ArticleBMJ open2019
Labour market attachment after mild traumatic brain injury: nationwide cohort study with 5-year register follow-up in Denmark.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03214432 (Return to Work After Mild Traumatic Brain Injury), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Return to Work After Mild Traumatic Brain Injury
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Nonpharmacological Treatment of Persistent Postconcussion Symptoms in Adults: A Systematic Review and Meta-analysis and Guideline Recommendation.JAMA network open · 2021Guideline
- Rehabilitation and outcomes after complicated vs uncomplicated mild TBI: results from the CENTER-TBI study.BMC health services research · 2022Trial
- The role of occupational therapy in the rehabilitation of adults with persistent post-concussion symptoms in Australia and New Zealand: A qualitative study.Australian occupational therapy journal · 2026Article
- Rehabilitation Involving Tailored Subsymptomatic Aerobic Exercise in Adult Patients With Persistent Postconcussion Symptoms (REPCon Project): Protocol for an Assessor-Blinded, Parallel-Group, Randomized Controlled Trial.JMIR research protocols · 2026Article
- 'It's like a Gordian knot' - the management of patients with persistent postconcussion symptoms in general practice: a qualitative study.BMC primary care · 2026Article
- Is Self-Report of Attachment Patterns in Young People Stable From Three to Nine Months After a Concussion?Scandinavian journal of psychology · 2025Article
- Complexity of post-concussion syndrome assessment and management: a case for customizing rehabilitation.Biomedical engineering online · 2025Article
- Effectiveness of personalized rehabilitation in adults suffering from persistent concussion symptoms as compared to usual care: a randomized control trial protocol.BMC neurology · 2024Article
- Traumatic brain injury and occupational risk of low-level blast exposure on adverse career outcomes: an examination of administrative and medical separations from Service (2005-2015).Frontiers in neurology · 2024Article
- Labour market attachment dynamics in patients with concussion: a Danish nationwide register-based cohort study.BMC public health · 2023Article
- Labour market participation after spinal cord injury. A register-based cohort study.Spinal cord · 2023Article
- A Digital Health Intervention for Concussion: Development and Clinical Feasibility Study.JMIR formative research · 2023Article
- The impact of traumatic brain injury on economic productivity in the Caribbean.Brain & spine · 2023Article
- Inflammatory cytokines associated with mild traumatic brain injury and clinical outcomes: a systematic review and meta-analysis.Frontiers in neurology · 2023Review
- Article
- Associations between Multimorbidity Patterns and Subsequent Labor Market Marginalization among Refugees and Swedish-Born Young Adults-A Nationwide Registered-Based Cohort Study.Journal of personalized medicine · 2021Article
- Adenosine AJournal of neuroinflammation · 2020Article
- Effect of concussion on salary and employment: a population-based event time study using a quasi-experimental design.BMJ open · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSickness absence after mild traumatic brain injury (mTBI) is frequent due to postconcussive symptoms. We examined labour market attachment following mTBI up to 5 years postinjury. DESIGN AND
settingNationwide cohort study with register follow-up.
participantsPatients between 18 and 60 years with mTBI (International Classification of Diseases, version 10 diagnosis S06.0) were extracted from the Danish National Patient Register (n=19 732). Controls were matched on sex, age and municipality (n=18 640). Patients with spinal cord and column injuries, traumatic brain injury and concussions 5 years preinjury or as secondary diagnosis to the concussion in the inclusion period were excluded. PRIMARY AND SECONDARY OUTCOME MEASURES: Data were extracted from the Danish Register for Evaluation of Marginalization. Primary outcome was 'not attending ordinary work' defined as receiving any social transfer payment. Secondary outcomes were health-related benefits, limited attachment to the labour market, permanent lack of attachment to the labour market and death.
results5 years after diagnosis, 43% of patients were not attending ordinary work. The odds increased from 6 months (OR 1.30, 95% CI 1.24 to 1.36) to 5 years (OR 1.54, 95% CI 1.45 to 1.63). The odds of health-related benefits were 32% (OR 1.32, 95% CI 1.22 to 1.42) at 6 months and 22% (OR 1.22, 95% CI 1.12 to 1.33) at 5 years. Limited attachment to the labour market showed increased odds at 5 years (OR 1.38, 95% CI 1.27 to 1.51) and the odds of permanent lack of attachment to the labour market were higher for patients compared with controls (OR 2.59, 95% CI 2.30 to 2.92). Death was more than two times higher at 5 years postinjury (OR 2.62, 95% CI 2.10 to 3.26).
conclusions43% of concussed patients were not attending ordinary work 5 years postinjury and received health and social transfer benefits. We conclude that mTBI has a long-term impact on labour market attachment. Prevention and treatment of persisting postconcussive symptoms should be considered. TRIAL REGISTRATION NUMBER: NCT03214432; Results.
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