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Predictors for Returning to Paid Work after Transient Ischemic Attack and Minor Ischemic Stroke
Corentin A Wicht1, Camille F Chavan2,3, Jean-Marie Annoni1,2
1Neurology Unit, Medicine Section, Faculty of Science and Medicine, University of Fribourg, 1700 Fribourg, Switzerland.
Journal of Personalized Medicine
|July 27, 2022
Summary
Many stroke survivors struggle to return to work. Higher stroke severity and hyperlipidemia were linked to not returning to paid work after a transient ischemic attack (TIA) or minor ischemic stroke (MIS).
Area of Science:
- Neurology
- Public Health
- Occupational Medicine
Background:
- Transient ischemic attack (TIA) and minor ischemic stroke (MIS) significantly impact survivors' ability to return to paid work.
- Understanding factors influencing return to work is crucial for effective rehabilitation and support strategies.
Purpose of the Study:
- To identify factors associated with returning to paid work (RTpW) within 3 months after a first-ever TIA or MIS.
- To assess the likelihood and time required for stroke survivors to RTpW.
Main Methods:
- Prospective cohort study of 88 patients with first-ever TIA or MIS (NIHSS ≤ 5).
- Bivariate and multivariate logistic/negative binomial regression analyses were used.
- Factors assessed included stroke severity (NIHSS), anxiety/depression, fatigue, and hyperlipidemia.
Main Results:
- 43.2% of patients did not return to paid work at 3 months.
- Higher anxiety/depression, fatigue, higher NIHSS scores, and hyperlipidemia were associated with not RTpW.
- Hyperlipidemia was defined as LDL cholesterol > 2.6 mmol/L or statin use at stroke onset.
Conclusions:
- Stroke severity and hyperlipidemia at onset are significant predictors of not returning to paid work after TIA or MIS.
- Early identification of these factors can guide interventions to improve work re-integration for stroke survivors.
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