Predictors for Return to Work in Subjects with Mild Traumatic Brain Injury

Objective. To predict return to work (RTW) at 12 months for patients who either were sick-listed or were at risk to be sick-listed with persistent postconcussion symptoms (PCS) at six to eight weeks after injury. Method. A prospective cohort study of 151 patients with mild traumatic brain injury (MT...

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Main Authors: Eirik Vikane, Torgeir Hellstrøm, Cecilie Røe, Erik Bautz-Holter, Jörg Aßmus, Jan Sture Skouen
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2016/8026414
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author Eirik Vikane
Torgeir Hellstrøm
Cecilie Røe
Erik Bautz-Holter
Jörg Aßmus
Jan Sture Skouen
author_facet Eirik Vikane
Torgeir Hellstrøm
Cecilie Røe
Erik Bautz-Holter
Jörg Aßmus
Jan Sture Skouen
author_sort Eirik Vikane
collection DOAJ
description Objective. To predict return to work (RTW) at 12 months for patients who either were sick-listed or were at risk to be sick-listed with persistent postconcussion symptoms (PCS) at six to eight weeks after injury. Method. A prospective cohort study of 151 patients with mild traumatic brain injury (MTBI) admitted consecutively to outpatient clinics at two University Hospitals in Norway. The study was conducted as part of a randomised clinical trial. Injury characteristics were obtained from the medical records. Sick leave data from one year before to one year after MTBI were obtained from the Norwegian Labour and Welfare Service. Self-report questionnaires were used to obtain demographic and symptom profiles. Results. We observed a significant negative association between RTW at 12 months and psychological distress, global functioning, and being sick-listed at two months after MTBI, as well as having been sick-listed the last year before injury. Conclusion. Psychological distress, global functioning postinjury, and the sick leave trajectory of the subjects were negative predictors for RTW. These findings should be taken into consideration when evaluating future vocational rehabilitation models.
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institution Kabale University
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series Behavioural Neurology
spelling doaj-art-30f9de0a62e2477c9cd5f18f9ccba1442025-02-03T06:44:01ZengWileyBehavioural Neurology0953-41801875-85842016-01-01201610.1155/2016/80264148026414Predictors for Return to Work in Subjects with Mild Traumatic Brain InjuryEirik Vikane0Torgeir Hellstrøm1Cecilie Røe2Erik Bautz-Holter3Jörg Aßmus4Jan Sture Skouen5Department of Physical Medicine and Rehabilitation, Haukeland University Hospital, 5021 Bergen, NorwayDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, NorwayDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, NorwayDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, NorwayCentre for Clinical Research, Haukeland University Hospital, 5021 Bergen, NorwayDepartment of Physical Medicine and Rehabilitation, Haukeland University Hospital, 5021 Bergen, NorwayObjective. To predict return to work (RTW) at 12 months for patients who either were sick-listed or were at risk to be sick-listed with persistent postconcussion symptoms (PCS) at six to eight weeks after injury. Method. A prospective cohort study of 151 patients with mild traumatic brain injury (MTBI) admitted consecutively to outpatient clinics at two University Hospitals in Norway. The study was conducted as part of a randomised clinical trial. Injury characteristics were obtained from the medical records. Sick leave data from one year before to one year after MTBI were obtained from the Norwegian Labour and Welfare Service. Self-report questionnaires were used to obtain demographic and symptom profiles. Results. We observed a significant negative association between RTW at 12 months and psychological distress, global functioning, and being sick-listed at two months after MTBI, as well as having been sick-listed the last year before injury. Conclusion. Psychological distress, global functioning postinjury, and the sick leave trajectory of the subjects were negative predictors for RTW. These findings should be taken into consideration when evaluating future vocational rehabilitation models.http://dx.doi.org/10.1155/2016/8026414
spellingShingle Eirik Vikane
Torgeir Hellstrøm
Cecilie Røe
Erik Bautz-Holter
Jörg Aßmus
Jan Sture Skouen
Predictors for Return to Work in Subjects with Mild Traumatic Brain Injury
Behavioural Neurology
title Predictors for Return to Work in Subjects with Mild Traumatic Brain Injury
title_full Predictors for Return to Work in Subjects with Mild Traumatic Brain Injury
title_fullStr Predictors for Return to Work in Subjects with Mild Traumatic Brain Injury
title_full_unstemmed Predictors for Return to Work in Subjects with Mild Traumatic Brain Injury
title_short Predictors for Return to Work in Subjects with Mild Traumatic Brain Injury
title_sort predictors for return to work in subjects with mild traumatic brain injury
url http://dx.doi.org/10.1155/2016/8026414
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