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Return to work after young stroke: A systematic review.

Jodi D Edwards^1,2,3,4, Arunima Kapoor^5,6, Elizabeth Linkewich^1,5,6

¹1 Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Toronto, Canada.

International Journal of Stroke : Official Journal of the International Stroke Society

|December 1, 2017

Summary

This summary is machine-generated.

Return to work after stroke increases over time, with 66% of young adults returning within 2-4 years. Independence, fewer deficits, and cognitive function predict vocational success post-stroke.

Keywords:

Stroke activities of daily living cognition return to work young adults

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Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke

Determining the Functional Status of the Corticospinal Tract Within One Week of Stroke

Published on: February 22, 2020

Area of Science:

Neurology
Rehabilitation Medicine
Public Health

Background:

Stroke incidence in young adults is rising.
Young stroke survivors often face persistent cognitive deficits impacting return to work.
Estimates of return to work and influencing factors post-stroke vary widely.

Purpose of the Study:

To systematically review the frequency of return to work at various time points after stroke.
To identify key predictors of successful return to work in stroke survivors.

Main Methods:

Systematic literature search of Medline and Embase databases.
Screened 6473 records, assessed 68 for eligibility, and included 29 studies.
Included studies focused on working-age adults, return to work outcomes, and reported follow-up duration within 20 years.

Main Results:

Median return to work frequency increased from 41% (0-6 months) to 66% (2-4 years) post-stroke.
Key predictors identified include independence in daily activities, reduced neurological deficits, and better cognitive function.
Return to work rates show a positive correlation with time elapsed since stroke.

Conclusions:

Return to work assessment should consider time post-stroke and cognitive function in young survivors.
Further research is needed to explore all factors affecting vocational outcomes.
Additional evaluations of interventions aimed at improving return to work are warranted.