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首页> 外文期刊>Occupational and environmental medicine >Employment retention after moderate-severe traumatic brain injury (TBI) in the British Army 1989-98.
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Employment retention after moderate-severe traumatic brain injury (TBI) in the British Army 1989-98.

机译：英国陆军1989-98年中度重度颅脑损伤（TBI）后的就业保留。

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AIMS: To examine retention in employment of subjects with moderate-severe traumatic brain injury (TBI) in the British Army. METHODS: Comparative groups study of retention in Army employment after TBI using 564 TBI, 368 lower limb fracture, and 25 575 healthy subjects. Kaplan-Meier survival analysis was used to examine, stratifying for age, continuation in Army employment for six years after TBI. RESULTS: Subjects in the younger groups (mean ages 23 years and 27 years respectively) with either TBI or lower limb fracture remained in employment longer than healthy peers (median time for TBI, 3.91 years, lower limb fracture, 4.39 years, and healthy, 1.74 years). This trend changed through age stratification and for older subjects the reverse pattern was seen. In group 4 (mean age 41 years), median retention time for TBI was 3.33 years, for lower limb fracture, 3.75 years, healthy 5.55 years. Older subjects also showed a marked drop out rate at one year after injury; 32.7% of those with TBI in group 3 (mean age 31 years) had left Army employment at the end of year one compared with 19% in age group 1 (mean age 23 years). CONCLUSIONS: Younger soldiers with either TBI or lower limb fracture are retained in Army employment longer than their healthy peers. This may be due to sheltered employment, the availability of ongoing support, or transience of the healthy population. Since these results were drawn from incidence data on moderate and severe TBI it may be that those who serve on after TBI will do so with some degree of disability which affects occupational performance. There may be a significant unmet rehabilitation need for this group which is the focus of ongoing research.
机译：目的：检查英军中重度脑外伤（TBI）患者的就业情况。方法：比较组研究了564名TBI，368名下肢骨折和25 575名健康受试者的TBI后在军队中的保留率。 Kaplan-Meier生存分析用于检查，按年龄分层，在TBI之后的六年中继续雇用陆军。结果：患有TBI或下肢骨折的年轻组（分别为23岁和27岁）的待业时间比健康的同龄人更长（TBI的中位时间为3.91年，下肢骨折为4.39岁，健康， 1.74年）。这种趋势随着年龄分层而改变，而对于年龄较大的受试者，则出现了相反的模式。在第4组（平均年龄41岁）中，TBI的中位保留时间为3.33年，下肢骨折的中位保留时间为3.75年，健康的为5.55年。年龄较大的受试者受伤后一年也有明显的辍学率。在第三组（平均年龄31岁）的TBI患者中，有32.7％在第一年末离开了军队，而在第一年龄组（平均年龄23岁）中则有19％离开了军队。结论：患有TBI或下肢骨折的年轻士兵在军队中的保留时间比健康同行更长。这可能是由于有庇护的就业，持续获得的支持或健康人群的短暂过渡。由于这些结果是从中度和重度TBI的发病率数据中得出的，可能是那些在TBI之后就职的人在一定程度上会影响职业表现。该组可能有大量未满足的康复需求，这是正在进行的研究的重点。

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