Return to Work after a Stroke in Working Age Persons; A Six-Year Follow Up

Westerlind, Emma; Persson, Hanna; Sunnerhagen, Katharina S.

doi:10.1371/journal.pone.0169759

Cited by 82 publications

(69 citation statements)

References 41 publications

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“…In addition, differences in stroke related factors, which were not registered in this study, might have influenced the results. Many individuals listed as long‐term sick move from rehabilitation to a pension, rather than reaching the goal of RTW (Treger et al., 2007; Westerlind, Persson, & Sunnerhagen, 2017). The tendencies were the same in this study where patients from six of the nine clinics reported a higher percentage of retirement at 1 year post discharge.…”

Section: Discussionmentioning

confidence: 99%

Return to work after specialized rehabilitation—An explorative longitudinal study in a cohort of severely disabled persons with stroke in seven countries

et al. 2018

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IntroductionStroke may impose disabilities with severe consequences for the individual, with physical, psychological, social, and work‐related consequences. The objective with the current study was to investigate to what extent persons with stroke were able to return to work, to maintain their financial situation, and to describe the follow‐up services and participation in social networks and recreational activities.MethodsThe design was a prospective, descriptive study of specialized stroke rehabilitation in nine rehabilitation centers in seven countries. Semistructured interviews, which focused on the return to work, the financial situation, follow‐up services, the maintenance of recreational activities, and networks, were performed 6 and 12 months post discharge from rehabilitation.ResultsThe working rate before the onset of stroke ranged from 27% to 86%. At 12 months post stroke, the return to work varied from 11% to 43%. Consequently, many reported a reduced financial situation from 10% to 70% at 6 months and from 10% to 80% at 12 months. Access to postrehabilitation follow‐up services varied in the different countries from 24% to 100% at 6 months and from 21% to 100% at 12 months. Physical therapy was the most common follow‐up services reported. Persons with stroke were less active in recreational activities and experienced reduced social networks. Associations between results from the semistructured interviews and related themes in LiSat‐11 were small to moderate. The study shows that education, age, and disability are predictors for return to work. Differences between countries were observed in the extent of unemployment.ConclusionsIn this international multicentre study, return to work after severe stroke and specialized/comprehensive rehabilitation was possible, depending on the extent of the disability, age, and education. Altered financial situation, reduced social networks, and reduced satisfaction with life were common psychosocial situations for these patients.

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Section: Discussionmentioning

confidence: 99%

Return to work after specialized rehabilitation—An explorative longitudinal study in a cohort of severely disabled persons with stroke in seven countries

et al. 2018

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“…The return to work rate within the first year after stroke was reported between 45% to 75%, based on self-reported employment outcomes [23,24]. A more recent Swedish publication, using insurance sickness leave data, reported return to work rate following stroke was 74.7%, at the end of 6-year follow up [25]. Following myocardial infarction (MI), a US study utilizing the data gathered from the VIRGO study reported 84% of patients return to work by 12 months [26].…”

Section: Return To Workmentioning

confidence: 99%

Pulmonary embolism in Europe - Burden of illness in relationship to healthcare resource utilization and return to work

Willich

Chuang

Hout

et al. 2018

Thrombosis Research

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“…Previous studies have provided strong evidence supporting a positive relationship between return to work and reduced or non-impairment (Doucet et al, 2012;Saeki, Ogata, Okubo, Takahashi & Hoshuyama, 1993;Westerlind, Persson & Sunnerhagen, 2017), and several studies have demonstrated difficulty for stroke survivors with sequelae to return to work (Saeki, Ogata, Okubo, Takahashi & Hoshuyama, 1995;Saeki & Toyonaga, 2010). Previous literature about return to work after stroke have suggested correlations with pre-stroke sociodemographic factors including higher education, higher income, and higher socio-economic position (Hannerz, Holbaek Pedersen, Poulsen, Humle & Andersen, 2011;Tanaka, Toyonaga & Hashimoto, 2011;Trygged, Ahacic & K areholt, 2011).…”

Section: Introductionmentioning

confidence: 99%

Re‐employment of people with chronic stroke: A single‐centre retrospective study

Fukuzawa

Tokumaru

Eshima

et al. 2018

Aus Occup Therapy J

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Background/aim Re‐employment is the goal of rehabilitation for many patients after stroke. This study retrospectively examined previously employed stroke survivors who were unable to return to work at time of discharge from hospital and identified factors which were correlated with successful re‐employment following a rehabilitation programme involving occupational therapy at a support facility. Factors correlated with reactivation of drivers’ licence after stroke were also investigated. Methods Participants were 150 post‐stroke patients who were discharged from a support facility for persons with disabilities from April 2011 to March 2016. Data on patients’ sociodemographic information, activities of daily living, and physical functions had been recorded at the time of admission into the facility. Employment status was recorded at discharge. Data were collected retrospectively in July 2017 from the medical records. Logistic regression models were prepared to examine factors correlated with successful re‐employment and reactivation of drivers’ licence after occupational therapy. Results A stepwise logistic regression model revealed that the following four factors were significantly correlated with successful re‐employment: (i) the dressing‐lower body item in the Functional Independence Measure (P < 0.001), (ii) the grooming item in the Functional Independence Measure (P = 0.002), (iii) marital status (P = 0.007), and (iv) the problem‐solving item in the Functional Independence Measure (P = 0.028). Another stepwise logistic regression model revealed that the factors were significantly correlated with successful reactivation of drivers’ licence: (i) the problem‐solving item in the Functional Independence Measure (P = 0.002), (ii) the dressing‐lower body item in the Functional Independence Measure (P = 0.011) and (iii) the residence area (P = 0.038). Conclusion A single‐centre retrospective study demonstrated several significant correlates of successful re‐employment and reactivation of drivers’ licence after stroke following rehabilitation training which employs occupational therapy to target skills critical for employment.

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Return to Work after a Stroke in Working Age Persons; A Six-Year Follow Up

Cited by 82 publications

References 41 publications

Return to work after specialized rehabilitation—An explorative longitudinal study in a cohort of severely disabled persons with stroke in seven countries

Return to work after specialized rehabilitation—An explorative longitudinal study in a cohort of severely disabled persons with stroke in seven countries

Pulmonary embolism in Europe - Burden of illness in relationship to healthcare resource utilization and return to work

Re‐employment of people with chronic stroke: A single‐centre retrospective study

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