Early predictors of employment outcomes 1 year post traumatic brain injury in a population of Hispanic individuals.

Objective: To determine which demographic, injury, and rehabilitation factors are associated with employment rates in Hispanic individuals 1 year post traumatic brain injury (TBI). Design: Retrospective study. Setting: Longitudinal dataset of the TBI Model Systems National Database. Participants: 41...

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Publicado en:NeuroRehabilitation Vol. 30; no. 1; pp. 13 - 23
Autores principales: Arango-Lasprilla, Juan Carlos, Ketchum, Jessica M., Almaz Getachew, Mimi, Krch, Denise, Baños, James H., Kolakowsky-Hayner, Stephanie A., Lequerica, Anthony, Jamison, Laura
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2012
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Early predictors of employment outcomes 1 year post traumatic brain injury in a population of Hispanic individuals.
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        au:
          Arango-Lasprilla, Juan Carlos
          Ketchum, Jessica M.
          Almaz Getachew, Mimi
          Krch, Denise
          Baños, James H.
          Kolakowsky-Hayner, Stephanie A.
          Lequerica, Anthony
          Jamison, Laura
        affil: Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, USA
      sug:
        subj:
          Employment
          Brain Injuries
          Hispanic Americans
          Human
          Funding Source
          Prospective Studies
          Retrospective Design
          Multiple Logistic Regression
          Clinical Assessment Tools
          Descriptive Statistics
          Goodness of Fit Chi Square Test
          Male
          Female
          Adult
          Adult: 19-44 years
          Male
          Female
      ab: Objective: To determine which demographic, injury, and rehabilitation factors are associated with employment rates in Hispanic individuals 1 year post traumatic brain injury (TBI). Design: Retrospective study. Setting: Longitudinal dataset of the TBI Model Systems National Database. Participants: 418 Hispanic individuals with TBI hospitalized between 1990 and 2009 having year 1 follow-up data (18-55 years and not retired at injury). Main outcome measure: Competitive employment status 1 year post-injury (yes/no). Results: A multiple logistic regression model indicated that pre-injury employment status, pre-injury level of education, etiology, days of posttraumatic amnesia (PTA), associated spinal cord injury, Functional Independence Measure (FIM) motor at rehabilitation discharge, and length of stay in rehabilitation were significant predictors of competitive employment post-injury, controlling for the effects of each other (all p-values ⩽ 0.014). Increases in the odds of not being employed post-injury were associated with not being employed pre-injury, having lower levels of education pre-injury, etiologies due to violence or falls, increased PTA, an associated spinal cord injury, lower FIM motor scores, and greater lengths of stay in rehabilitation. Conclusions: The first year post-TBI is critical for recovery and gainful employment, particularly for Hispanic individuals. Early identification of factors influencing successful gainful employment and expeditious implementation of services to ameliorate these issues are paramount in improving employment outcomes for Hispanic individuals with TBI.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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