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Indicators of long-term return to work after severe traumatic brain injury: A cohort study / V. Wang in Annals of physical and rehabilitation medicine, Vol. 62, n°1 (Janvier 2019)
[article]
Titre : Indicators of long-term return to work after severe traumatic brain injury: A cohort study Type de document : texte imprimé Auteurs : V. Wang ; E. Fort ; M. Beaudoin-Gobert ; et al. Année de publication : 2019 Article en page(s) : p. 28-34 Note générale : Doi : 10.1016/j.rehab.2018.08.003 Langues : Anglais (eng) Mots-clés : Return to work Traumatic brain injury Occupational outcome Job stability Vocational rehabilitation Résumé : Background
Return to work (RTW) is a major objective in the rehabilitation of individuals with severe traumatic brain injury (TBI). Implications for long-term occupational integration (beyond 5 years) have rarely been studied.
Objective
The objective was to assess long-term RTW and the associated factors after severe TBI.
Material and methods
Retrospective analysis of a cohort of individuals 16 to 60 years old admitted to hospital after severe TBI from 2005 to 2009 and followed prospectively. Medical and occupational data were collected from medical files and by systematic telephone interview to assess outcome at a minimum of 6 years post-trauma. Factors associated with RTW were investigated by multivariable regression analysis, estimating prevalence ratios (PRs) and 95% confidence intervals (CIs). A proportional hazards model was used to study RTW delay, estimating hazard ratios (HRs).
Results
Among the 91 individuals included (mean [SD] age 28.5 [11.3] years; 79% male), 63.7% returned to work after a mean of about 20 months, and 57.1% were still working at the time of the survey. Factors significantly associated with RTW on multivariable analysis were higher educational level (adjusted PR, 1.53; 95% CI, 1.15 to 2.03), absence of motor disability (adjusted PR, 1.82; 1.12 to 2.95) and behavioural disorder (adjusted PR, 1.26; 1.01 to 1.60), as well as disabled worker status (adjusted PR, 1.26; 1.01 to 1.60) (likelihood of the multivariate analysis model 53.1). Delayed RTW was associated with health insurance payments (adjusted HR, 0.40; 95% CI, 0.22 to 0.71), motor disability (adjusted HR, 0.34; 0.15 to 0.76), low educational level (adjusted HR, 2.20; 1.06 to 4.56) and moderate disability on the Extended Glasgow Outcome Scale (adjusted HR, 0.49; 0.27 to 0.91) (likelihood of the multivariate analysis model 335.5).
Conclusion
Individuals with the most severe TBI are able to RTW and remain in work. This study highlights the multiple determinants involved in RTW and the role of socioenvironmental factors.Permalink : ./index.php?lvl=notice_display&id=82636
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 28-34[article] Indicators of long-term return to work after severe traumatic brain injury: A cohort study [texte imprimé] / V. Wang ; E. Fort ; M. Beaudoin-Gobert ; et al. . - 2019 . - p. 28-34.
Doi : 10.1016/j.rehab.2018.08.003
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°1 (Janvier 2019) . - p. 28-34
Mots-clés : Return to work Traumatic brain injury Occupational outcome Job stability Vocational rehabilitation Résumé : Background
Return to work (RTW) is a major objective in the rehabilitation of individuals with severe traumatic brain injury (TBI). Implications for long-term occupational integration (beyond 5 years) have rarely been studied.
Objective
The objective was to assess long-term RTW and the associated factors after severe TBI.
Material and methods
Retrospective analysis of a cohort of individuals 16 to 60 years old admitted to hospital after severe TBI from 2005 to 2009 and followed prospectively. Medical and occupational data were collected from medical files and by systematic telephone interview to assess outcome at a minimum of 6 years post-trauma. Factors associated with RTW were investigated by multivariable regression analysis, estimating prevalence ratios (PRs) and 95% confidence intervals (CIs). A proportional hazards model was used to study RTW delay, estimating hazard ratios (HRs).
Results
Among the 91 individuals included (mean [SD] age 28.5 [11.3] years; 79% male), 63.7% returned to work after a mean of about 20 months, and 57.1% were still working at the time of the survey. Factors significantly associated with RTW on multivariable analysis were higher educational level (adjusted PR, 1.53; 95% CI, 1.15 to 2.03), absence of motor disability (adjusted PR, 1.82; 1.12 to 2.95) and behavioural disorder (adjusted PR, 1.26; 1.01 to 1.60), as well as disabled worker status (adjusted PR, 1.26; 1.01 to 1.60) (likelihood of the multivariate analysis model 53.1). Delayed RTW was associated with health insurance payments (adjusted HR, 0.40; 95% CI, 0.22 to 0.71), motor disability (adjusted HR, 0.34; 0.15 to 0.76), low educational level (adjusted HR, 2.20; 1.06 to 4.56) and moderate disability on the Extended Glasgow Outcome Scale (adjusted HR, 0.49; 0.27 to 0.91) (likelihood of the multivariate analysis model 335.5).
Conclusion
Individuals with the most severe TBI are able to RTW and remain in work. This study highlights the multiple determinants involved in RTW and the role of socioenvironmental factors.Permalink : ./index.php?lvl=notice_display&id=82636 Exemplaires (1)
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Exclu du prêtLived experiences of return to paid work following a brain injury / Karen Beaulieu in The British Journal of Occupational Therapy, Vol. 82 Issue 11 (Novembre 2019)
[article]
Titre : Lived experiences of return to paid work following a brain injury Type de document : texte imprimé Auteurs : Karen Beaulieu Année de publication : 2019 Article en page(s) : p. 658-665 Note générale : doi.org/10.1177/0308022619860980 Langues : Anglais (eng) Mots-clés : Brain injury return to work occupational therapy Résumé : Introduction
Due to resulting psychosocial, cognitive, psychological, communication and/or physical difficulties following a brain injury, it is often difficult to return to paid work. Being in paid work is generally good for individuals’ health; however, currently only one third of the brain injury population manage to achieve this return.
Method
A descriptive phenomenological approach was used to collect and analyse data from 10 male and six female individuals who had sustained either a moderate or severe traumatic or acquired brain injury. Unstructured interviews explored their experiences of return to paid work. Data analysis resulted in synthesised descriptions of their return to paid work lived experiences following a brain injury.
Findings
Sixty-one meaning units were established from the data, and six themes emerged: coping with ongoing difficulties; expectation and timing of return to work; workplace colleague reactions; things that help; change and return to work options; and feelings of success.
Conclusion
Findings can be used to develop a more consistent approach to return to paid work, and will inform future occupational therapy practice and return to paid work rehabilitation. Occupational therapists need to support these individuals to cope with the ongoing difficulties facing them, especially in relation to fatigue, memory and transportation difficulties.Permalink : ./index.php?lvl=notice_display&id=85652
in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 658-665[article] Lived experiences of return to paid work following a brain injury [texte imprimé] / Karen Beaulieu . - 2019 . - p. 658-665.
doi.org/10.1177/0308022619860980
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 11 (Novembre 2019) . - p. 658-665
Mots-clés : Brain injury return to work occupational therapy Résumé : Introduction
Due to resulting psychosocial, cognitive, psychological, communication and/or physical difficulties following a brain injury, it is often difficult to return to paid work. Being in paid work is generally good for individuals’ health; however, currently only one third of the brain injury population manage to achieve this return.
Method
A descriptive phenomenological approach was used to collect and analyse data from 10 male and six female individuals who had sustained either a moderate or severe traumatic or acquired brain injury. Unstructured interviews explored their experiences of return to paid work. Data analysis resulted in synthesised descriptions of their return to paid work lived experiences following a brain injury.
Findings
Sixty-one meaning units were established from the data, and six themes emerged: coping with ongoing difficulties; expectation and timing of return to work; workplace colleague reactions; things that help; change and return to work options; and feelings of success.
Conclusion
Findings can be used to develop a more consistent approach to return to paid work, and will inform future occupational therapy practice and return to paid work rehabilitation. Occupational therapists need to support these individuals to cope with the ongoing difficulties facing them, especially in relation to fatigue, memory and transportation difficulties.Permalink : ./index.php?lvl=notice_display&id=85652 Exemplaires (1)
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Exclu du prêtOccupational therapy and return to work for breast cancer survivors / Huget Andrea Marcella Désiron in WFOT Bulletin, N°61 (01/05/2010)
[article]
Titre : Occupational therapy and return to work for breast cancer survivors Type de document : texte imprimé Auteurs : Huget Andrea Marcella Désiron, Auteur Année de publication : 2010 Article en page(s) : pp. 45-51 Langues : Français (fre) Mots-clés : occupational therapy return to work breast cancer cancer survivors quality of life Permalink : ./index.php?lvl=notice_display&id=7311
in WFOT Bulletin > N°61 (01/05/2010) . - pp. 45-51[article] Occupational therapy and return to work for breast cancer survivors [texte imprimé] / Huget Andrea Marcella Désiron, Auteur . - 2010 . - pp. 45-51.
Langues : Français (fre)
in WFOT Bulletin > N°61 (01/05/2010) . - pp. 45-51
Mots-clés : occupational therapy return to work breast cancer cancer survivors quality of life Permalink : ./index.php?lvl=notice_display&id=7311 Exemplaires (1)
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Exclu du prêtReturn to sport and work after medial open wedge high tibial osteotomy : a case series / Francis De Neve in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
[article]
Titre : Return to sport and work after medial open wedge high tibial osteotomy : a case series Type de document : texte imprimé Auteurs : Francis De Neve ; Brecht Braems ; Milan Holvoet ; Marie-Angélique De Scheerder ; Nele Arnout ; Jan Victor Année de publication : 2021 Article en page(s) : p. 117-124 Note générale : https://doi.org/10.52628/87.1.15 Langues : Anglais (eng) Mots-clés : knee surgery high tibial osteotomy return to sport return to work osteoarthritis Résumé : Data on return to work and sport following open wedge high tibial osteotomy (HTO) have been underreported. Furthermore, there is no clear consensus in literature about the postoperative alignment goals following HTO. A retrospective case series was performed to evaluate return to sport and work following open wedge HTO.
The University of California, Los Angeles scale, the German classification system according to the Reichsausschuß für Arbeitszeitermittlung, the Tegner score and the Knee injury and Osteoarthritis Outcome Score were used to asses the employment status, sport status and clinical outcome at the time of surgery and at final follow-up, minimum 2 years after surgery. The pre- and postoperative hip knee ankle angle (HKA) were documented. The desired postoperative alignment target was 0°-2° valgus mechanical axis.
30 open wedge HTOs were performed of which 27 patients were retrospectively included in the study. 25 out of 26 patients returned to work and 15 out of 17 patients returned to sport following surgery. Outcome scores were significantly higher after surgery. The mean postoperative HKA was 0,9° of valgus mechanical axis.
This study shows excellent outcome in sport and work activity and clinical outcome after open wedge HTO. We furthermore suggest that these outcomes can be obtained with a postoperative alignment of 0°-2° of valgus mechanical axis.Permalink : ./index.php?lvl=notice_display&id=96595
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 117-124[article] Return to sport and work after medial open wedge high tibial osteotomy : a case series [texte imprimé] / Francis De Neve ; Brecht Braems ; Milan Holvoet ; Marie-Angélique De Scheerder ; Nele Arnout ; Jan Victor . - 2021 . - p. 117-124.
https://doi.org/10.52628/87.1.15
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 117-124
Mots-clés : knee surgery high tibial osteotomy return to sport return to work osteoarthritis Résumé : Data on return to work and sport following open wedge high tibial osteotomy (HTO) have been underreported. Furthermore, there is no clear consensus in literature about the postoperative alignment goals following HTO. A retrospective case series was performed to evaluate return to sport and work following open wedge HTO.
The University of California, Los Angeles scale, the German classification system according to the Reichsausschuß für Arbeitszeitermittlung, the Tegner score and the Knee injury and Osteoarthritis Outcome Score were used to asses the employment status, sport status and clinical outcome at the time of surgery and at final follow-up, minimum 2 years after surgery. The pre- and postoperative hip knee ankle angle (HKA) were documented. The desired postoperative alignment target was 0°-2° valgus mechanical axis.
30 open wedge HTOs were performed of which 27 patients were retrospectively included in the study. 25 out of 26 patients returned to work and 15 out of 17 patients returned to sport following surgery. Outcome scores were significantly higher after surgery. The mean postoperative HKA was 0,9° of valgus mechanical axis.
This study shows excellent outcome in sport and work activity and clinical outcome after open wedge HTO. We furthermore suggest that these outcomes can be obtained with a postoperative alignment of 0°-2° of valgus mechanical axis.Permalink : ./index.php?lvl=notice_display&id=96595 Exemplaires (1)
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