@article{ref1,
title="Long-term return to work after acquired brain injury in young Danish adults: a nation-wide registry-based cohort study",
journal="Frontiers in neurology",
year="2018",
author="Tibæk, Maiken and Kammersgaard, Lars Peter and Johnsen, Søren P. and Dehlendorff, Christian and Forchhammer, Hysse B.",
volume="9",
number="",
pages="e1180-e1180",
abstract="<b>Objective:</b> (1) To determine patterns of return to work (RTW) after traumatic brain injury and other causes of acquired brain injury (ABI) among young adults aged 19-30 years and (2) to compare the stability of long-term labor-market attachment (LMA) to the background population. <b>Method:</b> Nationwide registry-based inception cohort study of 10 years weekly data of employment status. Patients (<i>n</i> = 8,496) aged 19-30 years with first-ever diagnosis of TBI, stroke, subarachnoid hemorrhage, encephalopathy, brain tumor, or CNS infections during 1999-2015. For comparison, a general population cohort (<i>n</i> = 206,025) individually matched on age, sex, and municipality was identified. The main outcome was RTW, which was defined as time to LMA, i.e., a week without public assistance benefits except education grants/leave. Stable labor-market attachment (sLMA) was defined as LMA for at least 75% over 52 weeks. The cumulative incidence proportions of RTW and stable RTW in the ABI cohort were estimated with the Aalen-Johansen estimator with death as a competing event. <b>Results:</b> Twelve weeks after diagnosis 46.9% of ABI cohort had returned to stable RTW, which increased to 57.4% 1 year after, and 69.7% 10 years after. However, compared to controls fewer had sLMA 1 year (OR: 0.25 [95% CI 0.24-0.27]) and 10 years after diagnosis (OR: 0.35 [95% CI: 0.33-0.38]). Despite significant variations, sLMA was lower compared to the control cohort for all subtypes of ABI and no significant improvements were seen after 2-5 years. <b>Conclusion:</b> Despite relatively fast RTW only a minor proportion of young patients with ABI achieves sLMA.<p /> <p>Language: en</p>",
language="en",
issn="1664-2295",
doi="10.3389/fneur.2018.01180",
url="http://dx.doi.org/10.3389/fneur.2018.01180"
}