Predictors of Return to Work in the First Year after Severe Traumatic Brain Injury: A Prospective, Observational Cohort Study
Archives of Physical Medicine and Rehabilitation(2024)
摘要
Research Objectives
To investigate clinical and sociodemographic factors associated with return to work (RTW) 1 year after severe Traumatic Brain Injury (TBI).
Design
Prospective observational cohort study with 12 months follow up.
Setting
Trauma Reference Center.
Participants
A total of 135 individuals were included in the study. Out of these, 97 individuals completed the 12-month follow-up.
Interventions
N/A.
Main Outcome Measures
Return to work was assessed via telephone interviews 6 and 12 months after severe TBI.
Results
The mean age was 40.3 ± 18.0 years, and 90.7% of the participants were male. The mean Injury Severity Score (ISS) was 32 ± 12, and the average length of stay on Mechanical Ventilatory Support was 10 ± 9 days. Fifty percent of the individuals had a low level of education. RTW was observed in 23.7% of the participants at 6 months after severe TBI and 32.9% at 12 months. On the binomial logistic regression model, physical aggression as the cause of injury, length of stay on Mechanical Ventilatory Support, and a high level of education were associated with a higher probability of returning to work 6 months after severe TBI. Additionally, at 12 months after trauma, physical aggression as the cause of injury (OR = 7.222, 95%CI 1.074-48.577), ISS score (OR = 0.934, 95%CI 0.883-0.987), performance of decompressive craniectomy (OR = 11.098, 95%CI 1.706-72.180), job security (OR = 4.931, 95%CI 1.086-22.393), and a high level of education (OR = 22.203, 95%CI 3.372-145.182) were associated with a higher probability of returning to work.
Conclusions
According to this study, the majority of patients with severe TBI do not return to work one year after their injury. Disability and cognitive impairments are the primary factors that contribute to the challenges faced by these individuals in reintegrating into social life. This study has certain limitations, including a relatively small group size, a single-center configuration, and unmeasured covariates that may have influenced the final results.
Author(s) Disclosures
All authors denied any conflicts of interests.
更多查看译文
关键词
Return to Work,Brain Injury
AI 理解论文
溯源树
样例
生成溯源树,研究论文发展脉络
Chat Paper
正在生成论文摘要