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Related Experiment Videos

Disability pensions in relation to stroke: a population study.

T W Teasdale1, A W Engberg

  • 1Department of Psychology, University of Copenhagen, Denmark. tom.teasdale@psy.ku.dk

Brain Injury
|November 22, 2002
PubMed
Summary

High rates of disability pensions were awarded to stroke patients, particularly those hospitalized long-term. This suggests a pessimistic outlook on returning to work post-stroke, though rehabilitation may improve outcomes.

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Area of Science:

  • Neurology
  • Public Health
  • Social Medicine

Background:

  • Stroke is a leading cause of long-term disability.
  • Understanding post-stroke disability pension awards is crucial for resource allocation and patient support.
  • Previous research has not extensively detailed national prevalence of disability pensions among stroke survivors.

Purpose of the Study:

  • To determine the prevalence of disability pensions among a national cohort of stroke patients.
  • To investigate factors associated with receiving disability pensions post-stroke.

Main Methods:

  • Utilized Danish National register data from 1979-1993 for 72,673 stroke patients of pensionable age.
  • Screened for death (1979-1993) and disability pension awards (1979-1995).
  • Analyzed pension award rates in relation to pre-stroke pension status, age, sex, and hospitalization duration.

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Main Results:

  • 27% of stroke patients received a disability pension.
  • Pre-stroke pensions did not increase stroke risk or mortality but were linked to higher post-stroke mortality.
  • Pensions awarded post-stroke were common (15%), often at the highest level, and strongly correlated with hospitalization duration (>90 days associated with >80% pension award).

Conclusions:

  • High disability pension rates among stroke patients, especially younger ones, may reflect low expectations for return to work.
  • Advances in stroke units and rehabilitation programs may warrant more optimistic prognoses for employment.
  • Further research into the long-term employment outcomes of stroke survivors is needed.