Skip Navigation LinksHome > September/October 2014 - Volume 29 - Issue 5 > Return to Work Following Mild Traumatic Brain Injury
Journal of Head Trauma Rehabilitation:
doi: 10.1097/HTR.0000000000000002
Original Articles

Return to Work Following Mild Traumatic Brain Injury

Wäljas, Minna PsyLic; Iverson, Grant L. PhD; Lange, Rael T. PhD; Liimatainen, Suvi MD, PhD; Hartikainen, Kaisa M. MD, PhD; Dastidar, Prasun MD, PhD; Soimakallio, Seppo MD, PhD; Öhman, Juha MD, PhD

Section Editor(s): Caplan, Bruce PhD, ABPP; Bogner, Jennifer PhD, ABPP; Brenner, Lisa PhD, ABPP

Collapse Box

Abstract

Objective: To examine factors relating to return to work (RTW) following mild traumatic brain injury (mTBI).

Participants: One hundred and nine patients (Age: M = 37.4 years, SD = 13.2; 52.3% women) who sustained an mTBI.

Design: Inception cohort design with questionnaires and neuropsychological testing completed approximately 3 to 4 weeks postinjury.

Setting: Emergency Department of Tampere University Hospital, Finland.

Main Outcome Measures: Self-report (postconcussion symptoms, depression, fatigue, and general health) and neurocognitive measures (attention and memory).

Results: The cumulative RTW rates were as follows: 1 week = 46.8%, 2 weeks = 59.6%, 3 weeks = 67.0%, 4 weeks = 70.6%, 2 months = 91.7%, and 1 year = 97.2%. Four variables were significant predictors of the number of days to RTW: age, multiple bodily injuries, intracranial abnormality at the day of injury, and fatigue ratings (all P < .001). The largest amount of variance accounted for by these variables in the prediction of RTW was at 30 days following injury (P < .001, R2 = 0.504). Participants who returned to work fewer than 30 days after injury (n = 82, 75.2%) versus more than 30 days (n = 27, 24.8%) did not differ on demographic or neuropsychological variables.

Conclusions: The vast majority of this cohort returned to work within 2 months. Predictors of slower RTW included age, multiple bodily injuries, intracranial abnormality at the day of injury, and fatigue.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

Login

Article Tools

Share

Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.