NEUROPSYCHOLOGICAL IMPAIRMENT AND RETURN TO WORK FOLLOWING SEVERE CLOSED HEAD INJURY : IMPLICATIONS FOR CLINICAL MANAGEMENT

摘要: Aims To study the rate and timing of return to work following severe closed head injury, compare neuropsychological functioning patients who successfully with that fail work. Methods The vocational status, level cognitive personality a consecutive series 66 survived injury was assessed between six months three years postinjury. returned were compared failed Results Twenty five percent work, further 17% under special conditions employment. Failure related degree impairment (cognitive deficit adverse change), severity (duration posttraumatic amnesia), age. Multiple regression analysis found total number symptoms be strongest predictor patients' Conclusions These findings suggest are main mechanism through which brain affects ability It is recommended rehabilitation based on comprehensive assessment.