Contribution of functional ratings to prediction of longterm employment outcome after traumatic brain injury

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Study examined the contribution of functional ratings to the prediction of long-term employment outcome after traumatic brain injury (TBI). Predictors studied were severity of injury, pre-injury education level, pre-injury substance use, and functional ratings of patients' needs for physical, cognitive, and behavioral supervision at discharge. Bivariate correlations revealed that pre-injury educational level, substance use history, the needs for behavioral and physical supervision were significantly associated with productivity status assessed almost 2 years after injury. However, when variables were adjusted for effects of all other predictors using multiple logistic regression analysis, only substance use history was predictive of productivity outcome. Patients with no history of pre-injury substance use were more than 8 times more likely to be employed at follow-up than those with a pre-injury history of substance abuse.

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