A systematic review and meta-analysis of return to work after mild Traumatic brain injury

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperReviewResearchpeer-review

  • Ben Bloom, b Emergency Department , Royal London Hospital, Barts Health NHS Trust , London , UK.
  • ,
  • Stephen Thomas, d Department of Emergency Medicine , Hamad General Hospital , Doha , Qatar.
  • ,
  • Jette Møller Ahrensberg
  • Rachel Weaver, f Institute of Public Health , University of Cambridge School of Clinical Medicine , Cambridge , UK.
  • ,
  • Alex Fowler, b Emergency Department , Royal London Hospital, Barts Health NHS Trust , London , UK.
  • ,
  • Jon Bestwick, g Wolfson Institute , Queen Mary University of London , London , UK.
  • ,
  • Tim Harris, c Barts and the London School of Medicine and Dentistry , Queen Mary University of London , London , UK.
  • ,
  • Rupert Pearse, a William Harvey Institute , Queen Mary University of London , London , UK.

OBJECTIVE: To perform a systematic review and meta-analysis of return to work (RTW) times for adult patients with mild traumatic brain injury (mTBI).

METHODS: Six databases and six trials registries were searched. Inclusion: studies reporting RTW, > 30 patients, adults, with mTBI. Exclusion: final measurement RTW < 30 days after injury, first measurement > 1 year.

RESULTS: Of 978 records, 14 eligible studies were identified. Two included patients exclusively in paid employment pre-injury; four included paid employment, students, homemakers or other activities; seven included pre-injury occupational status described but unclear; one included patients whose pre-injury occupational status not described. Three reported average RTW, 12 reported proportions of patients RTW at pre-specified time-points (1 both). Average RTW times varied from 13 to 93 days. At 1 month the proportion of patients RTW (three pooled studies) was 0.56 (95% CI 0.30-0.79), at 6 months (six studies) 0.83 (0.74-0.89), at 12 months (seven studies) 0.89 (0.83-0.93).

CONCLUSION: More than half of patients with mTBI have returned to work by 1 month after injury, and more than 80% by 6 months. Most studies had poor internal validity. Reporting of outcomes in mTBI is variable, and this accounted for some of the heterogeneity found in this review.

Original languageEnglish
JournalBrain Injury
Volume32
Issue13-14
Pages (from-to)1623-1636
Number of pages14
ISSN0269-9052
DOIs
Publication statusPublished - 2018

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