School of Medicine, University of Nottingham, Nottingham, UK.
Brain Inj. 2020;34(1):68-77. doi: 10.1080/02699052.2019.1681512. Epub 2019 Oct 29.
: Literature lacks a clear description of return to work following traumatic brain injury (TBI). Aim: to describe work metrics for people with mild and moderate/severe TBI at 3, 6, and 12 months post-injury.: A retrospective cross-sectional analysis of 172 TBI participants measuring work outcomes up to 12-months post-injury. Metrics described vocational status, accommodations, satisfaction, hours, time taken to return, financial status, and responsibilities. Logistic regression identified factors indicative of complete (80% of pre-injury hours) return to work.: 59/86 moderate/severely injured (68.6%) and 68/81 mildly injured (84%) people returned to work following TBI. Twenty-eight (16.3%) achieved a complete return by 12 months. The regression model was statistically significant (4) = 51.980, = <.0005, suggesting that those with high health-related quality of life, anxiety and functional ability were more likely to achieve complete return to work. At 12 months, 41 participants (23.8%) had workplace accommodations. One hundredfifteen (66.9%) were less content with their job and many reported reduced working hours.: This study highlights the heterogeneity of work post-TBI. Even people with 'mild' TBI fail to make a complete return to work by 12 months.: Further longitudinal research is needed to explore the personal and economic legacy of TBI.
: 文献中缺乏对创伤性脑损伤（TBI）后重返工作的明确描述。目的：描述轻度和中度/重度 TBI 患者在受伤后 3、6 和 12 个月的工作指标。: 这是一项对 172 名 TBI 参与者的回顾性横断面分析，测量了受伤后长达 12 个月的工作结果。指标描述了职业状况、适应情况、满意度、工作时间、重返工作所需时间、财务状况和责任。逻辑回归确定了与完全（80%的受伤前工时）重返工作相关的因素。: 59/86 名中度/重度损伤（68.6%）和 68/81 名轻度损伤（84%）的人在 TBI 后重返工作。28 人（16.3%）在 12 个月内完全恢复工作。回归模型具有统计学意义（4）=51.980，（=0.0005），表明那些具有较高健康相关生活质量、焦虑和功能能力的人更有可能完全恢复工作。在 12 个月时，41 名参与者（23.8%）有工作场所适应措施。115 人（66.9%）对他们的工作不满意，许多人报告工作时间减少。: 这项研究强调了 TBI 后工作的异质性。即使是患有“轻度”TBI 的人，也无法在 12 个月内完全恢复工作。: 需要进一步的纵向研究来探索 TBI 的个人和经济后遗症。
