Yamamoto Takashi, Wada Yoshitaka, Maeda Hirofumi, Matsuura Daisuke, Hirano Satoshi, Shibata Seiko, Mukaino Masahiko, Otaka Yohei
Department of Rehabilitation Medicine School of Medicine, Fujita Health University, Aichi, Japan.
Department of Rehabilitation Medicine, Hokkaido University Hospital, Hokkaido, Japan.
Front Rehabil Sci. 2025 Jul 22;6:1613916. doi: 10.3389/fresc.2025.1613916. eCollection 2025.
The economic burden on individuals with stroke is a major concern, and measures to mitigate the negative effects of stroke on labor productivity are imperative. However, few studies have explored the return to work (RTW) of individuals with stroke after their discharge from rehabilitation wards. We therefore aimed to explore the proportion of patients with stroke who returned to work after discharge from a convalescent rehabilitation ward and to explore the characteristics of patients with stroke who achieve RTW compared to those who do not.
This descriptive study was conducted in a convalescent rehabilitation ward at a university hospital in Japan. It included patients with stroke in the working-age population (15-64 years) who worked before the onset and were discharged from the rehabilitation ward to their homes between January 2018 and April 2022. The participants were required to respond to a questionnaire, which was sent by mail, and the RTW status at 6 months after discharge from the rehabilitation ward was investigated. They were classified into RTW and non-RTW groups, and their characteristics were compared between the groups.
Fifty-nine patients [mean (SD) age 53.0 (9.0) years; 42 men] among 125 who met the criteria returned the questionnaire, and their data were included in the analysis. Thirty-nine individuals [66.1%; mean (SD) age 53.0 (8.2) years; 31 men] achieved RTW. Compared to the non-RTW group, the RTW group had significantly higher total functional independence measure (FIM) scores at admission ( = 0.046) and discharge ( < 0.001), a significantly shorter duration of ward stay during hospitalization ( = 0.002), and a significantly smaller proportion of patients with aphasia ( = 0.019).
Two-thirds of the patients in this study population had achieved RTW at 6 months after discharge from the convalescent rehabilitation ward. Patients who achieved RTW had better motor function and FIM scores at discharge than those who did not.
中风患者的经济负担是一个主要问题，采取措施减轻中风对劳动生产率的负面影响势在必行。然而，很少有研究探讨中风患者从康复病房出院后的重返工作岗位（RTW）情况。因此，我们旨在探讨中风患者从康复疗养病房出院后重返工作岗位的比例，并探讨与未实现RTW的中风患者相比，实现RTW的中风患者的特征。
本描述性研究在日本一所大学医院的康复疗养病房进行。研究对象包括发病前工作的15至64岁工作年龄人口中的中风患者，他们于2018年1月至2022年4月间从康复病房出院回家。参与者需回复通过邮件发送的问卷，调查康复病房出院6个月后的RTW状况。他们被分为RTW组和非RTW组，并比较两组之间的特征。
125名符合标准的患者中有59名[平均（标准差）年龄53.0（9.0）岁；男性42名]回复了问卷，其数据纳入分析。39人[6 . 1%；平均（标准差）年龄53.0（8.2）岁；男性31名]实现了RTW。与非RTW组相比，RTW组入院时（=0.046）和出院时（<0.001）的总功能独立性测量（FIM）得分显著更高，住院期间病房停留时间显著更短（=0.002），失语患者比例显著更小（=0.019）。
本研究人群中三分之二的患者在从康复疗养病房出院6个月后实现了RTW。实现RTW的患者出院时的运动功能和FIM得分比未实现的患者更好。
