Despite systemic differences in compensation and health care access, the workplace and non-workplace MTBI groups were similar at clinic intake and indistinguishable at follow-up, 6–7 months post injury.Īpproximately 1 in 4 mild traumatic brain injuries (MTBIs) in adults occur at work. There was no evidence that the workplace and non-workplace MTBI groups had different risk factors associated with prolonged work absence. Greater post-concussion symptom burden was most predictive of no RTW at follow-up. Of the entire sample, 42.5% of patients had full RTW, 18.4% had partial RTW, and 39.1% had no RTW.
There were no workplace/non-workplace MTBI differences in RTW outcome at 6–7 months post injury. Fifteen patients (14.7%) were lost to follow-up. Workplace MTBI was associated with greater post-traumatic stress symptoms.
The two groups had a comparable post-concussion symptom burden and performance validity test failure rate. The workplace MTBI group had a greater proportion of men and lower education levels compared to the non-workplace MTBI group. Workplace injuries comprised 45.1% of the sample. Outcomes, including RTW, were assessed via telephone follow-up 4–5 months later. Participants were interviewed about their MTBI and completed a battery of standardized questionnaires and performance validity testing. Of 273 eligible patients, 102 completed an initial study assessment (M age = 41.2 years, SD age = 11.7 54% women) at an average of 2–3 months post injury. Two clinics treat Worker’s Compensation claimants and two clinics serve patients with non-work related injuries in the publically funded health care system. Slow-to-recover participants were recruited from consecutive referrals to four outpatient MTBI clinics from March 2015 to February 2017. The present study examined differences associated with workplace and non-workplace MTBI upon intake to a specialty MTBI clinic, their outcomes, and risk factors that influence RTW. It is not known whether these differences hold true for mild traumatic brain injuries (MTBI). Individuals who are injured in the workplace typically have a greater risk of delayed return to work (RTW) and other poor health outcomes compared to those not injured at work.
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