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Research Article

Return to driving within 5 years of moderate–severe traumatic brain injury

, PhD, , , , , , , , , & show all
Pages 464-471 | Received 04 Aug 2009, Accepted 07 Jan 2010, Published online: 25 Feb 2010
 

Abstract

Primary objective: To examine return to driving and variables associated with that activity in a longitudinal database.

Research design: Retrospective analysis of a large, national database.

Methods and procedures: The sample was comprised of people with predominantly moderate–severe traumatic brain injury (TBI) enrolled in the TBI Model System national database at 16 centres and followed at 1 (n = 5942), 2 (n = 4628) and 5 (n = 2324) years after injury.

Main outcomes and results: Respondents were classified as driving or not driving at each follow-up interval. Five years after injury, half the sample had returned to driving. Those with less severe injuries were quicker to return to driving, but, by 5 years, severity was not a factor. Those who were driving expressed a higher life satisfaction. Functional status at rehabilitation discharge, age at injury, race, pre-injury residence, pre-injury employment status and education level were associated with the odds of a person driving.

Conclusions: Half of those with a moderate–severe TBI return to driving within 5 years and most of those within 1 year of injury. Driving is associated with increased life satisfaction. There are multiple factors that contribute to return to driving that do not relate to actual driving ability.

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