Research Reports - Return to work after traumatic brain injury

Brain Inj. 2013 Oct 16

Saltychev M, Eskola M, Tenovuo O, Laimi K

Abstract Objective: To evaluate the evidence on pre- and post-injury predictors
of vocational outcome after traumatic brain injury (TBI). Literature selection
and critical analysis: The search was conducted on PubMed and Central databases
since 1990. A clinical question was formulated according to the PICO framework.
Clinical relevance of the selected studies was evaluated following the GRADE
framework. Main outcomes and results: The main outcome measures were employment
status and return to work after TBI. Methodological quality of most of the
relevant 12 controlled and 68 uncontrolled studies included in the review was
estimated as very low. There was weak evidence that age, educational level, pre-
and post-injury occupational status, severity of TBI, functional status, level of
depression and anxiety, gender and race may be predictive for the vocational
outcome after TBI. Conclusions and implications for further research: No strong
evidence was found that vocational outcomes after TBI could be predicted or
improved. There is a need for both experimental and observational well-conducted
studies on this important subject. Researchers are strongly encouraged to use
unified and standardized terms and scales in further studies. The authors suggest
the International Classification of Functioning, Disability and Health (ICF) as
the best tool available for this purpose.

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