Ben Bloom1,2, Stephen Thomas3,4, Jette Møller Ahrensberg5, Rachel Weaver6, Alex Fowler1,2, Jon Bestwick7, Tim Harris2,3, Rupert Pearse1. 1. a William Harvey Institute , Queen Mary University of London , London , UK. 2. b Emergency Department , Royal London Hospital, Barts Health NHS Trust , London , UK. 3. c Barts and the London School of Medicine and Dentistry , Queen Mary University of London , London , UK. 4. d Department of Emergency Medicine , Hamad General Hospital , Doha , Qatar. 5. e Emergency Department , Aarhus University Hospital , Aarhus , Denmark. 6. f Institute of Public Health , University of Cambridge School of Clinical Medicine , Cambridge , UK. 7. g Wolfson Institute , Queen Mary University of London , London , UK.
Abstract
OBJECTIVE: To perform a systematic review and meta-analysis of return to work (RTW) times for adult patients with mild traumatic brain injury (mTBI). METHODS: Six databases and six trials registries were searched. Inclusion: studies reporting RTW, > 30 patients, adults, with mTBI. Exclusion: final measurement RTW < 30 days after injury, first measurement > 1 year. RESULTS: Of 978 records, 14 eligible studies were identified. Two included patients exclusively in paid employment pre-injury; four included paid employment, students, homemakers or other activities; seven included pre-injury occupational status described but unclear; one included patients whose pre-injury occupational status not described. Three reported average RTW, 12 reported proportions of patients RTW at pre-specified time-points (1 both). Average RTW times varied from 13 to 93 days. At 1 month the proportion of patients RTW (three pooled studies) was 0.56 (95% CI 0.30-0.79), at 6 months (six studies) 0.83 (0.74-0.89), at 12 months (seven studies) 0.89 (0.83-0.93). CONCLUSION: More than half of patients with mTBI have returned to work by 1 month after injury, and more than 80% by 6 months. Most studies had poor internal validity. Reporting of outcomes in mTBI is variable, and this accounted for some of the heterogeneity found in this review.
OBJECTIVE: To perform a systematic review and meta-analysis of return to work (RTW) times for adult patients with mild traumatic brain injury (mTBI). METHODS: Six databases and six trials registries were searched. Inclusion: studies reporting RTW, > 30 patients, adults, with mTBI. Exclusion: final measurement RTW < 30 days after injury, first measurement > 1 year. RESULTS: Of 978 records, 14 eligible studies were identified. Two included patients exclusively in paid employment pre-injury; four included paid employment, students, homemakers or other activities; seven included pre-injury occupational status described but unclear; one included patients whose pre-injury occupational status not described. Three reported average RTW, 12 reported proportions of patients RTW at pre-specified time-points (1 both). Average RTW times varied from 13 to 93 days. At 1 month the proportion of patients RTW (three pooled studies) was 0.56 (95% CI 0.30-0.79), at 6 months (six studies) 0.83 (0.74-0.89), at 12 months (seven studies) 0.89 (0.83-0.93). CONCLUSION: More than half of patients with mTBI have returned to work by 1 month after injury, and more than 80% by 6 months. Most studies had poor internal validity. Reporting of outcomes in mTBI is variable, and this accounted for some of the heterogeneity found in this review.
Authors: Kay Bridger; Blerina Kellezi; Denise Kendrick; Kate Radford; Stephen Timmons; Mike Rennoldson; Trevor Jones; Jade Kettlewell Journal: Int J Environ Res Public Health Date: 2021-02-19 Impact factor: 3.390
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