Keyser-Marcus Lori A, Bricout John C, Wehman Paul, Campbell Leanne R, Cifu David X, Englander Jeffrey, High Walter, Zafonte Ross D
School of Education, Virginia Commonwealth University, Richmond 23284, USA.
Arch Phys Med Rehabil. 2002 May;83(5):635-41. doi: 10.1053/apmr.2002.31605.
To investigate the relation between selected acute injury and patient characteristics and subsequent return to work 1 to 5 years postinjury.
Longitudinal design with prospectively collected data. Data were collected on patients at the time of injury and each year postinjury for up to 5 years.
Four medical centers in the federally sponsored Traumatic Brain Injury Model Systems project that provide emergency medical services, intensive and acute medical care, inpatient rehabilitation, and a spectrum of community rehabilitation services.
Patients were selected from a national database of 538 rehabilitation inpatients admitted to acute care within 8 hours of traumatic brain injury (TBI) and seen at 1 to 5 years follow-up.
Not applicable.
Employment status (employed vs not employed) at 1 to 5 years postinjury. Logistic regression analyses were performed to determine the extent to which selected variables predicted employment status at years 1 to 5 postinjury.
At year 1 postinjury, preinjury productivity, age, education, and rehabilitation length of stay were all significantly associated with postinjury employment. Preinjury employment and productivity and age significantly predicted employment at postinjury year 2. At year 3 postinjury, preinjury productivity, age, and FIMtrade mark instrument discharge score significantly predicted employment status. Age was significantly associated with employment status at year 4 postinjury. Preinjury employment and productivity and Disability Rating Scale discharge score were found to be significant predictors of postinjury employment at year 5 follow-up.
The relationship between certain acute injury and patient variables (eg, age, preinjury productivity, education, discharge FIM) and subsequent return to work may provide rehabilitation professionals with useful information regarding the intensity and types of services needed for individuals in the vocational rehabilitation planning process.
探讨特定急性损伤与患者特征之间的关系，以及伤后1至5年的后续重返工作情况。
采用前瞻性收集数据的纵向设计。在受伤时及伤后每年收集患者数据，为期5年。
联邦政府资助的创伤性脑损伤模型系统项目中的四个医疗中心，这些中心提供紧急医疗服务、重症和急性医疗护理、住院康复以及一系列社区康复服务。
从一个全国性数据库中选取患者，该数据库包含538名在创伤性脑损伤（TBI）后8小时内入住急性护理病房并在1至5年随访期内接受观察的康复住院患者。
不适用。
伤后1至5年的就业状况（就业与否）。进行逻辑回归分析以确定特定变量在伤后1至5年预测就业状况的程度。
伤后第1年，伤前生产力、年龄、教育程度和康复住院时间均与伤后就业显著相关。伤前就业、生产力和年龄显著预测伤后第2年的就业情况。伤后第3年，伤前生产力、年龄和FIM量表出院评分显著预测就业状况。年龄与伤后第4年的就业状况显著相关。在第5年随访时，伤前就业、生产力和残疾评定量表出院评分被发现是伤后就业的显著预测因素。
特定急性损伤与患者变量（如年龄、伤前生产力、教育程度、出院时FIM评分）之间的关系以及随后的重返工作情况，可能为康复专业人员在职业康复规划过程中提供有关个体所需服务强度和类型的有用信息。
