Early Predictors of Employment Status One Year Post Injury in Individuals with Traumatic Brain Injury in Europe
by
Juan Carlos Arango-Lasprilla 1,2,3,*,†, Marina Zeldovich 4,*,†, Laiene Olabarrieta-Landa 5
, Marit Vindal Forslund 6, Silvia Núñez-Fernández 1, Nicole von Steinbuechel 4, Emilie Isager Howe 6,7, Cecilie Røe 6,7,8, Nada Andelic 6,8 and CENTER-TBI Participants and Investigators ‡
Juan Carlos Arango-Lasprilla 1,2,3,*,†, Marina Zeldovich 4,*,†, Laiene Olabarrieta-Landa 5, Marit Vindal Forslund 6, Silvia Núñez-Fernández 1, Nicole von Steinbuechel 4, Emilie Isager Howe 6,7, Cecilie Røe 6,7,8, Nada Andelic 6,8 and CENTER-TBI Participants and Investigators ‡
1
Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Spain
2
IKERBASQUE Basque Foundation for Science, 48013 Bilbao, Spain
3
Department of Cell Biology and Histology, University of the Basque Country UPV/EHU, 48940 Leioa, Spain
4
Institute of Medical Psychology and Medical Sociology, University Medical Center Göttingen, 37073 Göttingen, Germany
5
Departamento de Ciencias de la Salud, Universidad Pública de Navarra, 31006 Pamplona, Spain
6
Department of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, Norway
7
Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, 0318 Oslo, Norway
8
Institute of Health and Society, Research Centre for Habilitation and Rehabilitation Models and Services (CHARM), Faculty of Medicine, University of Oslo, 0318 Oslo, Norway
*
Authors to whom correspondence should be addressed.
†
Shared first authorship.
‡
The list of CENTER-TBI participants and investigators is provided in Supplementary File.
J. Clin. Med. 2020, 9(6), 2007; https://doi.org/10.3390/jcm9062007
Received: 4 June 2020 / Revised: 22 June 2020 / Accepted: 23 June 2020 / Published: 26 June 2020
(This article belongs to the Special Issue Traumatic Brain Injury: Recent Developments and Emerging Trends)
Sustaining a traumatic brain injury (TBI) often affects the individual’s ability to work, reducing employment rates post-injury across all severities of TBI. The objective of this multi-country study was to assess the most relevant early predictors of employment status in individuals after TBI at one-year post-injury in European countries. Using a prospective longitudinal non-randomized observational cohort (The Collaborative European NeuroTrauma Effectiveness Research in TBI (CENTER-TBI) project), data was collected between December 2014–2019 from 63 trauma centers in 18 European countries. The 1015 individuals who took part in this study were potential labor market participants, admitted to a hospital and enrolled within 24 h of injury with a clinical TBI diagnosis and indication for a computed tomography (CT) scan, and followed up at one year. Results from a binomial logistic regression showed that older age, status of part-time employment or unemployment at time of injury, premorbid psychiatric problems, and higher injury severity (as measured with higher Injury severity score (ISS), lower Glasgow Coma Scale (GCS), and longer length of stay (LOS) in hospital) were associated with higher unemployment probability at one-year after injury. The study strengthens evidence for age, employment at time of injury, premorbid psychiatric problems, ISS, GCS, and LOS as important predictors for employment status one-year post-TBI across Europe.
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Keywords:
traumatic brain injury; prospective studies; multicenter studies; rehabilitation; outcome assessment; employment
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MDPI and ACS Style
Arango-Lasprilla, J.C.; Zeldovich, M.; Olabarrieta-Landa, L.; Forslund, M.V.; Núñez-Fernández, S.; von Steinbuechel, N.; Howe, E.I.; Røe, C.; Andelic, N.; CENTER-TBI Participants and Investigators. Early Predictors of Employment Status One Year Post Injury in Individuals with Traumatic Brain Injury in Europe. J. Clin. Med. 2020, 9, 2007.
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