ABSTRACT

Purpose

This study aims to describe the employment status and pattern among survivors of traumatic brain injury after motor vehicle accidents, and to explore the effects of demographic, injury variables and concomitant injuries on the employment status .

Method

A retrospective analyses of 370 medical reports written for patients who sustained traumatic brain injury from motor vehicle accidents was conducted. To establish the employment pattern, the pre-injury employment history was compared to the latest employment status documented. Types and severity of concomitant injuries were rated according to Abbreviated Injury Scale criteria. All significant variables were further analyzed using logistic regression to explore predictors of employment.

Results

Up to 87% of the patients sustained concomitant injuries, with more than two-thirds (72%) scoring ≤ 2 on the Abbreviated Injury Scale. One hundred and eighty-two patients (49.2%) successfully returned to work. Among those who returned to work, 34% returned to former employment with pre-injury job description. Severity of traumatic brain injury, length of acute hospital stay, ambulation status and cognitive status were found to be significant predictive factors for employment status post traumatic brain injury. Presence of concomitant extremity injuries was found to influence the employment pattern among traumatic brain injury survivors.

Conclusion

The return to work rate was somewhat low and was not influenced by presence of concomitant injuries. .

中文翻译：

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外伤性脑损伤后的就业状况及伴随损伤对重返工作岗位的影响

摘要

目的

本研究旨在描述机动车事故后脑外伤幸存者的就业状况和模式，并探讨人口统计学、伤害变量和伴随伤害对就业状况的影响。

方法

对 370 份为因机动车事故而遭受创伤性脑损伤的患者撰写的医疗报告进行了回顾性分析。为了建立就业模式，将受伤前的就业历史与记录的最新就业状况进行比较。伴随伤害的类型和严重程度根据缩写伤害量表标准进行评级。使用逻辑回归进一步分析所有重要变量以探索就业预测因素。

结果

多达 87% 的患者遭受伴随损伤，超过三分之二 (72%) 的简化损伤量表评分≤ 2。182 名患者（49.2%）成功重返工作岗位。在重返工作岗位的人中，34% 的人以受伤前的工作描述重返原工作岗位。外伤性脑损伤的严重程度、急性住院时间、行走状态和认知状态是外伤性脑损伤后就业状况的重要预测因素。发现伴随四肢损伤的存在会影响创伤性脑损伤幸存者的就业模式。

结论

复工率有点低，不受伴随伤害的影响。.