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, December 27, 2022

Factors Predicting Return to Work Following Inpatient Stroke Rehabilitation: A Retrospective Follow-Up Stud

This shouldn't be so hard, with 100% recovery protocols there wouldn't be a problem at all. SO SOLVE THE CORRECT PROBLEM, 100% RECOVERY PROTOCOLS!

What this means you are a complete failure, if you have to predict back to work chances.

Factors Predicting Return to Work Following Inpatient Stroke Rehabilitation: A Retrospective Follow-Up Study


https://doi.org/10.1016/j.arrct.2022.100253Get rights and content
Under a Creative Commons license
Open access

Highlights

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What is Known

Returning to work after stroke is a key milestone in recovery; however, many patients are unable to achieve this. Research has shown that predictors vary across countries.

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What is New

In addition to identifying predictive factors, this study identified how these factors could be utilised for screening for referral to return to work services at the time of inpatient rehabilitation discharge.

Abstract

Objective

To determine the proportion of patients that return to work (RTW) after inpatient stroke rehabilitation and to identify demographic, clinical, and functional predictive factors for its success.

Design

A retrospective follow-up study of stroke patients who were premorbidly working and had completed inpatient rehabilitation in a large metropolitan hospital between January 2016 and December 2017 (N=314). They underwent a telephone interview at 2 years post-discharge.

Settings

Inpatient rehabilitation and follow-up post discharge

Participants

314 stroke patients (73.9% male) with mean age of 58.9 at time of stroke

Results

46% of 314 participants returned to work. In multivariable logistic regression analysis, those who viewed return to work as important (OR 11.90, 95% CI 5.15 to 27.52), absence of language impairment (OR 9.39, 95% CI 3.01 to 29.34), ambulation Functional Independence Measure (FIM) ≥5 (supervision to independence level) on discharge (OR 4.93, 95% CI 2.44 to 9.98), cognitive FIM on discharge of ≥25 (OR 2.77, 95% CI 1.19 to 6.47), those with premorbid office work (OR 2.67, 95% CI 1.26 to 5.64) and a lower Charlson Comorbidity Index (CCI) score at discharge (OR 0.83, 95% CI 0.68 to 1.00), were associated with successful RTW.

Conclusion

Attitudes that viewed return to work as important, absence of language impairments on discharge, discharge ambulation FIM of at least 5, discharge cognitive FIM of at least 25, premorbid office work and a lower discharge CCI score, were positive predictors of successful return to work.

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