed persons had less-severe TBI, shorter length of hospital stay (LOS), and higher scores on the GOS, BI, FIM, and FAM at hospital discharge than unemployed persons. No significant differences in age, sex, educational level, living with partner/family or not, pre-injury employment, professional category, psychiatric symptoms, or discharge destination were found. Longitudinal multivariable analysis showed that time, pre-injury employment, FAM, and LOS were independent predictors of employment probability. We concluded that employment probability 10 years after moderate or severe TBI is related to injury severity and pre-injury employment. Future studies on vocational rehabilitation should focus on modifiable factors and take into consideration the effects of national legislation and national labor market forces. |
Databáze: | OpenAIRE |
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