Research Reports - Employment probability and stability at 1, 2 and 5 years after traumatic brain injury

Brain Inj. 2014 Mar 21

Forslund MV(1), Arango-Lasprilla JC, Roe C, Perrin PB, Sigurdardottir S, Andelic N

Abstract Primary objectives: To examine trajectories of employment probability
and stability over the first 5 years after traumatic brain injury (TBI) by using
multi-level modelling and multinomial logistic regressions. Research design: A
longitudinal cohort study. Methods and procedures: One hundred and five
individuals with moderate-to-severe TBI who had been admitted to the Trauma
Referral Centre for the Southeast region of Norway were followed up at 1, 2 and 5
years after the injury. Main outcomes and results: Employment status was
dichotomized into employed and unemployed, while employment stability was
categorized into stably employed, unstably employed and unemployed at 1, 2 and 5
years after injury. Being single, unemployment prior to injury, blue collar
occupation, lower Glasgow Coma Scale (GCS) score at hospital admission and
greater length of post-traumatic amnesia (PTA) were significantly associated with
being unemployed at 1, 2 and 5 years post-injury. Further, younger patients,
those with a lower GCS, greater length of PTA and greater length of hospital stay
were negatively associated with employment stability. Conclusions: It could be
wise to target patient population with these demographic and injury
characteristics for more extensive follow-ups and vocational rehabilitation to
help improve employment outcomes following injury.

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