You can completely blame your doctors and stroke hospital for this. Decades ago they should have gotten research going into stopping the neuronal cascade of death in the first week. That would have resulted in much less dead and dying neurons, which would in turn mean that the therapy you get would have a much better chance of working. But don't you know that this meme from a couple years ago means you were well treated with your therapy.
Treat obviously does not mean cured or anything close to 100% recovery. 100% recovery is the only goal in stroke and someday I'll be able to present that to 'stroke leaders'.
Return to work after ischemic stroke in young adults
Abstract
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.
Footnotes
- ↵* These authors contributed equally to this work.
- Received March 28, 2018.
- Accepted in final form August 2, 2018.
- Copyright © 2018 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND),
which permits downloading and sharing the work provided it is properly
cited. The work cannot be changed in any way or used commercially
without permission from the journal.
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