Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, January 9, 2019

CVD event survivors experience decreases in employment, earnings

So another important reason for your doctor to get you 100% recovered so you can go back to your job.  Notice that Cardiology Today is out of date by 13 years since  the WHO reclassified stroke in 2006, now a neurological disease not cardiovascular disease.

 

CVD event survivors experience decreases in employment, earnings


Survivors of CV and cerebrovascular events, particularly strokes, experienced a substantial loss in employment and earnings for at least 3 years, according to findings published in the Canadian Medical Association Journal.
Researchers sought to assess the effect of acute MI, cardiac arrest and stroke on work and earnings among working-age people.

“Health events may start a cascade where new disability causes earnings losses, which may contribute to cost-related nonadherence to medication, which contributes to worsened and even new health problems,” Allan Garland, MD, professor in the departments of medicine and community health sciences at the University of Manitoba, Winnipeg, and colleagues wrote.
Previously, Cardiology Today reported the association between income volatility and increased risks for CVD and all-cause mortality in an assessment conducted by researchers from the University of Miami Miller School of Medicine.
Garland and colleagues compared data from the Canadian Hospitalization and Taxation Database from 2005 to 2013 of exposed patients who were admitted to the hospital with acute MI, cardiac arrest and stroke with controls not admitted to the hospital for similar events.
The participants were aged 40 to 61 years, worked 2 years before their events and survived 3 years after the event. They were matched to controls in 11 variables. The primary outcome was working status 3 years after the event.
Researchers identified that patients with stroke in the exposed cohort (n = 4,395) had the greatest reduction in employment (19.8 percentage points; 95% CI, 18.5-23.5) and annual earnings ($13,278; 95% CI, 12,301-14,225) compared with matched controls.
Patients with cardiac arrest (n = 1,043) also had a lower reduction in employment (12.9 percentage points; 95% CI, 10.4-15.3) and annual earnings ($11,143; 95% CI, 8,962-13,324) after 3 years vs. controls.
Compared with controls, exposed patients with acute MI (n = 19,129) had the lowest decrease in percentage of workers employed (5 percentage points; 95% CI, 4.5-5.5) and annual earnings ($3,834; 95% CI, 3,346-4,323) following the event.
According to Garland and colleagues, the effects of income loss were greater for patients with comorbid diseases, lower baseline earnings, longer hospital stays or mechanical ventilation.
Being able to identify subgroups at high risks for substantial employment and earnings losses may assist in targeting interventions, policies and legislation to promote a return to work, they wrote.
“Our findings add individual-level details to the current understanding of the economic consequences of cardiovascular and cerebrovascular disease,” Garland and colleagues wrote. “The loss of earnings attributable to these health events represent some of the total costs of caring for such conditions.” – by Earl Holland Jr

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