Employment stability in the first 5 years after moderate-to-severe traumatic brain injury

Model System:

TBI

Reference Type:

Journal article

Accession No.:

J80946

Journal:

Archives of Physical Medicine and Rehabilitation

Year, Volume, Issue, Page(s):

2019 , 100, 3, 412-421

Publication Website:

Abstract:

Study characterized employment stability over the first 5 years after injury and identified predictors of employment stability in working-age individuals after moderate-to-severe traumatic brain injury (TBI) that may be clinically addressed. The study included 5,683 individuals enrolled in the Traumatic Brain Injury Model Systems National Database since 2001, aged 18-59, with employment data at 2 or more follow-up interviews at years 1, 2, and 5 after TBI. The primary outcome was employment stability, categorized using post-TBI employment data as no paid employment (53.25 percent), stably (27.20 percent), delayed (10.24 percent), or unstably (9.31 percent) employed. Multinomial regression analyses identified predictive factors of employment stability, including younger age, white race, less-severe injuries, preinjury employment, higher annual earnings, male sex, higher education, transportation independence, and no anxiety or depression at 1 year post-TBI. Employment stability serves as an important measure of productivity following TBI. The findings indicate psychosocial, clinical, environmental, and demographic factors predict employment stability post-TBI.

Author(s):