Predictors of global functioning and employment 10 years following traumatic brain injury compared with orthopaedic injury
| Autor: | Jane Q Dahm, Jennie Ponsford |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Employment Male medicine.medical_specialty Adolescent Traumatic brain injury medicine.medical_treatment Neuroscience (miscellaneous) Poison control Suicide prevention Occupational safety and health Injury prevention Developmental and Educational Psychology medicine Humans Longitudinal Studies Prospective Studies Aged Behavior Rehabilitation business.industry Human factors and ergonomics Middle Aged medicine.disease Orthopedics Treatment Outcome Brain Injuries Orthopedic surgery Physical therapy Female Neurology (clinical) business Forecasting |
| Zdroj: | Brain Injury. 29:1539-1546 |
| ISSN: | 1362-301X 0269-9052 |
| Popis: | The aim of this study was to prospectively investigate predictors of global functioning and employment 10 years following traumatic brain injury (TBI) compared with orthopaedic trauma.Prospective cohort.Ninety-seven individuals with complicated mild-to-severe TBI and 91 with traumatic orthopaedic injury were followed-up at 10 years post-injury. Global functioning (GOS-E) and employment status were recorded.Groups did not differ on global functioning or employment status. Post-TBI, shorter PTA and less severe orthopaedic injuries were associated with better global functioning; and shorter PTA and younger age were associated with employment. Following traumatic orthopaedic injury, younger age was associated with employment, but not after excluding individuals no longer in the labour force.In this sample, demographic factors and injury severity contribute to long-term outcomes following TBI, but not orthopaedic trauma. PTA continues to influence outcomes 10 years following TBI. There is ongoing detrimental influence of orthopaedic injuries on global functioning for individuals with TBI, suggesting a potential benefit in greater clinical attention to these injuries. Further understanding of the complex interplay between these predictors and other personal and environmental factors will contribute to improving individualized rehabilitation. |
| Databáze: | OpenAIRE |
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