TY - JOUR PY - 1990// TI - Return to work after rehabilitation following traumatic brain injury JO - Brain injury A1 - Rao, N. A1 - Rosenthal, M. A1 - Cronin-Stubbs, D. A1 - Lambert, R. A1 - Barnes, P. A1 - Swanson, B. SP - 49 EP - 56 VL - 4 IS - 1 N2 - The relationship of medical variables and discharge functional status to vocational and educational outcomes was examined in 79 closed head-injured patients who were consecutively admitted to an inpatient rehabilitation hospital during a two-year period. A follow-up study, conducted after hospital discharge (median, 16.5 months), found that 66% (n = 52) of the patients had returned to work or school, while 34% (n = 27) did not. Patients were divided into return and non-return to work groups. Traditional variables included age, severity of brain-damage as characterized by CT head scan, duration of post-traumatic amnesia, duration of coma, length of stay and acute inpatient rehabilitation program. Discharge functional scores were analysed by t-tests and chi-square analysis. Results suggest that traditional factors of younger age, shorter length of coma, minimal CT head scan findings and shorter length of stay were significant contributors to educational/vocational outcome. Their significance was enhanced by discharge functional profile measurement of medical, physical and psychological/neuropsychological integrity. Those functional measures not significant were in social, vocational, recreational and communication areas. These factors may continue to improve over a longer period of time and should be tracked in the post-acute rehabilitation phase for their significance in return to work/school.

Language: en

LA - en SN - 0269-9052 UR - http://dx.doi.org/ ID - ref1 ER -