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Return to work after stroke: development of a predictive model.

R M Black-Schaffer1, J S Osberg

  • 1Young Stroke Unit, New England Rehabilitation Hospital, Woburn, MA 01801.

Archives of Physical Medicine and Rehabilitation
|April 1, 1990
PubMed
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Nearly half of stroke patients returned to work after rehabilitation. Key predictors of returning to work include higher Barthel Index scores and absence of aphasia, while longer rehabilitation stays were associated with lower return-to-work rates.

Area of Science:

  • Neurorehabilitation
  • Occupational Medicine
  • Stroke Recovery Research

Background:

  • Stroke significantly impacts patients' ability to return to work.
  • Vocational rehabilitation programs aim to facilitate reintegration into the workforce post-stroke.

Purpose of the Study:

  • To evaluate return-to-work rates after a comprehensive inpatient stroke rehabilitation program.
  • To identify factors predicting successful vocational rehabilitation outcomes in stroke survivors.

Main Methods:

  • Follow-up study of 79 stroke patients undergoing inpatient vocational rehabilitation.
  • Statistical analysis, including step-wise multiple regression, to identify predictive factors.
  • Assessment of variables such as Barthel Index, aphasia, length of stay, and alcohol consumption.

Related Experiment Videos

Main Results:

  • 49% of patients returned to work, with a mean time of 3.1 months post-discharge.
  • Positive associations with return to work: Barthel Index scores (admission and discharge).
  • Negative associations with return to work: aphasia, longer rehabilitation length of stay, and higher prior alcohol consumption.

Conclusions:

  • A predictive model identified key factors for return to work in stroke patients.
  • Absence of aphasia and higher functional status (Barthel Index) significantly predicted return to work.
  • Shorter rehabilitation stays and lower prior alcohol consumption were also associated with successful vocational reintegration.