Department of Statistics and Institute of Statistics, Hallym University, Chuncheon, The Republic of Korea.
Department of Rehabilitation Medicine, Pusan National University School of Medicine, Pusan National University Yangsan Hospital, Yangsan, The Republic of Korea.
BMJ Open. 2019 Jul 11;9(7):e028673. doi: 10.1136/bmjopen-2018-028673.
To investigate the rate of return to work and identify key factors associated with return to work between 3 months and 2 years after stroke.
Prospective cohort study.
The Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) in Korea.
A total of 193 persons with first-ever stroke who reported working status at 3 months after stroke.
Data on baseline characteristics were collected from medical records. Functional assessments were performed using the National Institutes of Health Stroke Scale, the modified Rankin Scale, the Fugl-Meyer Assessment, the Functional Ambulatory Category, the Korean Mini-Mental State Examination, the Korean version of the Frenchay Aphasia Screening Test, the American Speech-Language-Hearing Association National Outcomes Measurement System, the Korean-Modified Barthel Index, the Geriatric Depression Scale-Short Form and the EuroQol-5 dimensions. An enumeration survey included the Reintegration to Normal Living Index, the Psychosocial Well-being Index-Short Form (, the Family Support Index and the Caregivers Burden Index.
Overall, 145 (75.1%) patients who had a stroke in the "Continuously-Employed" group and 48 (24.9%) in the "Employed-Unemployed" group returned to work between 3 months and 2 years after stroke. Multivariate logistic analysis demonstrated that in patients who had a stroke, characteristics such as age, PWI-SF Score, and caregiver characteristics, including age, sex (female) and living arrangements, were significantly associated with return to work between 3 months and 2 years after stroke.
Age and PWI-SF Score of patients who had a stroke, as well as the age, sex and living arrangements of caregivers, are key factors influencing the return to work after stroke.
NCT03402451.
调查卒中后 3 个月至 2 年内的工作恢复率，并确定与工作恢复相关的关键因素。
前瞻性队列研究。
韩国卒中功能与康复队列研究（KOSCO）。
共纳入 193 名首次卒中后报告在卒中后 3 个月时工作状态的患者。
从病历中收集基线特征数据。使用 NIHSS、改良 Rankin 量表、Fugl-Meyer 评估、功能性步行分类、韩国简易精神状态检查、韩国法语失语症筛查测试、美国言语-语言-听力协会国家结局测量系统、韩国改良 Barthel 指数、老年抑郁量表-短式和 EuroQol-5 维度进行功能评估。列举式调查包括再融入正常生活指数、心理社会健康指数-短式（）、家庭支持指数和照顾者负担指数。
总体而言，在“连续就业”组中，有 145 名（75.1%）卒中患者和“就业-失业”组中 48 名（24.9%）卒中患者在卒中后 3 个月至 2 年内恢复工作。多变量逻辑分析表明，在卒中患者中，年龄、PWI-SF 评分和照顾者特征（年龄、性别（女性）和居住安排）等特征与卒中后 3 个月至 2 年内的工作恢复显著相关。
卒中患者的年龄和 PWI-SF 评分以及照顾者的年龄、性别和居住安排是影响卒中后工作恢复的关键因素。
NCT03402451。
