Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,372 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
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.
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.
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.
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.
Inpatient rehabilitation and follow-up post discharge
314 stroke patients (73.9% male) with mean age of 58.9 at time of stroke
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.
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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