Research Reports - Predictors for return to work in subjects with mild traumatic brain injury

Behav Neurol. 2016;2016:8026414. doi: 10.1155/2016/8026414. Epub 2016 Feb 14.

Vikane E(1), Hellstrøm T(2), Røe C(3), Bautz-Holter E(3), Aßmus J(4), Skouen
JS(1).

Objective. To predict return to work (RTW) at 12 months for patients who either
were sick-listed or were at risk to be sick-listed with persistent postconcussion
symptoms (PCS) at six to eight weeks after injury. Method. A prospective cohort
study of 151 patients with mild traumatic brain injury (MTBI) admitted
consecutively to outpatient clinics at two University Hospitals in Norway. The
study was conducted as part of a randomised clinical trial. Injury
characteristics were obtained from the medical records. Sick leave data from one
year before to one year after MTBI were obtained from the Norwegian Labour and
Welfare Service. Self-report questionnaires were used to obtain demographic and
symptom profiles. Results. We observed a significant negative association between
RTW at 12 months and psychological distress, global functioning, and being
sick-listed at two months after MTBI, as well as having been sick-listed the last
year before injury. Conclusion. Psychological distress, global functioning
postinjury, and the sick leave trajectory of the subjects were negative
predictors for RTW. These findings should be taken into consideration when
evaluating future vocational rehabilitation models. 

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