Prediction of employment status one year post-discharge from rehabilitation following traumatic spinal cord injury: An exploratory analysis of participation and environmental variables
| Autor: | Annelies De Wolf, Ian D. Cameron, Ruth Quirk, James W. Middleton, Gregory C. Murphy |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Employment Male medicine.medical_specialty Time Factors Traumatic spinal cord injury medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Community integration Logistic regression Cohort Studies Activities of Daily Living medicine Humans Prospective Studies Prospective cohort study Spinal Cord Injuries Rehabilitation business.industry Rehabilitation Vocational General Medicine Exploratory analysis Prognosis Patient Discharge Socioeconomic Factors Cohort Physical therapy Predictive power Educational Status Female business Follow-Up Studies |
| Zdroj: | Journal of Rehabilitation Medicine. 41:1074-1079 |
| ISSN: | 1650-1977 |
| DOI: | 10.2340/16501977-0465 |
| Popis: | Objective: To identify the extent to which early participation and environmental variables, when assessed at discharge from hospital, add to injury and demographic variables in the prediction of employment following traumatic spinal cord injury. Design: Prospective study in which participants were assessed on a range of injury, demographic, participation and environmental measures at discharge from inpatient rehabilitation and then followed up 12 months later to assess their employment status. Subjects: A cohort of 72 eligible patients discharged from hospitals’ rehabilitation units. Results: Using injury, demographic and contextual variables as predictors, 94% of not employed and 65% of employed cases (87% overall) could be correctly classified. The contextual variables made a significant contribution to improving predictive power, beyond that achieved by use of the more restricted set of injury and demographic variables. Three variables made significant, independent contributions at the third and final step of a sequential logistic regression: Functional Independence Measure™ score at discharge, high-skill pre-injury occupation, and perceived community integration (CIM score, at discharge). Conclusion: To assist in raising employment achievements post-injury, attention should be given during rehabilitation to factors beyond the traditional patient injury and demographic variables, as well as considering community integration support services when developing vocational rehabilitation service plans. |
| Databáze: | OpenAIRE |
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