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Title: Predictors of global functioning and employment 10 years following traumatic brain injury compared with orthopaedic injury.
Epworth Authors: Dahm, Jane
Ponsford, Jennie
Keywords: Brain Injury
Functional Behavior, Psychology
Treatment Outcome
Traumatic Brain Injury
Orthopedic Trauma
Global Functioning
Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australia
Issue Date: Sep-2015
Publisher: Taylor & Francis
Citation: Brain Inj. 2015;29(13-14):1539-46.
Abstract: OBJECTIVE: The aim of this study was to prospectively investigate predictors of global functioning and employment 10 years following traumatic brain injury (TBI) compared with orthopaedic trauma. RESEARCH DESIGN: Prospective cohort. METHODS: Ninety-seven individuals with complicated mild-to-severe TBI and 91 with traumatic orthopaedic injury were followed-up at 10 years post-injury. Global functioning (GOS-E) and employment status were recorded. RESULTS: Groups did not differ on global functioning or employment status. Post-TBI, shorter PTA and less severe orthopaedic injuries were associated with better global functioning; and shorter PTA and younger age were associated with employment. Following traumatic orthopaedic injury, younger age was associated with employment, but not after excluding individuals no longer in the labour force. CONCLUSIONS: In this sample, demographic factors and injury severity contribute to long-term outcomes following TBI, but not orthopaedic trauma. PTA continues to influence outcomes 10 years following TBI. There is ongoing detrimental influence of orthopaedic injuries on global functioning for individuals with TBI, suggesting a potential benefit in greater clinical attention to these injuries. Further understanding of the complex interplay between these predictors and other personal and environmental factors will contribute to improving individualized rehabilitation.
DOI: 10.3109/02699052.2015.1075141
PubMed URL:
ISSN: 1362-301X
Journal Title: Brain Injury
Type: Journal Article
Affiliated Organisations: School of Psychological Sciences, Monash University, Melbourne, Australia .
National Trauma Research Institute, Melbourne, Australia.
Type of Clinical Study or Trial: Prospective Cohort Study
Appears in Collections:Musculoskeletal

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