Return to Work After Severe Traumatic Brain Injury: A Nationwide Follow-up Study

被引:23
作者
Odgaard, Lene [1 ,2 ]
Johnsen, Soren Paaske [3 ]
Pedersen, Asger Roer [1 ,2 ]
Nielsen, Jorgen Feldbaek [1 ,2 ]
机构
[1] Aarhus Univ, Hammel Neurorehabil Ctr, Res Dept, Voldbyvej 15, DK-8450 Hammel, Denmark
[2] Aarhus Univ, Univ Res Clin, Voldbyvej 15, DK-8450 Hammel, Denmark
[3] Aarhus Univ Hosp, Dept Clin Epidemiol, Aarhus, Denmark
关键词
craniocerebral trauma; employment; health benefits; injury outcomes; matched-pair analysis; population-based; prevalence; register; rehabilitation; POPULATION; EMPLOYMENT; EPIDEMIOLOGY; UNEMPLOYMENT; PREDICTORS; COHORT;
D O I
10.1097/HTR.0000000000000239
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To determine return to work (RTW) after severe traumatic brain injury (TBI) and to compare long-term labor market attachment (LMA) with the general population. Participants: All persons aged 18 to 64 years who received highly specialized neurorehabilitation after severe TBI between 2004 and 2012 (n = 637) were matched to general population controls on age, sex, preinjury employment status, educational level, and residence (n = 2497). Design: Nationwide follow-up study using weekly records on public assistance benefits. Main Measures: Both RTW and LMA were defined as having no public assistance benefits except education grants/leave. Stable LMA was defined as weeks with LMA of 75% or more. LMA among persons with severe TBI and controls was compared using multivariable conditional logistic regression. Results: RTW mainly occurred within first 2 years after severe TBI, with 30% of the people attempting RTW and 16% achieving stable LMA within 2 years. The prevalence of people with LMA decreased to 11% from 21/2 years to 5 years postinjury. Adjusted odds ratios were 0.01 for LMA up to 2 years postinjury and 0.05 for stable LMA for persons with severe TBI compared with the general population. Conclusion: Both RTW and long-term LMA after severe TBI were low in Denmark when compared with the general population and other countries.
引用
收藏
页码:E57 / E64
页数:8
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