轻度创伤性脑损伤合并孤立性肢体骨折后对恢复工作的影响：一项队列研究。
Effects of concomitant mild traumatic brain injury on resuming work after suffering from an isolated limb fracture: A cohort study.
作者信息
Jodoin Marianne, Rouleau Dominique M, Larson-Dupuis Camille, Benoit Benoit, Leduc Stéphane, Laflamme G-Yves, Gosselin Nadia, Sabir Meriem, De Beaumont Louis
机构信息
a Department of Psychology , University of Montreal , Montreal , QC , Canada.
b Montreal Sacred Heart Hospital Research Centre , Montreal , QC , Canada.
出版信息
Brain Inj. 2017;31(12):1683-1688. doi: 10.1080/02699052.2017.1341644. Epub 2017 Sep 6.
BACKGROUND
The objective is to explore the effects of concomitant mild traumatic brain injury (mTBI) on return to work (RTW), among patients suffering from an isolated limb fracture. This follow-up study included a total of 170 working age subjects with an isolated limb fracture, and was conducted in a phone interview approximately 1-year post trauma. 41 had experienced an mTBI and 129 did not.
METHODS
Data were obtained through a phone interview conducted on average 20.7 months (SD = 9.6 months) post-accident. The main outcome measure was the number of days taken to RTW after the injury. Demographic information was also gathered during the phone interview. Workers' compensation status was obtained through the hospitals' orthopaedic clinic data.
RESULTS
The mTBI group took on average 329.7 days (SD = 298.0) to RTW after the injury, as opposed to 150.3 days (SD = 171.3) for the control group (p < 0.001). After excluding patients who received workers' compensation, the mTBI group still missed significantly more days of work (M = 299.4 days; SD = 333.0) than the control group (M = 105.2 days; SD = 121.6) (p < 0.0001).
CONCLUSION
This study shows that mTBI increases work disability by preventing working-age individuals from rapidly returning to work.
背景
目的是探讨在单纯肢体骨折患者中，伴发轻度创伤性脑损伤（mTBI）对重返工作岗位（RTW）的影响。这项随访研究共纳入了170名工作年龄的单纯肢体骨折患者，在创伤后约1年通过电话访谈进行。其中41人经历了mTBI，129人未经历。
方法
通过在事故后平均20.7个月（标准差=9.6个月）进行的电话访谈获取数据。主要结局指标是受伤后重返工作岗位所需的天数。在电话访谈期间还收集了人口统计学信息。通过医院骨科门诊数据获取工伤赔偿状态。
结果
mTBI组受伤后平均需要329.7天（标准差=298.0）重返工作岗位，而对照组为150.3天（标准差=171.3）（p<0.001）。在排除获得工伤赔偿的患者后，mTBI组仍比对照组明显多旷工（中位数=299.4天；标准差=333.0）（中位数=105.2天；标准差=121.6）（p<0.0001）。
结论
本研究表明，mTBI通过阻止工作年龄个体迅速重返工作岗位而增加了工作残疾率。
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