Mild Traumatic Brain Injury Clinical Trial
Official title:
Return to Work After Mild Traumatic Brain Injury
Background:
Patients with mild traumatic brain injury can to some extend experience long-term physical,
cognitive, social and behavioral deficits, which have serious implications for employment
trajectories and financial independence. These deficits have shown to be more pronounced in
women. High socio-economic position such as income, level of education and employment status
before the accident have shown to affect return to work. But also cohabitation status,
ethnicity and health are important factors. Previously studies are typically self-report
studies, and are often small and may suffer from selection bias due to patient nonresponse.
Aim:
The aim of this study is to describe no return to work among patients with mild traumatic
brain injury in Denmark and to examine how factors such as age, gender, cohabitation status,
socio-economic and pre-injury health factors affect no return to work up to 5 years
post-injury.
Hypothesis:
We hypothesize that most patients with mild traumatic brain injury return to work within work
6 months post-injury, and that patients with mild traumatic brain injury injury receive more
social transfer payments compared to the general population.
Additionally, we hypothesize that low socio economic position, comorbidities and being single
are associated with prolonged no return to work.
Methods:
The present study is an observational national register-based cohort study with long-term
follow up of patients with mild traumatic brain injury from 1st of January 2008 - 31st of
December 2012 in Denmark. Patients aged 18-60 years diagnosed with concussion from 1st of
January 2003-31st of December 2007 in the national patient register will be included in the
study. Data will be retrieved from several national databases, including the DREAM database
containing data on social benefits and reimbursements.
Primary outcome is no-return to work (nRTW) due to any cause and the following four secondary
outcomes are graded and should be regarded as a continuum ranging from health related nRTW,
limited nRTW, permanently nRTW and mortality.
The results will be published as two separate scientific articles.
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