J Lexell1,2,3, A-K Wihlney1, L J Jacobsson1,3,4. 1. a Department of Health Sciences , Lund University , Lund. 2. b Department of Neurology and Rehabilitation Medicine , Skåne University Hospital , Lund , Sweden. 3. c Department of Health Sciences , Luleå University of Technology , Luleå 4. d Department of Rehabilitation Medicine , Sunderby Hospital , Luleå , Sweden.
Abstract
PRIMARY OBJECTIVE: To describe vocational outcome 6-15 years after a traumatic brain injury (TBI) among individuals who were productive by working or studying at the time of their TBI and determine the associations with variables related to the time of injury and at follow-up. METHODS AND PROCEDURES: Thirty-four individuals with a mild TBI and 45 with a moderate-to-severe TBI were assessed on average 10 years post-injury. Logistic regression was used to determine the association between their current vocational situation and variables related to the time of injury (gender, age, injury severity and educational level) and at follow-up (time since injury, marital status and overall disability). RESULTS: A total of 67% were productive at follow-up. Age at injury, injury severity and the degree of disability at follow-up were strongly associated with being productive. Younger individuals with milder TBI and less severe disability were significantly more likely to be fully productive. No significant associations were found between productivity and gender, education, time since injury or marital status. CONCLUSIONS: This study indicates that return to productivity in a long-term perspective after a TBI is possible, in particular when the individual is young, has sustained a mild TBI and has a milder form of overall disability.
PRIMARY OBJECTIVE: To describe vocational outcome 6-15 years after a traumatic brain injury (TBI) among individuals who were productive by working or studying at the time of their TBI and determine the associations with variables related to the time of injury and at follow-up. METHODS AND PROCEDURES: Thirty-four individuals with a mild TBI and 45 with a moderate-to-severe TBI were assessed on average 10 years post-injury. Logistic regression was used to determine the association between their current vocational situation and variables related to the time of injury (gender, age, injury severity and educational level) and at follow-up (time since injury, marital status and overall disability). RESULTS: A total of 67% were productive at follow-up. Age at injury, injury severity and the degree of disability at follow-up were strongly associated with being productive. Younger individuals with milder TBI and less severe disability were significantly more likely to be fully productive. No significant associations were found between productivity and gender, education, time since injury or marital status. CONCLUSIONS: This study indicates that return to productivity in a long-term perspective after a TBI is possible, in particular when the individual is young, has sustained a mild TBI and has a milder form of overall disability.
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