Article

OBJECTIVES: To describe employment outcomes and assess the impact of personal and
environmental factors on employment outcomes 2 years after moderate-to-severe
traumatic brain injury. A prospective cohort of 100 patients
with moderate-to-severe traumatic brain injury, aged 16-55 years, hospitalized in
a Trauma Referral Centre during the period 2005-2007 and followed up at 1 and 2
years post-injury. METHODS: Variables of interest were divided into personal and
environmental factors. Personal factors include socio-demographics (age, gender,
education, work demands, marital status and child-care). Environmental factors
included social (support by friends), institutional (number of rehabilitation
services, need for well-coordinated healthcare services), and physical (access to
own transportation) factors. A multivariate logistic regression analysis was
conducted with employment (working part-/full-time or studying) at 2-year
follow-up as the dependent variable, and including independent variables based on
significance from a univariate analysis, adjusting for injury severity. RESULTS:
At the 2-year follow-up, 44% of patients were employed. Patients with less severe
injuries (odds ratio (OR) = 1.2, p = 0.03), those supported by friends (OR = 3.5,
p = 0.07), those not in need of well-coordinated health services (OR = 4.1, p =
0.04), and patients driving a vehicle at the 1-year follow-up (OR = 8.4, p <
0.001) were more likely to be employed at the 2-year follow-up. CONCLUSION:
Rehabilitation professionals should be aware of the role of environmental factors
when planning vocational rehabilitation services after traumatic brain injury.

Langue : ANGLAIS