Prediction of Return to Work after Mild Traumatic Brain Injury by Different Assessment Scales
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- Category: Vol. 87, September 2019
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Prediction of Return to Work after Mild Traumatic Brain Injury by Different Assessment Scales, AMANY S. HASSAN, EMAN S.M. FAYEZ, AHMED EL FIKI and AHMED S. ALI
Abstract
Background: Mild Traumatic Brain Injury (m-TBI) based on a score of 15 on the Glasgow Coma Scale; a score of 13 or 14 is due to confusion and will be associated with a long duration of posttraumatic amnesia. Identifying factors that increase the risk of m-BTI is necessary to develop public health programs and reduce the risk of being unable to return to work. Therefore, early detection of disability and interven-tion training is a very important treatment strategy to enable the injured patients to return to their works.
Aim of Study: Is to predict disability effect on Return to Work (RTW) by assessment scales for patients with mild traumatic brain injury during hospital stay and eight to twelve weeks follow-up.
Material and Methods: Different assessment scales in-cluding; Glasgow Coma Scale (GCS), the Montreal Cognitive Assessment (MOCA) Arabic Version, Disability Rating Scale (DRS) and Post Traumatic Amnesia Time (PTAT) were re-ported a detailed understanding of patients temporally changes in physical and mental statues and its impact on successful RTW and community integration. A prospective cohort study of sixty-one patients with mild traumatic brain injury (m-TBI) admitted consecutively to Neurotrauma Departments at Emergency Hospital, in El-Kasr El-Aini Hospital.
Results: The results revealed that return to work and recovery from m-TBI occurred after hospital discharging between eight to twelve weeks in 6 patients (9.8%), six to eight weeks in 28 patients (45.9%), two to four weeks in 9 patients (14.8%) and one week in 18 patients (29.5%) and this was supported by using GCS, MOCA [highly predicted (94.86%)] and DRS [highly predicted (96.03%)] scales to predict and develop a suitable work plan according to patient disability.
Conclusion: Return to work and recovery from mild traumatic brain injury occurred mainly between six and eight weeks and were followed for twelve weeks post-traumatic, indicating a high rate of predictability using GCS, MOCA, DRS and PTAT and helped to develop a remedial plan suitable for disability reasons.