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Rückkehr zu einer produktiven Tätigkeit nach Schädel-Hirn-Trauma: Relationship with measures of disability, handicap, and community integration


Autor/in:

Wagner, A. K.; Hammond, F. M.; Sasser, H. C. [u. a.]


Herausgeber/in:

American Academy of Physical Medicine and Rehabilitation (AAPM&R)


Quelle:

Archives of Physical Medicine and Rehabilitation, 2002, Volume 83 (Number 1), Seite 107-114, Philadelphia, Pennsylvania: Saunders, ISSN: 0003-9993 (Print); 1532-821X (Online)


Jahr:

2002



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.

[Abstract, Copyright 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation]


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Bezugsmöglichkeit:


Archives of Physical Medicine and Rehabilitation
Homepage: https://www.archives-pmr.org/

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Referenznummer:

R/ZA0734


Informationsstand: 04.02.2004

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