Factors influencing return-to-work after cerebrovascular disease: the importance of previous cardiovascular risk

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Carlos Catalina-Romero1, Luis Miguel Ruilope2, Miguel Angel Sánchez-Chaparro3

  • 1Ibermutuamur (Mutua de Accidentes de Trabajo y Enfermedades Profesionales de la Seguridad Social 274), Madrid, Spain carloscatalina@ibermutuamur.es.

European Journal of Preventive Cardiology
|July 26, 2014
PubMed

Insights

Lower cardiovascular risk and absence of risk factors like hypertension, smoking, and diabetes are linked to higher return-to-work rates after cerebrovascular events. Managing these factors may improve rehabilitation outcomes.

Area of Science:

  • Cardiology
  • Neurology
  • Occupational Health

Background:

  • Prior cardiovascular risk (CVR) role in post-cerebrovascular event return-to-work (RTW) is under-investigated.
  • Understanding CVR and risk factors is crucial for recovery and workforce reintegration.

Purpose of the Study:

  • To analyze the association between prior cardiovascular risk (CVR) level, cardiovascular risk factors (CVRFs), and return-to-work (RTW) after cerebrovascular disease.
  • To identify predictors of RTW in patients following a cerebrovascular event.

Main Methods:

  • Prospective observational study of 348 patients from the ICARIA study cohort.
  • Global CVR assessed using the SCORE system; association of demographics, work variables, CVRFs, and RTW investigated.

Main Results:

  • 73.0% of patients returned to work; median loss of 12 working years due to disability.
  • Low CVR level (OR: 2.55) and absence of hypertension (OR: 1.95), smoking (OR: 2.26), and diabetes (OR: 2.46) were associated with higher RTW likelihood.

Conclusions:

  • Low CVR and absence of key CVRFs predict RTW rates post-cerebrovascular events.
  • Controlling hypertension, smoking, and diabetes may enhance rehabilitation and secondary/tertiary prevention effectiveness.
Abstract

Keywords:
Cardiovascular diseasescerebrovascular disordersreturn to workrisk factorsstroke

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