Article

We analyzed longitudinal data on secondary outcomes from
participants in a telerehabilitation study.Objectives:To examine the factors
affecting return to productive activities and employment and the time to these
events following a spinal cord injury (SCI).Setting:A large southeastern
rehabilitation hospital in the United States.Methods:We used hazard regression
models to analyze data from newly injured people (n=111) participating in an
educational intervention post discharge who were followed for up to 2 years.
Outcomes were time to return to productive activities and
employment.Results:Increasing age and being on Medicaid significantly decreased
the likelihood of returning to productive activities (P<0.01), while being white
(P<0.05) and having a higher median income (P<0.001) significantly increased this
probability. The same factors, bar being on Medicaid, affected the return to
employment. Whites returned to productive activities 2.5 times sooner than
African Americans and employment twice as fast (P<0.001). Being in the 75th
income percentile compared with the 25th shortened time to employment by 209
days.Conclusion:Findings here suggest that income and race affect the time to
return to productivity and employment, while being on Medicaid also has a role in
general post injury productivity.

Langue : ANGLAIS