Occupational categories and return to work after traumatic brain injury: A multicenter study

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A group of 1,341 patients with traumatic brain injury (TBI) who were employed before injury completed a 1-year follow-up assessment regarding their return-to-work (RTW) outcome. Patients were categorized into 1 of 3 groups depending on the pre-injury occupation: (1) professional/managerial, (2) skilled, or (3) manual labor. Chi-square analyses were computed to examine changes across occupation groups between pre-injury occupation group and post-injury RTW. The rate of successful RTW was greatest for professional/managerial patients, lower for skilled, and lowest for manual labor. Among those with successful RTW, most did so within the same occupational category. Multiple logistic regression analysis showed that pre-injury occupation, education level, discharge functional status, age, sex, marital status, and hospital length of stay each influenced RTW.

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