TY - JOUR
PY - 2014//
TI - Multi-level modelling of employment probability trajectories and employment stability at 1, 2 and 5 years after traumatic brain injury
JO - Brain injury
A1 - Forslund, Marit V.
A1 - Arango-Lasprilla, Juan C.
A1 - Roe, Cecilie
A1 - Perrin, Paul B.
A1 - Sigurdardottir, Solrun
A1 - Andelic, Nada
SP - 980
EP - 986
VL - 28
IS - 7
N2 - Primary objectives: To examine trajectories of employment probability and stability over the first 5 years after traumatic brain injury (TBI) by using multi-level modelling and multinomial logistic regressions. Research design: A longitudinal cohort study.
METHODS and procedures: One hundred and five individuals with moderate-to-severe TBI who had been admitted to the Trauma Referral Centre for the Southeast region of Norway were followed up at 1, 2 and 5 years after the injury. Main outcomes and results: Employment status was dichotomized into employed and unemployed, while employment stability was categorized into stably employed, unstably employed and unemployed at 1, 2 and 5 years after injury. Being single, unemployment prior to injury, blue collar occupation, lower Glasgow Coma Scale (GCS) score at hospital admission and greater length of post-traumatic amnesia (PTA) were significantly associated with being unemployed at 1, 2 and 5 years post-injury. Further, younger patients, those with a lower GCS, greater length of PTA and greater length of hospital stay were negatively associated with employment stability.
CONCLUSIONS: It could be wise to target patient population with these demographic and injury characteristics for more extensive follow-ups and vocational rehabilitation to help improve employment outcomes following injury.
Language: en
LA - en SN - 0269-9052 UR - http://dx.doi.org/10.3109/02699052.2014.888770 ID - ref1 ER -