TY - JOUR
T1 - Acute predictors of return to employment after traumatic brain injury
T2 - A longitudinal follow-up
AU - Keyser-Marcus, Lori A.
AU - Bricout, John C.
AU - Wehman, Paul
AU - Campbell, Leanne R.
AU - Cifu, David X.
AU - Englander, Jeffrey
AU - High, Walter
AU - Zafonte, Ross D.
N1 - Funding Information:
Supported in part by the National Institute on Disability and Rehabilitation Research, US Department of Education (grant nos. H133A980026, H133B980036).
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2002
Y1 - 2002
N2 - Objective: To investigate the relation between selected acute injury and patient characteristics and subsequent return to work 1 to 5 years postinjury. Design: Longitudinal design with prospectively collected data. Data were collected on patients at the time of injury and each year postinjury for up to 5 years. Setting: Four medical centers in the federally sponsored Traumatic Brain Injury Model Systems project that provide emergency medical services, intensive and acute medical care, inpatient rehabilitation, and a spectrum of community rehabilitation services. Participants: Patients were selected from a national database of 538 rehabilitation inpatients admitted to acute care within 8 hours of traumatic brain injury (TBI) and seen at I to 5 years follow-up. Interventions: Not applicable. Main Outcome Measures: Employment status (employed vs not employed) at 1 to 5 years postinjury. Logistic regression analyses were performed to determine the extent to which selected variables predicted employment status at years 1 to 5 postinjury. Results: At year 1 postinjury, preinjury productivity, age, education, and rehabilitation length of stay were all significantly associated with postinjury employment. Preinjury employment and productivity and age significantly predicted employment at postinjury year 2. At year 3 postinjury, preinjury productivity, age, and FIM™ instrument discharge score significantly predicted employment status. Age was significantly associated with employment status at year 4 postinjury. Preinjury employment and productivity and Disability Rating Scale discharge score were found to be significant predictors of postinjury employment at year 5 follow-up. Conclusions: The relationship between certain acute injury and patient variables (eg, age, preinjury productivity, education, discharge FIM) and subsequent return to work may provide rehabilitation professionals with useful information regarding the intensity and types of services needed for individuals in the vocational rehabilitation planning process.
AB - Objective: To investigate the relation between selected acute injury and patient characteristics and subsequent return to work 1 to 5 years postinjury. Design: Longitudinal design with prospectively collected data. Data were collected on patients at the time of injury and each year postinjury for up to 5 years. Setting: Four medical centers in the federally sponsored Traumatic Brain Injury Model Systems project that provide emergency medical services, intensive and acute medical care, inpatient rehabilitation, and a spectrum of community rehabilitation services. Participants: Patients were selected from a national database of 538 rehabilitation inpatients admitted to acute care within 8 hours of traumatic brain injury (TBI) and seen at I to 5 years follow-up. Interventions: Not applicable. Main Outcome Measures: Employment status (employed vs not employed) at 1 to 5 years postinjury. Logistic regression analyses were performed to determine the extent to which selected variables predicted employment status at years 1 to 5 postinjury. Results: At year 1 postinjury, preinjury productivity, age, education, and rehabilitation length of stay were all significantly associated with postinjury employment. Preinjury employment and productivity and age significantly predicted employment at postinjury year 2. At year 3 postinjury, preinjury productivity, age, and FIM™ instrument discharge score significantly predicted employment status. Age was significantly associated with employment status at year 4 postinjury. Preinjury employment and productivity and Disability Rating Scale discharge score were found to be significant predictors of postinjury employment at year 5 follow-up. Conclusions: The relationship between certain acute injury and patient variables (eg, age, preinjury productivity, education, discharge FIM) and subsequent return to work may provide rehabilitation professionals with useful information regarding the intensity and types of services needed for individuals in the vocational rehabilitation planning process.
KW - Brain injuries
KW - Employment
KW - Rehabilitation
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U2 - 10.1053/apmr.2002.31605
DO - 10.1053/apmr.2002.31605
M3 - Article
C2 - 11994802
AN - SCOPUS:0036257772
SN - 0003-9993
VL - 83
SP - 635
EP - 641
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 5
ER -