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Behavioural Neurology
Volume 2016 (2016), Article ID 8026414, 10 pages
http://dx.doi.org/10.1155/2016/8026414
Clinical Study

Predictors for Return to Work in Subjects with Mild Traumatic Brain Injury

1Department of Physical Medicine and Rehabilitation, Haukeland University Hospital, 5021 Bergen, Norway
2Department of Global Public Health and Primary Care, University of Bergen, 5020 Bergen, Norway
3Department of Physical Medicine and Rehabilitation, Oslo University Hospital, 0424 Oslo, Norway
4Faculty of Medicine, University of Oslo, 0316 Oslo, Norway
5Centre for Clinical Research, Haukeland University Hospital, 5021 Bergen, Norway

Received 17 June 2015; Revised 9 September 2015; Accepted 17 January 2016

Academic Editor: Luigi Ferini-Strambi

Copyright © 2016 Eirik Vikane et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To predict return to work (RTW) at 12 months for patients who either were sick-listed or were at risk to be sick-listed with persistent postconcussion symptoms (PCS) at six to eight weeks after injury. Method. A prospective cohort study of 151 patients with mild traumatic brain injury (MTBI) admitted consecutively to outpatient clinics at two University Hospitals in Norway. The study was conducted as part of a randomised clinical trial. Injury characteristics were obtained from the medical records. Sick leave data from one year before to one year after MTBI were obtained from the Norwegian Labour and Welfare Service. Self-report questionnaires were used to obtain demographic and symptom profiles. Results. We observed a significant negative association between RTW at 12 months and psychological distress, global functioning, and being sick-listed at two months after MTBI, as well as having been sick-listed the last year before injury. Conclusion. Psychological distress, global functioning postinjury, and the sick leave trajectory of the subjects were negative predictors for RTW. These findings should be taken into consideration when evaluating future vocational rehabilitation models.