{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T13:06:16Z","timestamp":1783775176693,"version":"3.55.0"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T00:00:00Z","timestamp":1563926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100014088","name":"Workers Compensation Board of Alberta","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014088","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["#274555"],"award-info":[{"award-number":["#274555"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Frederick Banting and Charles Best Canada Graduate Scholarship"},{"name":"Health Quality Council of Alberta"},{"name":"Walter H. Johns Graduate Fellowship"},{"DOI":"10.13039\/501100000190","name":"University of Alberta","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000190","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Tier I Canada Research Chair in Evidence-based Emergency Medicine"},{"DOI":"10.13039\/501100000023","name":"Government of Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000023","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The emergency department (ED) is the first point of care for many patients with concussion, and post-concussion syndrome can impact vocational outcomes like successful return to work. Evaluation of concussion in general adult populations is needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To document the occurrence and outcomes of work-related concussion presenting to the ED for treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study enrolled adults presenting with concussion to three urban Canadian EDs. Baseline ED interviews, physician questionnaires and patient phone interviews at 30 and 90 days documented work-related events, ED management, discharge advice, patient adherence and symptom severity. Work-related injury and return to work were modelled using logistic or linear regression, as appropriate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 172 enrolled workers completed at least one follow-up. Work-related concussions were uncommon (n = 28). Most employees (80%) missed at least 1 day of work (median = 7; interquartile range: 3\u201314). Most (91%) employees returned to work within 90 days, while 41% reported persistent symptoms. Manual labour and self-reported history of attention deficit hyperactivity disorder were associated with work-related concussion, while days of missed work increased with marital status (divorced), history of sleep disorder and physician\u2019s advice to avoid work.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Work-related concussions are infrequent; however, most workers who sustain a concussion will miss work, and many return while still experiencing symptoms. Work-related concussion and days of missed work are mainly affected by non-modifiable factors. Workers, employers and the workers\u2019 compensation system should take necessary precautions to ensure that workers return to work safely and successfully following a concussion.<\/jats:p><\/jats:sec>","DOI":"10.1093\/occmed\/kqz089","type":"journal-article","created":{"date-parts":[[2019,6,7]],"date-time":"2019-06-07T19:10:46Z","timestamp":1559934646000},"page":"419-427","source":"Crossref","is-referenced-by-count":13,"title":["Workers\u2019 recovery from concussions presenting to the emergency department"],"prefix":"10.1093","volume":"69","author":[{"given":"L A","family":"Gaudet","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Eliyahu","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8788-8406","authenticated-orcid":false,"given":"J","family":"Beach","sequence":"additional","affiliation":[{"name":"College of Physicians & Surgeons of Alberta, Edmonton, Alberta, Canada"},{"name":"Division of Preventive Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada"},{"name":"School of Public Health, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Mrazik","sequence":"additional","affiliation":[{"name":"Department of Educational Psychology, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Cummings","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D C","family":"Voaklander","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B H","family":"Rowe","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada"},{"name":"School of Public Health, University of Alberta, Edmonton, Alberta, Canada"},{"name":"Alberta Health Services, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,7,24]]},"reference":[{"key":"2019100104521166700_CIT0001","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1080\/02699050410001720158","article-title":"Mild traumatic brain injury in the United States, 1998\u20132000","volume":"19","author":"Bazarian","year":"2005","journal-title":"Brain Inj"},{"key":"2019100104521166700_CIT0002","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1542\/peds.2010-2005","article-title":"American Academy of Pediatrics. 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