Vikane Eirik, Hellstrøm Torgeir, Røe Cecilie, Bautz-Holter Erik, Aßmus Jörg, Skouen Jan Sture
Department of Physical Medicine and Rehabilitation, Haukeland University Hospital, 5021 Bergen, Norway; Department of Global Public Health and Primary Care, University of Bergen, 5020 Bergen, Norway.
Department of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, Norway.
Behav Neurol. 2016;2016:8026414. doi: 10.1155/2016/8026414. Epub 2016 Feb 14.
Objective. To predict return to work (RTW) at 12 months for patients who either were sick-listed or were at risk to be sick-listed with persistent postconcussion symptoms (PCS) at six to eight weeks after injury. Method. A prospective cohort study of 151 patients with mild traumatic brain injury (MTBI) admitted consecutively to outpatient clinics at two University Hospitals in Norway. The study was conducted as part of a randomised clinical trial. Injury characteristics were obtained from the medical records. Sick leave data from one year before to one year after MTBI were obtained from the Norwegian Labour and Welfare Service. Self-report questionnaires were used to obtain demographic and symptom profiles. Results. We observed a significant negative association between RTW at 12 months and psychological distress, global functioning, and being sick-listed at two months after MTBI, as well as having been sick-listed the last year before injury. Conclusion. Psychological distress, global functioning postinjury, and the sick leave trajectory of the subjects were negative predictors for RTW. These findings should be taken into consideration when evaluating future vocational rehabilitation models.
目的。预测受伤后6至8周出现持续性脑震荡后症状（PCS）而被列入病假或有被列入病假风险的患者在12个月时的重返工作岗位（RTW）情况。方法。对挪威两家大学医院门诊连续收治的151例轻度创伤性脑损伤（MTBI）患者进行前瞻性队列研究。该研究作为一项随机临床试验的一部分进行。从医疗记录中获取损伤特征。从挪威劳动和福利服务局获取MTBI前一年至后一年的病假数据。使用自我报告问卷获取人口统计学和症状概况。结果。我们观察到，12个月时的RTW与心理困扰、整体功能、MTBI后两个月被列入病假以及受伤前一年被列入病假之间存在显著负相关。结论。心理困扰、受伤后的整体功能以及受试者的病假轨迹是RTW的负向预测因素。在评估未来的职业康复模式时应考虑这些发现。
