Evidence map›Paper›PMID 31344363›Full record

ArticleArchives of physical medicine and rehabilitation2019

Depression as a Predictor of Long-term Employment Outcomes Among Individuals With Moderate-to-Severe Traumatic Brain Injury.

Daniel W Klyce, Katharine A Stromberg, William C Walker, Adam P Sima, Jeanne M Hoffman, Kristin M Graham, Amma A Agyemang, Jennifer H Marwitz

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Daniel W KlyceDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, Virginia. Electronic address: daniel.klyce@vcuhealth.org.
Katharine A StrombergDepartment of Biostatistics, Virginia Commonwealth University, Richmond, Virginia.
William C WalkerDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, Virginia.
Adam P SimaDepartment of Biostatistics, Virginia Commonwealth University, Richmond, Virginia.
Jeanne M HoffmanDepartment of Rehabilitation Medicine, University of Washington, Seattle, Washington.
Kristin M GrahamDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, Virginia.
Amma A AgyemangDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, Virginia.
Jennifer H MarwitzDepartment of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, Virginia.

Funding

Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
Practical PrognosticsR21HD089097 · NICHD · VIRGINIA COMMONWEALTH UNIVERSITY · PI WALKER, WILLIAM · 2016 to 2017
$419k
ACL HHS 90AR5025NCATS NIH HHS UL1 TR002649NICHD NIH HHS R21 HD089097
6 · The paper itself

Abstract

objectiveTo examine the predictive ability of depression when considering long-term employment outcomes for individuals with moderate-to-severe traumatic brain injury (TBI) after controlling for key preinjury and injury-related variables.

designSecondary data analysis.

settingCommunity follow-up after discharge from an inpatient rehabilitation center.

participantsIndividuals between 18 and 60 years old with moderate-to-severe TBI enrolled in the Traumatic Brain Injury Model Systems database.

interventionsNot applicable.

main outcome measuresEmployment status.

resultsThe prevalence of employment at 2 and 5 years post injury was 40.3% and 44.5%, respectively. Individuals identified as depressed at 1 year were more likely to be unemployed at 2 years post injury (odds ratio [OR], 1.77; 95% CI, 1.38-2.27; P<.0001). Similar relations between current depression and future employment were observed from 1- and 2-year depression status predicting 5-year employment (1-year: OR, 1.88; 95% CI, 1.48-2.40; P<.0001: 2-year: OR, 1.72; 95% CI, 1.36-2.17; P<.0001).

conclusionsAfter controlling for baseline predictors variables, the experience of postinjury depression-a modifiable condition-contributes predictive ability to future employment outcomes. Incorporating assessments and/or interventions for depression into postacute rehabilitation programs could promote favorable employment outcomes after TBI.

Indexed as

AdultBrain Injuries, TraumaticDepressionEmploymentFemaleFollow-Up StudiesHumansMaleMiddle AgedYoung AdultBrain injuries, traumaticDepressionEmploymentRehabilitation

Identifiers

PMID31344363
PMCPMC6765411

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.