Roland Mihae, Rudberg Ann-Sofie, Arnberg Fabian, Alexanderson Kristina, Sjöstrand Christina
Department of Clincal Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Department of Clincal Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
J Stroke Cerebrovasc Dis. 2025 Mar;34(3):108236. doi: 10.1016/j.jstrokecerebrovasdis.2025.108236. Epub 2025 Jan 10.
Stroke patients with large vessel occlusions risk long-term or permanent sickness absence. We aimed to analyze the proportions and days of sickness absence and disability pension in thrombectomy-treated patients.
A register-based nationwide longitudinal cohort study of stroke patients treated with mechanical thrombectomy in 2016-2021 in Sweden (identified through the Swedish Board of Health and Welfare procedural code for care interventions, KVÅ:AAL15). All thrombectomy-treated patients aged 18-63 were followed one year prior and one after stroke. Proportions (%) and number of net days of sickness absence and disability pension were calculated. Predictors for absence were calculated through multinomial regression analysis.
We included 672 patients, mean age was 53 years and 66 % were men. The proportion of patients on sickness absence decreased from 70.4 % at 30 days to 63.2 % at 90 days after stroke onset. Proportions of sickness absence and disability pension did not differ between women and men after treatment. Amongst predictors for having full-time absence at 90 days were: OR (95 % CI) being born in Europe (excl. Nordic countries) 2.17 (1.15-4.11), being single 1.59 (1.12-2.26), elementary education 2.08 (1.21-3.57), and living in a town or suburb 1.47 (1.01-2.14). Patients with no income 0.21 (0.13-0.35) or the lowest income level 0.36 (0.22-0.58) had low odds for full-time sickness absence and disability pension at 90 days.
One third of thrombectomy-treated patients had no sickness absence nor disability pension at day 30 after stroke, and the proportion of patients without absence increased during follow-up. Absence proportions and predictors for full-time absence were centered around income level, educational level, birth country, and type of living area. Notably, there were no sex differences.
患有大血管闭塞的中风患者有长期或永久病假的风险。我们旨在分析接受血栓切除术治疗的患者的病假比例和天数以及残疾抚恤金情况。
一项基于登记的全国性纵向队列研究，研究对象为2016年至2021年在瑞典接受机械血栓切除术治疗的中风患者（通过瑞典卫生和福利委员会护理干预程序代码KVÅ:AAL15识别）。所有年龄在18至63岁接受血栓切除术治疗的患者在中风前一年和中风后一年进行随访。计算病假和残疾抚恤金的比例（%）以及净天数。通过多项回归分析计算缺勤的预测因素。
我们纳入了672名患者，平均年龄为53岁，66%为男性。中风发作后30天时病假患者的比例从70.4%降至90天时的63.2%。治疗后，病假和残疾抚恤金的比例在女性和男性之间没有差异。在90天时全职缺勤的预测因素中：比值比（95%置信区间）为出生在欧洲（不包括北欧国家）2.17（1.15 - 4.11），单身1.59（1.12 - 2.26），小学教育程度2.08（1.21 - 3.57），居住在城镇或郊区1.47（1.01 - 2.14）。没有收入的患者0.21（0.13 - 0.35）或收入水平最低的患者0.36（0.22 - 0.58）在90天时全职病假和领取残疾抚恤金的几率较低。
三分之一接受血栓切除术治疗的患者在中风后30天时既没有病假也没有残疾抚恤金，并且在随访期间无缺勤患者的比例有所增加。缺勤比例和全职缺勤的预测因素集中在收入水平、教育程度、出生国家和居住地区类型上。值得注意的是，不存在性别差异。
