1. Employment outcome four years after a severe traumatic brain injury: results of the Paris severe traumatic brain injury study.
- Author
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Ruet, Alexis, Jourdan, Claire, Bayen, Eléonore, Darnoux, Emmanuelle, Sahridj, Dalila, Ghout, Idir, Azerad, Sylvie, Pradat Diehl, Pascale, Aegerter, Philippe, Charanton, James, Vallat Azouvi, Claire, and Azouvi, Philippe
- Subjects
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BRAIN injuries , *CONFIDENCE intervals , *EMPLOYMENT of people with disabilities , *INTERVIEWING , *RESEARCH funding , *T-test (Statistics) , *SOCIOECONOMIC factors , *RECEIVER operating characteristic curves , *DATA analysis software , *ODDS ratio - Abstract
Objective: To describe employment outcome four years after a severe traumatic brain injury by the assessment of individual patients' preinjury sociodemographic data, injury-related and postinjury factors. Design: A prospective, multicenter inception cohort of 133 adult patients in the Paris area (France) who had received a severe traumatic brain injury were followed up postinjury at one and four years. Sociodemographic data, factors related to injury severity and one-year functional and cognitive outcomes were prospectively collected. Methods: The main outcome measure was employment status. Potential predictors of employment status were assessed by univariate and multivariate analysis. Results: At the four-year follow-up, 38% of patients were in paid employment. The following factors were independent predictors of unemployment: being unemployed or studying before traumatic brain injury, traumatic brain injury severity (i.e., a lower Glasgow Coma Scale score upon admission and a longer stay in intensive care) and a lower one-year Glasgow Outcome Scale-Extended score. Conclusion: This study confirmed the low rate of long-term employment amongst patients after a severe traumatic brain injury. The results illustrated the multiple determinants of employment outcome and suggested that students who had received a traumatic brain injury were particularly likely to be unemployed, thus we propose that they may require specific support to help them find work. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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