Return to Productivity Projections for Individuals With Moderate to Severe TBI Following Inpatient Rehabilitation: A NIDILRR TBIMS and CDC Interagency Collaboration
| Autor: | Jessica M. Ketchum, Kristen Dams-O'Connor, Christopher Pretz, Robert G. Kowalski, A. Cate Miller, Jeffrey P. Cuthbert, Gale G. Whiteneck |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Moderate to severe
030506 rehabilitation medicine.medical_specialty Traumatic brain injury Occupational prestige medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Cohort Studies Return to School 03 medical and health sciences Return to Work 0302 clinical medicine Brain Injuries Traumatic medicine Humans Productivity Inpatients Rehabilitation business.industry medicine.disease United States Substance abuse Physical therapy Neurology (clinical) Centers for Disease Control and Prevention U.S 0305 other medical science business 030217 neurology & neurosurgery Inpatient rehabilitation Cohort study |
| Zdroj: | Journal of Head Trauma Rehabilitation. 35:140-151 |
| ISSN: | 0885-9701 |
| Popis: | OBJECTIVE Return to work and school following traumatic brain injury (TBI) is an outcome of central importance both to TBI survivors and to society. The current study estimates the probability of returning to productivity over 5 years following moderate to severe brain injury. DESIGN A secondary longitudinal analysis using random effects modeling, that is, individual growth curve analysis based on a sample of 2542 population-weighted individuals from a multicenter cohort study. SETTING Acute inpatient rehabilitation facilities. PARTICIPANTS Individuals 16 years and older with a primary diagnosis of TBI who were engaged in school or work at the time of injury. MAIN OUTCOME MEASURES Participation in productive activity, defined as employment or school, as reported during follow-up telephone interviews at 1, 2, and 5 years postinjury. RESULTS Baseline variables, age of injury, race, level of education and occupational category at the time of injury, disability rating at hospital discharge, substance abuse status, and rehabilitation length of stay, are significantly associated with probability of return to productivity. Individual-level productivity trajectories generally indicate that the probability of returning to productivity increases over time. CONCLUSIONS Results of this study highlight the importance of preinjury occupational status and level of education in returning to productive activity following moderate to severe TBI. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|