Employment outcome four years after a severe traumatic brain injury: results of the Paris severe traumatic brain injury study

Disability and Rehabilitation
Alexis RuetPhilippe Azouvi

Abstract

To describe employment outcome four years after a severe traumatic brain injury by the assessment of individual patients' preinjury sociodemographic data, injury-related and postinjury factors. A prospective, multicenter inception cohort of 133 adult patients in the Paris area (France) who had received a severe traumatic brain injury were followed up postinjury at one and four years. Sociodemographic data, factors related to injury severity and one-year functional and cognitive outcomes were prospectively collected. The main outcome measure was employment status. Potential predictors of employment status were assessed by univariate and multivariate analysis. At the four-year follow-up, 38% of patients were in paid employment. The following factors were independent predictors of unemployment: being unemployed or studying before traumatic brain injury, traumatic brain injury severity (i.e., a lower Glasgow Coma Scale score upon admission and a longer stay in intensive care) and a lower one-year Glasgow Outcome Scale-Extended score. This study confirmed the low rate of long-term employment amongst patients after a severe traumatic brain injury. The results illustrated the multiple determinants of employment outcome and suggested t...Continue Reading

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Citations

Jun 20, 2017·Progress in Neuro-psychopharmacology & Biological Psychiatry·Samar Khoury, Rodrigo Benavides
Sep 6, 2019·Neurocritical Care·Jamie Nicole LaBuzettaAna-Maria Vranceanu
Jun 6, 2019·Neuropsychological Rehabilitation·Clare NowellJennie Ponsford
Aug 19, 2020·Journal of Neurotrauma·Anne NorupFin Biering-Sørensen
Jul 29, 2018·Archives of Physical Medicine and Rehabilitation·Dominic DiSantoAmy K Wagner

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