Stroke, Vol 24, 1182-1185, Copyright © 1993 by American Heart Association
S Saeki, H Ogata, T Okubo, K Takahashi and T Hoshuyama
BACKGROUND AND PURPOSE: Few studies have identified factors that predict
return to work after stroke in Japan. Our aim in this study was to
determine the predictors of return to work after stroke in Japan. METHODS:
We performed a retrospective cohort study on the association between
patients' characteristics at admission and return to work in 230
first-stroke patients, adjusting for potential confounding factors. The
patients were all aged younger than 65 years and were working, students, or
housewives at the time of their stroke. Return to work was evaluated by a
follow-up questionnaire. Data were analyzed using forward logistic
regression analysis to compute odds ratios of return to work. RESULTS: The
adjusted odds ratios (and 95% confidence intervals) for patients with
normal muscle strength vs severe muscle weakness, without apraxia vs with
apraxia, and with white-collar vs blue-collar occupation were 4.50 (1.04 to
19.42), 4.87 (1.28 to 18.54), and 3.33 (1.34 to 8.30), respectively.
CONCLUSIONS: Significant predictors of return to work after stroke were no
muscle weakness, absence of apraxia, and white-collar occupation.
ARTICLES
Factors influencing return to work after stroke in Japan
Department of Rehabilitation Medicine, University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan.
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