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Interest of workplace support for returning to work after a traumatic brain injury: a retrospective study
V Bonneterre1, D Pérennou, V Trovatello
1Équipe EPSP laboratoire TIMC (UMR 5525), UFR de médecine, université Joseph-Fourier Grenoble, Domaine de la Merci, 38700 La Tronche, France; Department of occupational health and medicine, public health department, Grenoble university hospital, BP 217, 38043 Grenoble cedex9, France.
Objective:
To analyse usefulness of the SPASE programme, a coordinated facility programme to assist traumatic brain injury (TBI) persons in returning to work and retaining their job in the ordinary work environment.
Design:
A retrospective study including 100 subjects aged over 18 who had suffered traumatic brain injury (GOS 1 or 2). The criterion for return to work (RTW) success was the ability to return to the job he/she had before the accident or to a new professional activity.
Results:
Factors associated with RTW success were at short-term (2-3 years): the presence of significant workplace support OR=15.1 [3.7-61.7], the presence of physical disabilities OR=0.32 [0.12-0.87] or serious traumatic brain injury OR=0.22 [0.07-0.66]. At medium-term (over 3 years) these factors were: significant workplace support OR=3.9 [1.3-11.3] and presence of mental illness OR=0.15 [0.03-0.7].
Conclusion:
This study suggests that a case coordination vocational programme may facilitate the return and maintain to work of TBI persons. It reveals that the workplace support is a key factor for job retention in the medium-term.
