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Related Experiment Video

Updated: Jan 21, 2026

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System

Published on: December 29, 2023

Very early cognitive screening and return to work after stroke.

Emma Westerlind¹, Tamar Abzhandadze¹, Lena Rafsten¹

¹Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Topics in Stroke Rehabilitation

|August 2, 2019

Summary

Very early cognitive screening (36-48 hours post-stroke) does not predict return to work (RTW). Factors like sex, stroke severity, and prior sick leave are better predictors of RTW after stroke.

Keywords:

Return to work Stroke cognition disorders rehabilitation young stroke

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Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke

Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke

Published on: June 6, 2025

Area of Science:

Neurology
Rehabilitation Medicine
Occupational Health

Background:

Stroke is a leading cause of long-term disability, affecting a growing number of working-age individuals.
Cognitive impairments are common post-stroke and can significantly hinder return to work (RTW).
Existing research often assesses cognitive function months after stroke, leaving a gap in understanding very early predictors of RTW.

Purpose of the Study:

To determine the rate of RTW after stroke in working-age individuals.
To investigate if very early cognitive function screening can predict RTW.
To identify other potential predictors of RTW post-stroke.

Main Methods:

A cohort of 145 working-age stroke patients (18-63 years) in Sweden was studied.
Cognitive function was screened using the Montreal Cognitive Assessment (MoCA) within 36-48 hours of admission.
RTW status at 6 and 18 months was assessed using Swedish Social Insurance Agency registers, with logistic regression analyzing predictors.

Main Results:

Neither global nor executive cognitive function assessed 36-48 hours post-stroke predicted RTW at 6 or 18 months.
Significant predictors of RTW included male sex, lower stroke severity, and not being on prior sick leave.
The study found no correlation between very early cognitive screening and subsequent return to work.

Conclusions:

Cognitive screening performed 36-48 hours post-stroke is too early to reliably predict RTW.
Early cognitive screening should not be the sole factor in discharge planning for stroke survivors.
Further research is required to understand the relationship between early post-stroke cognitive function and RTW outcomes.