Ebbesen Birgitte Hede, Grøntved Simon, Modrau Boris, Rathleff Michael Skovdal, Andreasen Jane, Johnsen Søren Paaske
Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark.
Department of Neurology, Aalborg University Hospital, Aalborg, Denmark.
Eur J Neurol. 2025 Jan;32(1):e16552. doi: 10.1111/ene.16552. Epub 2024 Nov 25.
Emerging evidence indicates lasting impairments in patients with transient ischaemic attack (TIA), which may be unexpected as symptoms per definition recover within 24 h. How these impairments impact return to work or the ability to maintain independence is unknown. The aim of our study was to investigate the need of sick leave or homecare following TIA compared with acute ischaemic stroke (AIS).
Patients registered with TIA in the Danish Stroke Registry from 2014 to 2021 were included. Information on sick leave benefits and use of homecare was obtained from national registries. The cumulative risk of sick leave or homecare was calculated and compared with AIS. A hazard rate ratio (HRR) for return to work was calculated.
In total, 29,261 TIA and 64,295 AIS events were included. For TIA, 6770 patients paid labour market contribution before TIA, of which 1240 patients (18.3%) received sick leave benefits after 5-12 weeks. For AIS 48.1% (5940 of 12,340) received sick leave benefits. The HRR for return to work was 2.37 (95% confidence interval 2.13-2.64). For patients aged 65-79, a total of 15.4% TIA (175 of 1136) and 30.6% AIS (1443 of 4716) started to receive homecare at 3 months. The HRR was 0.55 (95% confidence interval 0.49-0.62).
Despite the transient event almost one out of five working patients with TIA receive sick leave benefits 5-12 weeks after. Initiation of homecare was required in nearly one out of six patients with TIA aged 65-79 years.
新出现的证据表明，短暂性脑缺血发作（TIA）患者存在持续性损伤，这可能出乎意料，因为根据定义症状会在24小时内恢复。这些损伤如何影响重返工作岗位或维持独立生活的能力尚不清楚。我们研究的目的是调查与急性缺血性卒中（AIS）相比，TIA后病假或家庭护理的需求。
纳入2014年至2021年在丹麦卒中登记处登记的TIA患者。从国家登记处获取病假福利和家庭护理使用情况的信息。计算病假或家庭护理的累积风险，并与AIS进行比较。计算重返工作岗位的风险率比（HRR）。
总共纳入了29261例TIA事件和64295例AIS事件。对于TIA，6770例患者在TIA前缴纳了劳动力市场贡献金，其中1240例患者（18.3%）在5至12周后领取了病假福利。对于AIS，48.1%（12340例中的5940例）领取了病假福利。重返工作岗位的HRR为2.37（95%置信区间2.13 - 2.64）。对于65至79岁的患者，共有15.4%的TIA患者（1136例中的175例）和30.6%的AIS患者（4716例中的1443例）在3个月时开始接受家庭护理。HRR为0.55（95%置信区间0.49 - 0.62）。
尽管是短暂性事件，但近五分之一的在职TIA患者在5至12周后领取了病假福利。65至79岁的TIA患者中，近六分之一需要开始接受家庭护理。
