轻度创伤性脑损伤后的重返工作岗位。

Return to work following mild traumatic brain injury.

作者信息

Wäljas Minna, Iverson Grant L, Lange Rael T, Liimatainen Suvi, Hartikainen Kaisa M, Dastidar Prasun, Soimakallio Seppo, Ohman Juha

机构信息

Department of Neurosurgery, Tampere University Hospital, Tampere, Finland (Ms Wäljas and Dr Öhman); University of Tampere Medical School, Tampere, Finland (Ms Wäljas and Drs Hartikainen, Dastidar, Soimakallio, and Öhman); Department of Physical Medicine and Rehabilitation, Harvard Medical School, and Red Sox Foundation and Massachusetts General Hospital Home Base Program, Boston, Massachusetts (Dr Iverson); Defense and Veterans Brain Injury Center, Bethesda, Maryland (Dr Lange); Walter Reed National Military Medical Center, Bethesda, Maryland (Dr Lange); Department of Neurosciences and Rehabilitation and Emergency Department Acuta, Tampere University Hospital, Tampere, Finland (Dr Liimatainen); and Medical Imaging Centre of Pirkanmaa Hospital District, Finland (Drs Dastidar and Soimakallio).

出版信息

J Head Trauma Rehabil. 2014 Sep-Oct;29(5):443-50. doi: 10.1097/HTR.0000000000000002.

DOI:10.1097/HTR.0000000000000002

PMID:24263178

Abstract

OBJECTIVE

To examine factors relating to return to work (RTW) following mild traumatic brain injury (mTBI).

PARTICIPANTS

One hundred and nine patients (Age: M = 37.4 years, SD = 13.2; 52.3% women) who sustained an mTBI.

DESIGN

Inception cohort design with questionnaires and neuropsychological testing completed approximately 3 to 4 weeks postinjury.

SETTING

Emergency Department of Tampere University Hospital, Finland.

MAIN OUTCOME MEASURES

Self-report (postconcussion symptoms, depression, fatigue, and general health) and neurocognitive measures (attention and memory).

RESULTS

The cumulative RTW rates were as follows: 1 week = 46.8%, 2 weeks = 59.6%, 3 weeks = 67.0%, 4 weeks = 70.6%, 2 months = 91.7%, and 1 year = 97.2%. Four variables were significant predictors of the number of days to RTW: age, multiple bodily injuries, intracranial abnormality at the day of injury, and fatigue ratings (all P < .001). The largest amount of variance accounted for by these variables in the prediction of RTW was at 30 days following injury (P < .001, R = 0.504). Participants who returned to work fewer than 30 days after injury (n = 82, 75.2%) versus more than 30 days (n = 27, 24.8%) did not differ on demographic or neuropsychological variables.

CONCLUSIONS

The vast majority of this cohort returned to work within 2 months. Predictors of slower RTW included age, multiple bodily injuries, intracranial abnormality at the day of injury, and fatigue.

摘要

目的

研究与轻度创伤性脑损伤（mTBI）后重返工作岗位（RTW）相关的因素。

参与者

109例mTBI患者（年龄：M = 37.4岁，标准差 = 13.2；52.3%为女性）。

设计

起始队列设计，伤后约3至4周完成问卷调查和神经心理学测试。

地点

芬兰坦佩雷大学医院急诊科。

主要观察指标

自我报告（脑震荡后症状、抑郁、疲劳和总体健康状况）以及神经认知指标（注意力和记忆力）。

结果

累积重返工作岗位率如下：1周 = 46.8%，2周 = 59.6%，3周 = 67.0%，4周 = 70.6%，2个月 = 91.7%，1年 = 97.2%。四个变量是重返工作岗位天数的显著预测因素：年龄、多处身体损伤、受伤当天的颅内异常以及疲劳评分（均P < .001）。这些变量在预测重返工作岗位时所解释的最大方差量出现在受伤后30天（P < .001，R = 0.504）。伤后少于30天重返工作岗位的参与者（n = 82，75.2%）与多于30天重返工作岗位的参与者（n = 27，24.8%）在人口统计学或神经心理学变量上无差异。