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

Objective: We aimed to investigate the proportion of young patients not returning to work (NRTW) at one year after ischemic stroke (IS) and during follow-up, and clinical factors associated with NRTW. Methods: Patients from Helsinki Young Stroke Registry with an IS occurring in the years 1994-2007, who were at paid employment within one year before IS, and with National Institutes of Health Stroke Scale (NIHSS) 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 one 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 one year, 323 (42.0%) at two years, and 361 (46.9%) at five years from IS. When adjusted for age, sex, socioeconomic status and NIHSS score at admissi...研究目的：本研究旨在探讨年轻缺血性脑卒中（ischemic stroke, IS）患者在脑卒中后1年及随访期间未重返工作岗位（not returning to work, NRTW）的比例，以及与未重返工作岗位相关的临床影响因素。 研究方法：纳入1994-2007年期间发生缺血性脑卒中的赫尔辛基年轻脑卒中登记库（Helsinki Young Stroke Registry）患者，入选标准为脑卒中前1年内处于有偿就业状态，且出院时美国国立卫生研究院卒中量表（National Institutes of Health Stroke Scale, NIHSS）评分≤15分。薪资相关数据来源于芬兰养老金中心（Finnish Centre for Pensions），死亡数据来源于芬兰统计局（Statistics Finland）。采用多因素logistic回归分析评估缺血性脑卒中后1年未重返工作岗位的相关影响因素，并通过层积图（Lasagna plots）可视化患者随时间推移重返工作岗位的比例变化。 研究结果：本研究共纳入769例患者，其中缺血性脑卒中后1年时有289例（37.6%）未重返工作岗位，2年时有323例（42.0%），5年时有361例（46.9%）未重返工作岗位。在校正年龄、性别、社会经济地位及入院时NIHSS评分后……