Occurrence and predictors of employment after traumatic XXXX : the GISEM Study.

@entity1566 @entity1 @entity1688
STUDY DESIGN: Multicenter, prospective study. OBJECTIVES: To assess the occurrence and predictors of return to work after traumatic @entity1566 ( @entity1566 ). SETTING: Italian rehabilitation centers. METHODS: We evaluated @entity1 previously included in the Italian Group for the Epidemiological Study of @entity1566 study. A standardised telephone interview was used to collect data after a mean follow-up of 3.8 years. The main outcome measure was employment at the end of follow-up. RESULTS: A total of 403 @entity1 , 336 @entity1 and 67 @entity1 , with a mean age of 41.8  16.3 years, were included in the follow-up. In all, 42.1% of @entity1 were employed at the moment of the interview, though 62% reported a worsening in their employment level. Predictors of employment were education (P<0.0001), bowel continence (P=0.02), independence in mobility (P=0.0004), ability to drive (P<0.0001), participating in the community (P=0.0001) and ability to live alone (P<0.0001) while age (P<0.0001), being married (P<0.0001), @entity1688 (P=0.03), occurrence of recent medical problems (P=0.002), re-hospitalization (P=0.02), presence of architectonic barriers (P=0.009) and having a public welfare subsidy (P<0.0001), predicted unemployment. On the basis of multivariate analysis, younger age, education, absence of @entity1688 , ability to drive, ability to live alone, previous employment were independent predictors of employment after @entity1566 . Employment at follow-up was related to several indicators of quality of life. CONCLUSION: Employment after @entity1566 was rather frequent and was related to several @entity1 characteristics and social factors. Specific interventions on the @entity1 and on the social environment may favor employment after @entity1566 and improve quality of life.
