Department of Neurosurgery, University of Occupational and Environmental Health, Kitakyushu, Japan.
Department of Neurosurgery, Moji Medical Center, Kyushu Rosai Hospital, Kitakyushu, Japan.
Sci Rep. 2023 Sep 22;13(1):15795. doi: 10.1038/s41598-023-43162-2.
To facilitate return to work (RTW) in patients with stroke, a health and employment support (HES) program was started at Rosai hospitals in Japan. This study aimed to determine the rate of RTW in patients with stroke under this support program. We collected demographic and clinical data of patients with stroke from the implementation reports of the HES program. The program provided coordinated dual support, such as acute medical treatments, and stroke and vocational rehabilitation on the medical side, and management and support on the workplace side. The primary endpoint was RTW. Successful and unsuccessful RTW were examined using the χ test. The RTW rate curves were analyzed using the Kaplan-Meier method. We enrolled 483 patients; 355 (73%) and 128 (27%) patients had successful and unsuccessful RTW, respectively. Stroke types, neurological findings, and activities of daily living were significant factors for RTW. The Kaplan-Meier method revealed that left hemiplegia, right hemiplegia, and neuropsychological deficits, except for combined disability (hemiplegia with neuropsychological deficits), had similar RTW curves with an RTW rate of > 70%.
为了促进脑卒中患者重返工作岗位（RTW），日本 Rosai 医院启动了一项健康和就业支持（HES）计划。本研究旨在确定该支持计划下脑卒中患者 RTW 的比率。我们从 HES 计划的实施报告中收集了脑卒中患者的人口统计学和临床数据。该计划提供了协调的双重支持，包括急性医疗治疗以及医疗方面的中风和职业康复，以及工作场所方面的管理和支持。主要终点是 RTW。使用 χ 检验检查 RTW 的成功和失败情况。使用 Kaplan-Meier 方法分析 RTW 率曲线。我们共纳入 483 名患者；355 名（73%）和 128 名（27%）患者的 RTW 成功和失败，分别。脑卒中类型、神经学发现和日常生活活动是 RTW 的重要因素。Kaplan-Meier 方法显示，左侧偏瘫、右侧偏瘫和神经心理学缺陷（除偏瘫合并神经心理学缺陷外）的 RTW 曲线相似，RTW 率>70%。
