A re-examination of the rate of vocational dysfunction among patients withanosmia and mild to moderate closed head injury

This study sought to verify two earlier reports that up to 93% df patients with closed head injury (CHI) and anosmia are vocationally dysfunctional du e to executive impairments associated with orbitofrontal damage. Participan ts were 11 men and 4 women identified from a pool of 60 potential subjects referred for evaluation of trauma-related chemosensory dysfunction at the U niversity of Pennsylvania Smell and Taste Center from 1988 to 1994. These 1 5 subjects met four criteria: (i) willingness to complete a brief semi-stru ctured interview concerning their pre- and post-CHI work history; (ii) age < 60 years; (iii) evidence of mild to moderate CHI; and (iv) scores on the University of Pennsylvania Smell Identification Test indicative of anosmia or severe microsmia and non-malingering. In contrast to the earlier reports , only 7% of the subjects were vocationally dysfunctional. This study calls into question previous reports suggesting that anosmia is a reliable predi ctor of post CHI vocational outcome. (C) 2001 National Academy of Neuropsyc hology. Published by Elsevier Science Ltd.