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.

Tuesday, March 7, 2023

Factors Predicting Return to Work After Inpatient Stroke Rehabilitation: A Retrospective Follow-up Study

So you're trying to normalize and justify your failure to get survivors 100% recovered.  100% recovery and return to work is normal. Why the fuck aren't you doing the research to get survivors there?

Laziness? Incompetence? Or just don't care? No leadership? No strategy? Not my job?

This is useless. I'd fire you all.

 Factors Predicting Return to Work After Inpatient Stroke Rehabilitation: A
Retrospective Follow-up Study

Original Research
Factors Predicting Return to Work After
Inpatient Stroke Rehabilitation: A
Retrospective Follow-up Study
San San Tay, MBBS, MRCP, MMed a ,
Christine Alejandro Visperas, MD a , Mark M.J. Tan, MD a ,
Tricia L.T. Chew, MBBS b
, Xuan Han Koh, MPH a
a Changi General Hospital, Singapore
b Internal Medicine, Singhealth Residency, Singapore

Abstract  

Objective:  
 
To determine the proportion of patients who return to work after inpatient
stroke rehabilitation and to identify demographic, clinical, and functional predictive factors for
its success.
Design:  
 
A retrospective follow-up study of patients with stroke who were premorbidly working
and had completed inpatient rehabilitation in a large metropolitan hospital between January
2016 and December 2017. They underwent a telephone interview at 2 years post discharge.
Setting: Inpatient rehabilitation and follow-up post discharge.
Participants: A total of 314 patients with stroke (73.9% male) with mean age of 58.9 at time of
stroke (N=314).
Results:  
 
A total of 46% of 314 participants returned to work. In multivariable logistic regres-
sion analysis, viewing return to work as important (odds ratio [OR], 11.90; 95% confidence
interval [CI], 5.15-27.52), absence of language impairment (OR, 9.39; 95% CI, 3.01-29.34),
ambulation FIM5 (supervision to independence level) on discharge (OR, 4.93; 95% CI, 2.44-
9.98), cognitive FIM on discharge 25 (OR, 2.77; 95% CI, 1.19-6.47), employment in premor-
bid office work (OR, 2.67; 95% CI, 1.26-5.64), and a lower Charlson Comorbidity Index (CCI)
score at discharge (OR, 0.83; 95% CI, 0.68-1.00) were associated with successful return to
work.
Conclusions:  
 
Viewing return to work as important, absence of language impairments on dis-
charge, discharge ambulation FIM5, discharge cognitive FIM25, employment in premorbid office work, and a lower discharge CCI score were positive predictors of successful return to
work.

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