Document Detail

Stability of vocational outcome in adulthood after moderate to severe preschool brain injury.
MedLine Citation:
PMID:  15327719     Owner:  NLM     Status:  MEDLINE    
We studied how moderate to severe childhood traumatic brain injury (TBI) affects vocational outcome with time. This is the second follow-up of patients who were injured as preschoolers in traffic accidents. In the first follow-up the mean age was 23 years and in the present study the average age of the 27-patient cohort was 40 years. Twenty-two patients were assessed clinically by a neuropsychologist, neurologist and a social worker. Five patients, although not able or willing to participate in the clinical study, were contacted by telephone and interviewed on their vocational outcome. Compared to the first follow-up, 20/27 patients in total had no change in their vocational status. Nine out of the 27 patients were working full-time, two had subsidized jobs and 16 were not working. Twenty-four of 27 patients were independent in daily living. In the neuropsychological tests of executive functions, preserved flexibility associated with full-time work status. In conclusion, 1/3 of the patients were still employed full-time over 30 years after the TBI. This suggests that favorable vocational outcome, reached by young adulthood, is maintained at least until middle age.
Taina Nybo; Markku Sainio; Kiti Müller
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the International Neuropsychological Society : JINS     Volume:  10     ISSN:  1355-6177     ISO Abbreviation:  J Int Neuropsychol Soc     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-08-25     Completed Date:  2004-10-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9503760     Medline TA:  J Int Neuropsychol Soc     Country:  England    
Other Details:
Languages:  eng     Pagination:  719-23     Citation Subset:  IM    
Finnish Institute of Occupational Health, Helsinki, Finland.
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MeSH Terms
Brain Injuries / rehabilitation*
Follow-Up Studies
Middle Aged
Neuropsychological Tests
Recovery of Function
Rehabilitation, Vocational*
Retrospective Studies
Time Factors
Treatment Outcome*

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