Minna Wäljas1, Grant L Iverson, Rael T Lange, Suvi Liimatainen, Kaisa M Hartikainen, Prasun Dastidar, Seppo Soimakallio, Juha Ohman. 1. Department of Neurosurgery, Tampere University Hospital, Tampere, Finland (Ms Wäljas and Dr Öhman); University of Tampere Medical School, Tampere, Finland (Ms Wäljas and Drs Hartikainen, Dastidar, Soimakallio, and Öhman); Department of Physical Medicine and Rehabilitation, Harvard Medical School, and Red Sox Foundation and Massachusetts General Hospital Home Base Program, Boston, Massachusetts (Dr Iverson); Defense and Veterans Brain Injury Center, Bethesda, Maryland (Dr Lange); Walter Reed National Military Medical Center, Bethesda, Maryland (Dr Lange); Department of Neurosciences and Rehabilitation and Emergency Department Acuta, Tampere University Hospital, Tampere, Finland (Dr Liimatainen); and Medical Imaging Centre of Pirkanmaa Hospital District, Finland (Drs Dastidar and Soimakallio).
Abstract
OBJECTIVE: To examine factors relating to return to work (RTW) following mild traumatic brain injury (mTBI). PARTICIPANTS: One hundred and nine patients (Age: M = 37.4 years, SD = 13.2; 52.3% women) who sustained an mTBI. DESIGN: Inception cohort design with questionnaires and neuropsychological testing completed approximately 3 to 4 weeks postinjury. SETTING: Emergency Department of Tampere University Hospital, Finland. MAIN OUTCOME MEASURES: Self-report (postconcussion symptoms, depression, fatigue, and general health) and neurocognitive measures (attention and memory). RESULTS: The cumulative RTW rates were as follows: 1 week = 46.8%, 2 weeks = 59.6%, 3 weeks = 67.0%, 4 weeks = 70.6%, 2 months = 91.7%, and 1 year = 97.2%. Four variables were significant predictors of the number of days to RTW: age, multiple bodily injuries, intracranial abnormality at the day of injury, and fatigue ratings (all P < .001). The largest amount of variance accounted for by these variables in the prediction of RTW was at 30 days following injury (P < .001, R = 0.504). Participants who returned to work fewer than 30 days after injury (n = 82, 75.2%) versus more than 30 days (n = 27, 24.8%) did not differ on demographic or neuropsychological variables. CONCLUSIONS: The vast majority of this cohort returned to work within 2 months. Predictors of slower RTW included age, multiple bodily injuries, intracranial abnormality at the day of injury, and fatigue.
OBJECTIVE: To examine factors relating to return to work (RTW) following mild traumatic brain injury (mTBI). PARTICIPANTS: One hundred and nine patients (Age: M = 37.4 years, SD = 13.2; 52.3% women) who sustained an mTBI. DESIGN: Inception cohort design with questionnaires and neuropsychological testing completed approximately 3 to 4 weeks postinjury. SETTING: Emergency Department of Tampere University Hospital, Finland. MAIN OUTCOME MEASURES: Self-report (postconcussion symptoms, depression, fatigue, and general health) and neurocognitive measures (attention and memory). RESULTS: The cumulative RTW rates were as follows: 1 week = 46.8%, 2 weeks = 59.6%, 3 weeks = 67.0%, 4 weeks = 70.6%, 2 months = 91.7%, and 1 year = 97.2%. Four variables were significant predictors of the number of days to RTW: age, multiple bodily injuries, intracranial abnormality at the day of injury, and fatigue ratings (all P < .001). The largest amount of variance accounted for by these variables in the prediction of RTW was at 30 days following injury (P < .001, R = 0.504). Participants who returned to work fewer than 30 days after injury (n = 82, 75.2%) versus more than 30 days (n = 27, 24.8%) did not differ on demographic or neuropsychological variables. CONCLUSIONS: The vast majority of this cohort returned to work within 2 months. Predictors of slower RTW included age, multiple bodily injuries, intracranial abnormality at the day of injury, and fatigue.
Authors: L A Gaudet; L Eliyahu; J Beach; M Mrazik; G Cummings; D C Voaklander; B H Rowe Journal: Occup Med (Lond) Date: 2019-10-01 Impact factor: 1.611
Authors: John K Yue; Harvey S Levin; Catherine G Suen; Molly Rose Morrissey; Sarah J Runyon; Ethan A Winkler; Ross C Puffer; Hansen Deng; Caitlin K Robinson; Jonathan W Rick; Ryan R L Phelps; Sourabh Sharma; Sabrina R Taylor; Mary J Vassar; Maryse C Cnossen; Hester F Lingsma; Raquel C Gardner; Nancy R Temkin; Jason Barber; Sureyya S Dikmen; Esther L Yuh; Pratik Mukherjee; Murray B Stein; Tene A Cage; Alex B Valadka; David O Okonkwo; Geoffrey T Manley Journal: Neurol Res Date: 2019-04-21 Impact factor: 2.448
Authors: John K Yue; Ryan Rl Phelps; Debra D Hemmerle; Pavan S Upadhyayula; Ethan A Winkler; Hansen Deng; Diana Chang; Mary J Vassar; Sabrina R Taylor; David M Schnyer; Hester F Lingsma; Ava M Puccio; Esther L Yuh; Pratik Mukherjee; Michael C Huang; Laura B Ngwenya; Alex B Valadka; Amy J Markowitz; David O Okonkwo; Geoffrey T Manley Journal: J Concussion Date: 2021-04-06