Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Labour market attachment after mild traumatic brain injury: nationwide cohort study with 5-year register follow-up in Denmark

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Harvard

APA

CBE

MLA

Vancouver

Author

Bibtex

@article{ff1fa4ce6ca44703bf37ee4506220f65,
title = "Labour market attachment after mild traumatic brain injury: nationwide cohort study with 5-year register follow-up in Denmark",
abstract = "OBJECTIVES: Sickness absence after mild traumatic brain injury (mTBI) is frequent due to postconcussive symptoms. We examined labour market attachment following mTBI up to 5 years postinjury.DESIGN AND SETTING: Nationwide cohort study with register follow-up.PARTICIPANTS: Patients between 18 and 60 years with mTBI (International Classification of Diseases, version 10 diagnosis S06.0) were extracted from the Danish National Patient Register (n=19 732). Controls were matched on sex, age and municipality (n=18 640). Patients with spinal cord and column injuries, traumatic brain injury and concussions 5 years preinjury or as secondary diagnosis to the concussion in the inclusion period were excluded.PRIMARY AND SECONDARY OUTCOME MEASURES: Data were extracted from the Danish Register for Evaluation of Marginalization. Primary outcome was 'not attending ordinary work' defined as receiving any social transfer payment. Secondary outcomes were health-related benefits, limited attachment to the labour market, permanent lack of attachment to the labour market and death.RESULTS: 5 years after diagnosis, 43{\%} of patients were not attending ordinary work. The odds increased from 6 months (OR 1.30, 95{\%} CI 1.24 to 1.36) to 5 years (OR 1.54, 95{\%} CI 1.45 to 1.63). The odds of health-related benefits were 32{\%} (OR 1.32, 95{\%} CI 1.22 to 1.42) at 6 months and 22{\%} (OR 1.22, 95{\%} CI 1.12 to 1.33) at 5 years. Limited attachment to the labour market showed increased odds at 5 years (OR 1.38, 95{\%} CI 1.27 to 1.51) and the odds of permanent lack of attachment to the labour market were higher for patients compared with controls (OR 2.59, 95{\%} CI 2.30 to 2.92). Death was more than two times higher at 5 years postinjury (OR 2.62, 95{\%} CI 2.10 to 3.26).CONCLUSIONS: 43{\%} of concussed patients were not attending ordinary work 5 years postinjury and received health and social transfer benefits. We conclude that mTBI has a long-term impact on labour market attachment. Prevention and treatment of persisting postconcussive symptoms should be considered.TRIAL REGISTRATION NUMBER: NCT03214432; Results.",
author = "Graff, {Heidi Jeannet} and Volkert Siersma and Anne M{\o}ller and Jakob Kragstrup and Andersen, {Lars L} and Ingrid Egerod and {Mal{\'a} Rytter}, Hana",
note = "{\circledC} Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2019",
month = "4",
day = "11",
doi = "10.1136/bmjopen-2018-026104",
language = "English",
volume = "9",
pages = "e026104",
journal = "BMJ Paediatrics Open",
issn = "2044-6055",
publisher = "BMJ Publishing Group",
number = "4",

}

RIS

TY - JOUR

T1 - Labour market attachment after mild traumatic brain injury

T2 - nationwide cohort study with 5-year register follow-up in Denmark

AU - Graff, Heidi Jeannet

AU - Siersma, Volkert

AU - Møller, Anne

AU - Kragstrup, Jakob

AU - Andersen, Lars L

AU - Egerod, Ingrid

AU - Malá Rytter, Hana

N1 - © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2019/4/11

Y1 - 2019/4/11

N2 - OBJECTIVES: Sickness absence after mild traumatic brain injury (mTBI) is frequent due to postconcussive symptoms. We examined labour market attachment following mTBI up to 5 years postinjury.DESIGN AND SETTING: Nationwide cohort study with register follow-up.PARTICIPANTS: Patients between 18 and 60 years with mTBI (International Classification of Diseases, version 10 diagnosis S06.0) were extracted from the Danish National Patient Register (n=19 732). Controls were matched on sex, age and municipality (n=18 640). Patients with spinal cord and column injuries, traumatic brain injury and concussions 5 years preinjury or as secondary diagnosis to the concussion in the inclusion period were excluded.PRIMARY AND SECONDARY OUTCOME MEASURES: Data were extracted from the Danish Register for Evaluation of Marginalization. Primary outcome was 'not attending ordinary work' defined as receiving any social transfer payment. Secondary outcomes were health-related benefits, limited attachment to the labour market, permanent lack of attachment to the labour market and death.RESULTS: 5 years after diagnosis, 43% of patients were not attending ordinary work. The odds increased from 6 months (OR 1.30, 95% CI 1.24 to 1.36) to 5 years (OR 1.54, 95% CI 1.45 to 1.63). The odds of health-related benefits were 32% (OR 1.32, 95% CI 1.22 to 1.42) at 6 months and 22% (OR 1.22, 95% CI 1.12 to 1.33) at 5 years. Limited attachment to the labour market showed increased odds at 5 years (OR 1.38, 95% CI 1.27 to 1.51) and the odds of permanent lack of attachment to the labour market were higher for patients compared with controls (OR 2.59, 95% CI 2.30 to 2.92). Death was more than two times higher at 5 years postinjury (OR 2.62, 95% CI 2.10 to 3.26).CONCLUSIONS: 43% of concussed patients were not attending ordinary work 5 years postinjury and received health and social transfer benefits. We conclude that mTBI has a long-term impact on labour market attachment. Prevention and treatment of persisting postconcussive symptoms should be considered.TRIAL REGISTRATION NUMBER: NCT03214432; Results.

AB - OBJECTIVES: Sickness absence after mild traumatic brain injury (mTBI) is frequent due to postconcussive symptoms. We examined labour market attachment following mTBI up to 5 years postinjury.DESIGN AND SETTING: Nationwide cohort study with register follow-up.PARTICIPANTS: Patients between 18 and 60 years with mTBI (International Classification of Diseases, version 10 diagnosis S06.0) were extracted from the Danish National Patient Register (n=19 732). Controls were matched on sex, age and municipality (n=18 640). Patients with spinal cord and column injuries, traumatic brain injury and concussions 5 years preinjury or as secondary diagnosis to the concussion in the inclusion period were excluded.PRIMARY AND SECONDARY OUTCOME MEASURES: Data were extracted from the Danish Register for Evaluation of Marginalization. Primary outcome was 'not attending ordinary work' defined as receiving any social transfer payment. Secondary outcomes were health-related benefits, limited attachment to the labour market, permanent lack of attachment to the labour market and death.RESULTS: 5 years after diagnosis, 43% of patients were not attending ordinary work. The odds increased from 6 months (OR 1.30, 95% CI 1.24 to 1.36) to 5 years (OR 1.54, 95% CI 1.45 to 1.63). The odds of health-related benefits were 32% (OR 1.32, 95% CI 1.22 to 1.42) at 6 months and 22% (OR 1.22, 95% CI 1.12 to 1.33) at 5 years. Limited attachment to the labour market showed increased odds at 5 years (OR 1.38, 95% CI 1.27 to 1.51) and the odds of permanent lack of attachment to the labour market were higher for patients compared with controls (OR 2.59, 95% CI 2.30 to 2.92). Death was more than two times higher at 5 years postinjury (OR 2.62, 95% CI 2.10 to 3.26).CONCLUSIONS: 43% of concussed patients were not attending ordinary work 5 years postinjury and received health and social transfer benefits. We conclude that mTBI has a long-term impact on labour market attachment. Prevention and treatment of persisting postconcussive symptoms should be considered.TRIAL REGISTRATION NUMBER: NCT03214432; Results.

U2 - 10.1136/bmjopen-2018-026104

DO - 10.1136/bmjopen-2018-026104

M3 - Journal article

VL - 9

SP - e026104

JO - BMJ Paediatrics Open

JF - BMJ Paediatrics Open

SN - 2044-6055

IS - 4

ER -

ID: 56978608