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Return to productive activity after traumatic brain injury: relationship with measures of disability, handicap, and community integration.

Abstract：

OBJECTIVES:To identify which factors are associated with successful return to productive activity (RTPA) 1 year after hospitalization with traumatic brain injury (TBI) and to examine the relations between successful RTPA and other measures of impairment, disability, handicap, and integration into the community. DESIGN:Prospective study with 1-year follow-up. SETTING:Level I trauma center. PARTICIPANTS:One hundred five respondents from a cohort of 378 adults hospitalized with TBI admitted between September 1997 and May 1998. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Return to productive work 1 year after injury; Disability Rating Scale (DRS); and Community Integration Scale (CIQ). RESULTS:Of the 105 participants, 72% achieved RTPA. Logistic regression showed an association between RPTA and the following factors: premorbid educational level, premorbid psychiatric history, violent mechanism of injury, discharge status after acute hospitalization, prior alcohol and drug use, and injury severity. Handicap and community integration at 1-year postinjury, as measured by subscales of the DRS and the CIQ, were also associated with RTPA. CONCLUSION:Premorbid and injury-related variables and measures of handicap and community integration were associated with RTPA at 1 year. To understand and effectively support vocational pursuits in the TBI population, future studies are needed to define further causality and origin of these relationships.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Wagner AK,Hammond FM,Sasser HC,Wiercisiewski D

doi

10.1053/apmr.2002.27470

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

107-14

issue

1

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(02)50008-3

journal_volume

83

pub_type

杂志文章

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