A systematic review of return-to-work after mild traumatic brain injury: Results of the International Collaboration on MTBI Prognosis (ICoMP)

Carol Cancelliere, Vicki Kristman, John David Cassidy, Cesar A Hincapié, Pierre Côté, Eleanor Boyle, Linda Carroll, Britt-Marie Stålnacke, Catharina Nygren-de Boussard, Jörgen Borg

Publikation: Bidrag til tidsskriftKonferenceabstrakt i tidsskriftForskningpeer review

Resumé

Objective: To synthesize the best available evidence on return-to-work (RTW) after mild traumatic brain injury (MTBI).

Data sources: MEDLINE and other databases were searched (2001–2012) with terms including ‘craniocerebral trauma’ and ‘employment’. Reference lists of eligible articles were also searched.

Study selection: Controlled trials and cohort and case-control studies were selected according to pre-defined criteria. Studies had to assess RTW or employment outcomes in at least 30 MTBI cases.

Data extraction: Eligible studies were critically appraised using a modification of the Scottish Intercollegiate Guidelines Network (SIGN) criteria. Two reviewers independently reviewed and extracted data from accepted studies into evidence tables.

Data synthesis: Evidence was synthesized qualitatively according to modified SIGN criteria and prioritized according to design as exploratory or confirmatory. After 77 911 records were screened; 299 articles were eligible and reviewed, 101 (34%) of these with a low risk of bias were accepted as scientifically admissible and four of these had RTW or employment outcomes. This evidence is preliminary and suggests that most workers RTW within 3–6 months after MTBI; MTBI is not a significant risk factor for long-term work disability; and predictors of delayed RTW include a lower level of education (<11 years of formal education), nausea or vomiting on hospital admission, extra-cranial injuries, severe head/bodily pain early after injury and limited job independence and decision-making latitude.

Conclusions: These findings are based on preliminary evidence with varied patient characteristics and MTBI definitions, thus limiting firm conclusions. More well-designed studies are required to understand RTW and sustained employment after MTBI in the longer term (≥2 years post-MTBI).
OriginalsprogEngelsk
Artikelnummer#0333
TidsskriftBrain Injury
Vol/bind28
Udgave nummer5-6
ISSN0269-9052
StatusUdgivet - 2014
BegivenhedTenth World Congress on Brain Injury, San Francisco, CA. March 19-22, 2014. - San Francisco, USA
Varighed: 19. mar. 201422. mar. 2014

Konference

KonferenceTenth World Congress on Brain Injury, San Francisco, CA. March 19-22, 2014.
LandUSA
By San Francisco
Periode19/03/201422/03/2014

Fingeraftryk

Return to Work
Guidelines
Education
Information Storage and Retrieval
Wounds and Injuries
Craniocerebral Trauma
MEDLINE
Case-Control Studies
Databases

Citer dette

Cancelliere, Carol ; Kristman, Vicki ; Cassidy, John David ; Hincapié, Cesar A ; Côté, Pierre ; Boyle, Eleanor ; Carroll, Linda ; Stålnacke, Britt-Marie ; Nygren-de Boussard, Catharina ; Borg, Jörgen. / A systematic review of return-to-work after mild traumatic brain injury: Results of the International Collaboration on MTBI Prognosis (ICoMP). I: Brain Injury. 2014 ; Bind 28, Nr. 5-6.
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title = "A systematic review of return-to-work after mild traumatic brain injury: Results of the International Collaboration on MTBI Prognosis (ICoMP)",
abstract = "Objective: To synthesize the best available evidence on return-to-work (RTW) after mild traumatic brain injury (MTBI).Data sources: MEDLINE and other databases were searched (2001–2012) with terms including ‘craniocerebral trauma’ and ‘employment’. Reference lists of eligible articles were also searched.Study selection: Controlled trials and cohort and case-control studies were selected according to pre-defined criteria. Studies had to assess RTW or employment outcomes in at least 30 MTBI cases.Data extraction: Eligible studies were critically appraised using a modification of the Scottish Intercollegiate Guidelines Network (SIGN) criteria. Two reviewers independently reviewed and extracted data from accepted studies into evidence tables.Data synthesis: Evidence was synthesized qualitatively according to modified SIGN criteria and prioritized according to design as exploratory or confirmatory. After 77 911 records were screened; 299 articles were eligible and reviewed, 101 (34{\%}) of these with a low risk of bias were accepted as scientifically admissible and four of these had RTW or employment outcomes. This evidence is preliminary and suggests that most workers RTW within 3–6 months after MTBI; MTBI is not a significant risk factor for long-term work disability; and predictors of delayed RTW include a lower level of education (<11 years of formal education), nausea or vomiting on hospital admission, extra-cranial injuries, severe head/bodily pain early after injury and limited job independence and decision-making latitude.Conclusions: These findings are based on preliminary evidence with varied patient characteristics and MTBI definitions, thus limiting firm conclusions. More well-designed studies are required to understand RTW and sustained employment after MTBI in the longer term (≥2 years post-MTBI).",
author = "Carol Cancelliere and Vicki Kristman and Cassidy, {John David} and Hincapi{\'e}, {Cesar A} and Pierre C{\^o}t{\'e} and Eleanor Boyle and Linda Carroll and Britt-Marie St{\aa}lnacke and {Nygren-de Boussard}, Catharina and J{\"o}rgen Borg",
year = "2014",
language = "English",
volume = "28",
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Cancelliere, C, Kristman, V, Cassidy, JD, Hincapié, CA, Côté, P, Boyle, E, Carroll, L, Stålnacke, B-M, Nygren-de Boussard, C & Borg, J 2014, 'A systematic review of return-to-work after mild traumatic brain injury: Results of the International Collaboration on MTBI Prognosis (ICoMP)', Brain Injury, bind 28, nr. 5-6, #0333.

A systematic review of return-to-work after mild traumatic brain injury: Results of the International Collaboration on MTBI Prognosis (ICoMP). / Cancelliere, Carol; Kristman, Vicki; Cassidy, John David; Hincapié, Cesar A; Côté, Pierre; Boyle, Eleanor; Carroll, Linda; Stålnacke, Britt-Marie; Nygren-de Boussard, Catharina; Borg, Jörgen.

I: Brain Injury, Bind 28, Nr. 5-6, #0333, 2014.

Publikation: Bidrag til tidsskriftKonferenceabstrakt i tidsskriftForskningpeer review

TY - ABST

T1 - A systematic review of return-to-work after mild traumatic brain injury: Results of the International Collaboration on MTBI Prognosis (ICoMP)

AU - Cancelliere, Carol

AU - Kristman, Vicki

AU - Cassidy, John David

AU - Hincapié, Cesar A

AU - Côté, Pierre

AU - Boyle, Eleanor

AU - Carroll, Linda

AU - Stålnacke, Britt-Marie

AU - Nygren-de Boussard, Catharina

AU - Borg, Jörgen

PY - 2014

Y1 - 2014

N2 - Objective: To synthesize the best available evidence on return-to-work (RTW) after mild traumatic brain injury (MTBI).Data sources: MEDLINE and other databases were searched (2001–2012) with terms including ‘craniocerebral trauma’ and ‘employment’. Reference lists of eligible articles were also searched.Study selection: Controlled trials and cohort and case-control studies were selected according to pre-defined criteria. Studies had to assess RTW or employment outcomes in at least 30 MTBI cases.Data extraction: Eligible studies were critically appraised using a modification of the Scottish Intercollegiate Guidelines Network (SIGN) criteria. Two reviewers independently reviewed and extracted data from accepted studies into evidence tables.Data synthesis: Evidence was synthesized qualitatively according to modified SIGN criteria and prioritized according to design as exploratory or confirmatory. After 77 911 records were screened; 299 articles were eligible and reviewed, 101 (34%) of these with a low risk of bias were accepted as scientifically admissible and four of these had RTW or employment outcomes. This evidence is preliminary and suggests that most workers RTW within 3–6 months after MTBI; MTBI is not a significant risk factor for long-term work disability; and predictors of delayed RTW include a lower level of education (<11 years of formal education), nausea or vomiting on hospital admission, extra-cranial injuries, severe head/bodily pain early after injury and limited job independence and decision-making latitude.Conclusions: These findings are based on preliminary evidence with varied patient characteristics and MTBI definitions, thus limiting firm conclusions. More well-designed studies are required to understand RTW and sustained employment after MTBI in the longer term (≥2 years post-MTBI).

AB - Objective: To synthesize the best available evidence on return-to-work (RTW) after mild traumatic brain injury (MTBI).Data sources: MEDLINE and other databases were searched (2001–2012) with terms including ‘craniocerebral trauma’ and ‘employment’. Reference lists of eligible articles were also searched.Study selection: Controlled trials and cohort and case-control studies were selected according to pre-defined criteria. Studies had to assess RTW or employment outcomes in at least 30 MTBI cases.Data extraction: Eligible studies were critically appraised using a modification of the Scottish Intercollegiate Guidelines Network (SIGN) criteria. Two reviewers independently reviewed and extracted data from accepted studies into evidence tables.Data synthesis: Evidence was synthesized qualitatively according to modified SIGN criteria and prioritized according to design as exploratory or confirmatory. After 77 911 records were screened; 299 articles were eligible and reviewed, 101 (34%) of these with a low risk of bias were accepted as scientifically admissible and four of these had RTW or employment outcomes. This evidence is preliminary and suggests that most workers RTW within 3–6 months after MTBI; MTBI is not a significant risk factor for long-term work disability; and predictors of delayed RTW include a lower level of education (<11 years of formal education), nausea or vomiting on hospital admission, extra-cranial injuries, severe head/bodily pain early after injury and limited job independence and decision-making latitude.Conclusions: These findings are based on preliminary evidence with varied patient characteristics and MTBI definitions, thus limiting firm conclusions. More well-designed studies are required to understand RTW and sustained employment after MTBI in the longer term (≥2 years post-MTBI).

M3 - Conference abstract in journal

VL - 28

JO - Brain Injury

JF - Brain Injury

SN - 0269-9052

IS - 5-6

M1 - #0333

ER -