IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0169759.html
   My bibliography  Save this article

Return to Work after a Stroke in Working Age Persons; A Six-Year Follow Up

Author

Listed:
  • Emma Westerlind
  • Hanna C Persson
  • Katharina S Sunnerhagen

Abstract

Objectives: Stroke is one of the most common and resource intensive diseases for society. Stroke in the working age population is increasing in different parts of the world. An incomplete return to work (RTW) after sick leave post stroke entails negative consequences for the affected person and an economical burden for society. The aim of this study was to explore the RTW rate and factors associated with RTW in a six-year follow up post stroke. Methods: Data from 174 persons 63 years or younger, with first ever stroke in 2009–2010 in Gothenburg were analyzed. Baseline characteristics were collected through medical records and the Swedish Health Insurance Office provided information on sick leave up to 6 years post stroke. Time-to-event was presented and cox regression as well as logistic regression were used to analyze risk factors for no-RTW. Results: The RTW rate was 74.7%, at the end of follow up. Participants continued to RTW until just over 3 years post stroke. Dependency at discharge (in the modified Rankin Scale) and sick leave prior to the stroke were significant risk factors for no-RTW after 1 year with odds ratio 4.595 and 3.585, respectively. The same factors were significant in time-to-event within six years post stroke with hazard ratio 2.651 and 1.929, respectively. Conclusions: RTW after a stroke is incomplete, however RTW is possible over a longer period of time than previously thought. More severe disability at discharge from hospital and sick leave prior to the stroke were shown to be risk factors for no-RTW. This knowledge can contribute to more individualized vocational rehabilitation.

Suggested Citation

  • Emma Westerlind & Hanna C Persson & Katharina S Sunnerhagen, 2017. "Return to Work after a Stroke in Working Age Persons; A Six-Year Follow Up," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-14, January.
    • Handle: RePEc:plo:pone00:0169759
    DOI: 10.1371/journal.pone.0169759
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0169759
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0169759&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0169759?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Avvai Singam & Charlotte Ytterberg & Kerstin Tham & Lena von Koch, 2015. "Participation in Complex and Social Everyday Activities Six Years after Stroke: Predictors for Return to Pre-Stroke Level," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-12, December.
    2. Maree L Hackett & Nick Glozier & Stephen Jan & Richard Lindley, 2012. "Returning to Paid Employment after Stroke: The Psychosocial Outcomes In StrokE (POISE) Cohort Study," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-8, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Nicole Anna Rutkowski & Elham Sabri & Christine Yang, 2021. "Post-stroke fatigue: A factor associated with inability to return to work in patients," PLOS ONE, Public Library of Science, vol. 16(8), pages 1-14, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Shamay S. M. Ng & Lily Y. W. Ho & Nga-Huen Chan & Tai-Wa Liu & Billy So, 2022. "Psychometric Properties of the Chinese Version of the Oxford Participation and Activities Questionnaire in People with Stroke," IJERPH, MDPI, vol. 19(23), pages 1-11, November.
    2. Annie Palstam & Astrid Sjödin & Katharina Stibrant Sunnerhagen, 2019. "Participation and autonomy five years after stroke: A longitudinal observational study," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-13, July.
    3. Atsuko Tanaka, 2021. "The effects of sudden health reductions on labor market outcomes: Evidence from incidence of stroke," Health Economics, John Wiley & Sons, Ltd., vol. 30(6), pages 1480-1497, June.
    4. Sheyda Ghanbari Ghoshchi & Sara De Angelis & Giovanni Morone & Monica Panigazzi & Benedetta Persechino & Marco Tramontano & Edda Capodaglio & Pierluigi Zoccolotti & Stefano Paolucci & Marco Iosa, 2020. "Return to Work and Quality of Life after Stroke in Italy: A Study on the Efficacy of Technologically Assisted Neurorehabilitation," IJERPH, MDPI, vol. 17(14), pages 1-12, July.
    5. Charlotte Ytterberg & Hanne Kaae Kristensen & Malin Tistad & Lena von Koch, 2020. "Factors related to met needs for rehabilitation 6 years after stroke," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-15, January.
    6. Belloni, Michele & Simonetti, Irene & Zantomio, Francesca, 2019. "Long-run effects of health shocks in a highly regulated labour market," Department of Economics and Statistics Cognetti de Martiis. Working Papers 201922, University of Turin.
    7. Trevisan, Elisabetta & Zantomio, Francesca, 2016. "The impact of acute health shocks on the labour supply of older workers: Evidence from sixteen European countries," Labour Economics, Elsevier, vol. 43(C), pages 171-185.
    8. Maya Kylén & Lena Von Koch & Hélène Pessah-Rasmussen & Elizabeth Marcheschi & Charlotte Ytterberg & Ann Heylighen & Marie Elf, 2019. "The Importance of the Built Environment in Person-Centred Rehabilitation at Home: Study Protocol," IJERPH, MDPI, vol. 16(13), pages 1-15, July.
    9. Nicole Anna Rutkowski & Elham Sabri & Christine Yang, 2021. "Post-stroke fatigue: A factor associated with inability to return to work in patients," PLOS ONE, Public Library of Science, vol. 16(8), pages 1-14, August.
    10. Simonetti, Irene & Belloni, Michele & Farina, Elena & Zantomio, Francesca, 2022. "Labour market institutions and long term adjustments to health shocks: Evidence from Italian administrative records," Labour Economics, Elsevier, vol. 79(C).
    11. Isabela Matos & Adriana Fernandes & Iara Maso & Jamary Oliveira-Filho & Pedro Antônio de Jesus & Helena Fraga-Maia & Elen Beatriz Pinto, 2020. "Investigating predictors of community integration in individuals after stroke in a residential setting: A longitutinal study," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-11, May.
    12. Aviva Beit Yosef & Nirit Refaeli & Jeremy M. Jacobs & Jeffrey Shames & Yafit Gilboa, 2022. "Exploring the Multidimensional Participation of Adults Living in the Community in the Chronic Phase following Acquired Brain Injury," IJERPH, MDPI, vol. 19(18), pages 1-19, September.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0169759. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.