Mild traumatic brain injury in an insured population: subjective complaints and return to employment |
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| Authors: | Jeffrey Englander Karyl Hall Terry Stimpson Sarra Chaffing |
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| Affiliation: | a Associate Chief, Department of Physical Medicine and Rehabilitation; Clinical Director, Head Injury Rehabilitation Program, Santa Clara Valley Medical Center, San Jose, CAb Projects Co-Director; Director of Research, Brain & Spinal Cord Injury Model Systems of Care, Santa Clara Valley Medical Center, California Institute for Medical Research, San Jose, CAc Case Manager, Traumatic Brain Injury Model System of Care, Santa Clara Valley Medical Center,d Clinical Nurse Specialist, Santa Clara Valley Medical Center, |
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| Abstract: | The great majority of traumatic brain injury (TBI) is of mild severity, with Glasgow Coma Scores (GCS) of 13-15, post-traumatic amnesia of less than 48 hours and brief, if any, hospitalization. All mild TBI admissions to hospital were provided with education in the form of a brief interview and a brochure on minor head trauma from the National Head Injury Foundation. Seventy-seven insured individuals with mild TBI were contacted by phone between 1 and 3 months post-injury to determine the frequency and severity of post-traumatic symptoms and the rate of return to work (RTW). Twenty-six per cent of those contacted had subjective complaints; 88% had returned to work or school; 16% of those returning did so with some symptoms. Only 45% of symptomatic individuals sought medical consultation for their condition when offered. Education about post-traumatic symptoms from the onset may provide sufficient reassurance to most individuals that future use of medical services is seen as unnecessary. Rate of RTW is relatively higher than reported in previous studies of mild TBI. |
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