Department of Physiotherapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Center of Health Sciences, Universidade Federal do Espírito Santo, Vitória, Brazil.
Disabil Rehabil. 2021 Feb;43(4):525-529. doi: 10.1080/09638288.2019.1631396. Epub 2019 Jun 26.
To determine, in Brazil, the proportion of individuals who return to a paid work after stroke, and the factors which predict this.
A prospective observational cohort study was carried out for six months. Participants were recruited early after stroke from four public hospitals. The outcome of interest was return to work, and the following predictors were investigated: age, sex, education, marital status, contribution to household income, type of work, independence, and depression. Logistic regression was used to identify multivariate predictors of return to work.
Of the 117 included participants, 52 (44%) had returned to work by 6 months. Contribution to household income (OR 2.4; 95% CI 1.0 to 5.9), being a white-collar worker (OR 4.0; 95% CI 1.8 to 8.6) and being independent in daily activities at 3 months (OR 10.6; 95% CI 2.9 to 38.3), in combination, positively predicted return to work.
Less than 50% of stroke survivors returned to work six months after stroke. Among predictors, only the level of dependence in daily activities is a modifiable factor. Interventions aimed at reducing disability after stroke might increase rates of return to work.Implications for rehabilitationIn Brazil, less than 50% of stroke survivors returned to work six months after stroke.Clinicians may collect information regarding household income, type of work and dependence in daily activities to estimate chances of returning to work, in developing countries.Being independent at 3 months was the strongest predictor of return to work; therefore, interventions aimed at reducing disability after stroke may increase rates of return to work.
在巴西，确定中风后重返工作岗位的个体比例，以及预测这一结果的因素。
进行了一项为期六个月的前瞻性观察队列研究。参与者从四家公立医院招募，在中风后早期入组。主要结局是重返工作岗位，同时调查了以下预测因素：年龄、性别、教育程度、婚姻状况、对家庭收入的贡献、工作类型、独立性和抑郁。使用逻辑回归来识别重返工作岗位的多变量预测因素。
在 117 名纳入的参与者中，52 人（44%）在 6 个月时已重返工作岗位。对家庭收入的贡献（OR 2.4；95%CI 1.0 至 5.9）、白领工作者（OR 4.0；95%CI 1.8 至 8.6）和 3 个月时日常生活活动独立（OR 10.6；95%CI 2.9 至 38.3）是正向预测重返工作岗位的因素。
不到 50%的中风幸存者在中风后 6 个月重返工作岗位。在预测因素中，只有日常生活活动的依赖程度是一个可改变的因素。针对减少中风后残疾的干预措施可能会提高重返工作岗位的比率。
在巴西，不到 50%的中风幸存者在中风后 6 个月重返工作岗位。在发展中国家，临床医生可以收集有关家庭收入、工作类型和日常生活活动依赖程度的信息，以评估重返工作岗位的机会。3 个月时的独立性是重返工作岗位的最强预测因素；因此，针对减少中风后残疾的干预措施可能会提高重返工作岗位的比率。
