Return to productivity projections for individuals with moderate to severe TBI following inpatients rehabilitation: A NIDILRR TBIMS and CDC interagency collaboration

Model System:

TBI

Reference Type:

Journal article

Accession No.:

J83700

Journal:

Journal of Head Trauma Rehabilitation

Year, Volume, Issue, Page(s):

2020 , 35, 2, 140-151

Publication Website:

Abstract:

Study estimated the probability of returning to productivity over the 5 years following moderate-to-severe traumatic brain injury (TBI). A secondary longitudinal analysis was conducted using individual growth curve analysis based on a sample of 2,542 population-weighted individuals with a primary diagnosis of TBI who were engaged in school or work at the time of injury. Data were obtained from the TBI Model Systems (TBIMS) National Database. Participation in productive activity, defined as employment or school, was reported during follow-up telephone interviews at 1, 2, and 5 years post injury. Baseline variables, age of injury, race, level of education and occupational category at the time of injury, disability rating at hospital discharge, substance abuse status, and rehabilitation length of stay, are significantly associated with probability of return to productivity. Individual-level productivity trajectories generally indicate that the probability of returning to productivity increases over time. The results of this study highlight the importance of preinjury occupational status and level of education in returning to productive activity following moderate-to-severe TBI. This study was supported by an interagency agreement among the United States Department of Health and Human Services, the Centers for Disease Control and Prevention (CDC), and the Nation Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR).

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