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Return to work after ischemic stroke in young adults : A registry-based follow-up study

  • Objective We aimed to investigate the proportion of young patients not returning to work (NRTW) at 1 year after ischemic stroke (IS) and during follow-up, and clinical factors associated with NRTW. Methods Patients from the Helsinki Young Stroke Registry with an IS occurring in the years 1994–2007, who were at paid employment within 1 year before IS, and with NIH Stroke Scale score ≤15 points at hospital discharge, were included. Data on periods of payment came from the Finnish Centre for Pensions, and death data from Statistics Finland. Multivariate logistic regression analyses assessed factors associated with NRTW 1 year after IS, and lasagna plots visualized the proportion of patients returning to work over time. Results We included a total of 769 patients, of whom 289 (37.6%) were not working at 1 year, 323 (42.0%) at 2 years, and 361 (46.9%) at 5 years from IS. When adjusted for age, sex, socioeconomic status, and NIH Stroke Scale score at admission, factors associated with NRTW at 1 year after IS were large anterior strokes, strokes caused by large artery atherosclerosis, high-risk sources of cardioembolism, and rare causes other than dissection compared with undetermined cause, moderate to severe aphasia vs no aphasia, mild and moderate to severe limb paresis vs no paresis, and moderate to severe visual field deficit vs no deficit. Conclusions NRTW is a frequent adverse outcome after IS in young adults with mild to moderate IS. Clinical variables available during acute hospitalization may allow prediction of NRTW.

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Metadaten
Author:Karoliina Aarnio, Jorge Rodríguez-Pardo, Bob Siegerink, Juliane Hardt, Jenna Broman, Lauri Tulkki, Elena Haapaniemi, Markku Kaste, Turgut Tatlisumak, Jukka Putaala
URN:urn:nbn:de:bsz:960-opus4-17359
DOI original:https://doi.org/10.1212/WNL.0000000000006510
ISSN:1526-632X
Parent Title (English):Neurology
Document Type:Article
Language:English
Year of Completion:2018
Release Date:2020/10/26
Tag:Infarction; Stroke; Young adult
GND Keyword:Schlaganfall; Berufsunfähigkeit
Volume:91
Issue:20
Institutes:Fakultät III - Medien, Information und Design
DDC classes:610 Medizin, Gesundheit
Licence (German):License LogoCreative Commons - CC BY-NC-ND - Namensnennung - Nicht kommerziell - Keine Bearbeitungen 4.0 International