Communication Affichée: Poster Tour 3

Le 15/10/2021 de 13:30 à 14:00

Retour Session


Retour au travail après un traumatisme crânien grave : A propos d’une population Tunisienne

Soumaya Boudokhane (Monastir, Tunisie), Amine Kalai (Monastir, Tunisie), Houda Migaou (Monastir, Tunisie), Sonia Daghrir (Monastir, Tunisie), Iheb Bel Haj Youssef (Monastir, Tunisie), Anis Jellad (Monastir, Tunisie), Zohra Ben Salah Frih (Monastir, Tunisie)

Objective :
The aim of our study was to identify predictors of return to work (RTW) after severe traumatic brain injury (STBI) in Tunisia.

Material / Patients and Methods : It’s a cross sectional study included patient with isolated STBI for over one year. The evaluated parameters were duration of coma, duration of post-traumatic amnesia (PTA), duration of hospitalization in intensive care unit (ICU), motor and neuropsychological impairments, functional outcome (Functional Independence Measure: FIM) and disability (Glasgow Outcome Scale : GOS). 

Results : Fifty patients were evaluated. The mean age was 28.1±15.3 years with male predominance. Dependency for activities of daily living according FIM and GOS was severe in 44% of cases.Sex and age were not correlated with professional development, but we found that men and younger patients tended to have more favorable professional development. Factors significantly associated with poor functional outcome (FIM and GOS) were the duration of coma (p: 0.014), PTA (p<0.001) and hospitalization in intensive care (p<0.001). The vocational reintegration rate was at 22%. PTA duration and the length of hospitalization in intensive care unit were correlated to return to work (p: 0.004). 

Discussion - Conclusion :
This study confirms the impact of PTA and coma on the functional and professional outcome in patients with STBI. Improving the care of these patients and reducing the impact induced by post-traumatic disability necessarily requires a comprehensive approach to this traumatic pathology from accident to rehabilitation.

Keywords : Severe traumatic brain injury, handicap, occupation, return to work, prognosis