O-108 Vocational prognosis in young individuals with acquired brain injury: a nationwide cohort studyстатья из журнала
Аннотация:
Introduction
Return to work is a major challenge after acquired brain injury (ABI) and a key focus in rehabilitation. Young adults represent a particularly vulnerable group regarding vocational prognosis. Thus, we aimed to determine prognostic factors for work ability and employment/educational status among young patients referred to outpatient neurorehabilitation clinics after an ABI.Material and Methods
This prospective nationwide study combined interdisciplinary clinical assessments and questionnaire data from all patients (n = 471) aged 15–30 years who were followed in outpatient neurorehabilitation clinics in Denmark from 2013–2017. The outcomes were the self-reported Work Ability Score (WAS, 0–10 (best)) and employment/educational status after one year of follow-up. Prognostic performance was analyzed using univariable regression and multivariable Ridge regression in a five-fold cross-validated procedure.Results
Preinjury, 86% of the patients were employed, while the percentage had decreased to 55% at baseline and 52% at follow-up. The model, which included clinical measures of function, showed moderate predictive performance with respect to WAS (R2=0.29) and employment/educational status (area under the curve (AUC)=0.77). Glasgow Outcome Scale Extended (R2=0.15, AUC=0.68) and the cognitive subscale of the Functional Independence Measure (R2=0.09, AUC=0.64), along with fatigue measured with the Multidimensional Fatigue Inventory (R2=0.15, AUC=0.60) were the single factors with the highest predictive performance.Conclusion
Notwithstanding generally high scores in motor and cognitive tests, only about half of the young patients with ABI were employed at baseline and this proportion remained stable. While both cognitive disabilities and fatigue are well-known as frequent and disabling sequelae subsequent to ABI, the present study demonstrates their prognostic value when assessing vocational/educational prognosis and may be used in neurorehabilitation clinics and in labor market clarification programs targeting patients who have suffered an ABI.Год издания: 2023
Авторы: MajaSøndergård Worm, Jan Brink Valentin, Søren Paaske Johnsen, J. Zeiler Nielsen, S.W. Svendsen
Источник: Abstracts
Ключевые слова: Healthcare Systems and Public Health, Traumatic Brain Injury Research, Cerebral Palsy and Movement Disorders
Открытый доступ: bronze
Страницы: A7.1–A7