Return to productive activity after traumatic brain injury: Relationship with measures of disability, handicap, and community integration

Amy K. Wagner, Flora M. Hammond, Howell C. Sasser, David Wiercisiewski

Research output: Contribution to journalArticle

91 Citations (Scopus)

Abstract

Objectives: To identify which factors are associated with successful return to productive activity (RTPA) 1 year after hospitalization with traumatic brain injury (TBI) and to examine the relations between successful RTPA and other measures of impairment, disability, handicap, and integration into the community. Design: Prospective study with 1-year follow-up. Setting: Level I trauma center. Participants: One hundred five respondents from a cohort of 378 adults hospitalized with TBI admitted between September 1997 and May 1998. Interventions: Not applicable. Main Outcome Measures: Return to productive work 1 year after injury; Disability Rating Scale (DRS); and Community Integration Scale (CIQ). Results: Of the 105 participants, 72% achieved RTPA. Logistic regression showed an association between RPTA and the following factors: premorbid educational level, premorbid psychiatric history, violent mechanism of injury, discharge status after acute hospitalization, prior alcohol and drug use, and injury severity. Handicap and community integration at 1-year postinjury, as measured by subscales of the DRS and the CIQ, were also associated with RTPA. Conclusion: Premorbid and injury-related variables and measures of handicap and community integration were associated with RTPA at 1 year. To understand and effectively support vocational pursuits in the TBI population, future studies are needed to define further causality and origin of these relationships.

Original languageEnglish (US)
Pages (from-to)107-114
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Volume83
Issue number1
DOIs
StatePublished - 2002
Externally publishedYes

Fingerprint

Community Integration
Wounds and Injuries
Hospitalization
Return to Work
Trauma Centers
Causality
Psychiatry
Logistic Models
Alcohols
Outcome Assessment (Health Care)
Prospective Studies
Traumatic Brain Injury
Pharmaceutical Preparations
Population

Keywords

  • Brain injuries
  • Disabled persons
  • Employment
  • Productivity
  • Rehabilitation
  • Work

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Return to productive activity after traumatic brain injury : Relationship with measures of disability, handicap, and community integration. / Wagner, Amy K.; Hammond, Flora M.; Sasser, Howell C.; Wiercisiewski, David.

In: Archives of physical medicine and rehabilitation, Vol. 83, No. 1, 01.01.2002, p. 107-114.

Research output: Contribution to journalArticle

@article{55d8511cf67d4b8ab04b05eac01c7af7,
title = "Return to productive activity after traumatic brain injury: Relationship with measures of disability, handicap, and community integration",
abstract = "Objectives: To identify which factors are associated with successful return to productive activity (RTPA) 1 year after hospitalization with traumatic brain injury (TBI) and to examine the relations between successful RTPA and other measures of impairment, disability, handicap, and integration into the community. Design: Prospective study with 1-year follow-up. Setting: Level I trauma center. Participants: One hundred five respondents from a cohort of 378 adults hospitalized with TBI admitted between September 1997 and May 1998. Interventions: Not applicable. Main Outcome Measures: Return to productive work 1 year after injury; Disability Rating Scale (DRS); and Community Integration Scale (CIQ). Results: Of the 105 participants, 72{\%} achieved RTPA. Logistic regression showed an association between RPTA and the following factors: premorbid educational level, premorbid psychiatric history, violent mechanism of injury, discharge status after acute hospitalization, prior alcohol and drug use, and injury severity. Handicap and community integration at 1-year postinjury, as measured by subscales of the DRS and the CIQ, were also associated with RTPA. Conclusion: Premorbid and injury-related variables and measures of handicap and community integration were associated with RTPA at 1 year. To understand and effectively support vocational pursuits in the TBI population, future studies are needed to define further causality and origin of these relationships.",
keywords = "Brain injuries, Disabled persons, Employment, Productivity, Rehabilitation, Work",
author = "Wagner, {Amy K.} and Hammond, {Flora M.} and Sasser, {Howell C.} and David Wiercisiewski",
year = "2002",
month = "1",
day = "1",
doi = "10.1053/apmr.2002.27470",
language = "English (US)",
volume = "83",
pages = "107--114",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Return to productive activity after traumatic brain injury

T2 - Relationship with measures of disability, handicap, and community integration

AU - Wagner, Amy K.

AU - Hammond, Flora M.

AU - Sasser, Howell C.

AU - Wiercisiewski, David

PY - 2002/1/1

Y1 - 2002/1/1

N2 - Objectives: To identify which factors are associated with successful return to productive activity (RTPA) 1 year after hospitalization with traumatic brain injury (TBI) and to examine the relations between successful RTPA and other measures of impairment, disability, handicap, and integration into the community. Design: Prospective study with 1-year follow-up. Setting: Level I trauma center. Participants: One hundred five respondents from a cohort of 378 adults hospitalized with TBI admitted between September 1997 and May 1998. Interventions: Not applicable. Main Outcome Measures: Return to productive work 1 year after injury; Disability Rating Scale (DRS); and Community Integration Scale (CIQ). Results: Of the 105 participants, 72% achieved RTPA. Logistic regression showed an association between RPTA and the following factors: premorbid educational level, premorbid psychiatric history, violent mechanism of injury, discharge status after acute hospitalization, prior alcohol and drug use, and injury severity. Handicap and community integration at 1-year postinjury, as measured by subscales of the DRS and the CIQ, were also associated with RTPA. Conclusion: Premorbid and injury-related variables and measures of handicap and community integration were associated with RTPA at 1 year. To understand and effectively support vocational pursuits in the TBI population, future studies are needed to define further causality and origin of these relationships.

AB - Objectives: To identify which factors are associated with successful return to productive activity (RTPA) 1 year after hospitalization with traumatic brain injury (TBI) and to examine the relations between successful RTPA and other measures of impairment, disability, handicap, and integration into the community. Design: Prospective study with 1-year follow-up. Setting: Level I trauma center. Participants: One hundred five respondents from a cohort of 378 adults hospitalized with TBI admitted between September 1997 and May 1998. Interventions: Not applicable. Main Outcome Measures: Return to productive work 1 year after injury; Disability Rating Scale (DRS); and Community Integration Scale (CIQ). Results: Of the 105 participants, 72% achieved RTPA. Logistic regression showed an association between RPTA and the following factors: premorbid educational level, premorbid psychiatric history, violent mechanism of injury, discharge status after acute hospitalization, prior alcohol and drug use, and injury severity. Handicap and community integration at 1-year postinjury, as measured by subscales of the DRS and the CIQ, were also associated with RTPA. Conclusion: Premorbid and injury-related variables and measures of handicap and community integration were associated with RTPA at 1 year. To understand and effectively support vocational pursuits in the TBI population, future studies are needed to define further causality and origin of these relationships.

KW - Brain injuries

KW - Disabled persons

KW - Employment

KW - Productivity

KW - Rehabilitation

KW - Work

UR - http://www.scopus.com/inward/record.url?scp=0036142590&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036142590&partnerID=8YFLogxK

U2 - 10.1053/apmr.2002.27470

DO - 10.1053/apmr.2002.27470

M3 - Article

C2 - 11782840

AN - SCOPUS:0036142590

VL - 83

SP - 107

EP - 114

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 1

ER -