Return to work after ischemic stroke in young adults A registry-based follow-up study

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http://hdl.handle.net/10138/288195

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Aarnio , K , Rodriguez-Pardo , J , Siegerink , B , Hardt , J , Broman , J , Tulkki , L , Haapaniemi , E , Kaste , M , Tatlisumak , T & Putaala , J 2018 , ' Return to work after ischemic stroke in young adults A registry-based follow-up study ' , Neurology , vol. 91 , no. 20 , pp. E1909-E1917 . https://doi.org/10.1212/WNL.0000000000006510

Title: Return to work after ischemic stroke in young adults A registry-based follow-up study
Author: Aarnio, Karoliina; Rodriguez-Pardo, Jorge; Siegerink, Bob; Hardt, Juliane; Broman, Jenna; Tulkki, Lauri; Haapaniemi, Elena; Kaste, Markku; Tatlisumak, Turgut; Putaala, Jukka
Contributor: University of Helsinki, Clinicum
University of Helsinki, Department of Neurosciences
University of Helsinki, Clinicum
University of Helsinki, Neurologian yksikkö
University of Helsinki, Department of Neurosciences
Date: 2018-11-13
Language: eng
Number of pages: 9
Belongs to series: Neurology
ISSN: 0028-3878
URI: http://hdl.handle.net/10138/288195
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 Results We included a total of 769 patients, of whom 289 (37.6%) were not working at I 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 I 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.
Subject: CEREBROVASCULAR-DISEASE
CLASSIFICATION
3112 Neurosciences
3124 Neurology and psychiatry
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