Fleming J, Tooth L, Hassell M, Chan W
Department of Occupational Therapy, University of Queensland, Brisbane, Australia.
Brain Inj. 1999 Jun;13(6):417-31. doi: 10.1080/026990599121476.
To predict community integration and vocational outcomes 2-5 years after traumatic brain injury (TBI).
Multivariate correlational design incorporating retrospective data collection and questionnaire follow-up.
Four hundred and forty six patients admitted to a Head Injury Unit between 1991 and 1995 were contacted. Data on predictor variables (demographic, injury severity and functional) were retrieved from hospital records. Community integration and vocational outcome was assessed by self-administered questionnaire. Two hundred and nine patients/carers completed and returned the questionnaires. Mean follow-up was 3.5 years. Data were analysed by descriptive statistics, multiple regression and discriminant analysis using SPSS.
Community integration was predicted by age, disability level and cognition. Length of PTA, cognition, disability levels, GCS, functional status, length of acute stay and prior occupation discriminated those who returned to work. A total of 46.5% returned to work with 74.5% in the same or similar jobs.
Long term outcomes post-TBI can be predicted by demographic, injury severity and functional status variables.
预测创伤性脑损伤（TBI）后2至5年的社区融入情况和职业结局。
采用回顾性数据收集和问卷调查随访的多变量相关设计。
联系了1991年至1995年间入住颅脑损伤病房的446名患者。从医院记录中获取预测变量（人口统计学、损伤严重程度和功能）的数据。通过自行填写的问卷评估社区融入情况和职业结局。209名患者/照顾者完成并返回了问卷。平均随访时间为3.5年。使用SPSS对数据进行描述性统计、多元回归和判别分析。
年龄、残疾水平和认知能力可预测社区融入情况。伤后遗忘期长度、认知能力、残疾水平、格拉斯哥昏迷量表（GCS）评分、功能状态、急性住院时间和既往职业可区分出恢复工作的患者。共有46.5%的患者恢复工作，其中74.5%从事相同或类似工作。
TBI后的长期结局可通过人口统计学、损伤严重程度和功能状态变量进行预测。
