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脑卒中后返回工作的决定因素:系统审查和元分析

Charles Orange¹, Charlotte Lanhers², Guillaume Coll³

¹Physical Medicine and Rehabilitation, CMPR Maurice Gantchoula Pionsat, France; Physical Medicine and Rehabilitation, INRAE, UNH, Université Clermont-Auvergne, university hospital of Clermont-Ferrand, Clermont-Ferrand, France.

Archives of physical medicine and rehabilitation

|October 5, 2023

概括

在中风后返回工作受到诸如中风类型,性别和日常生活独立性等因素的影响. 识别这些预后因素有助于制定成功恢复工作的策略.

科学领域:

神经科学是一个神经科学.
康复医学康复医学康复医学
职业健康职业健康职业健康

背景情况:

脑卒中显著影响一个人的恢复工作能力 (RTW).
确定RTW的预后因素对于有效的康复和支持策略至关重要.
以前的研究已经探讨了各种因素,但需要进行全面的综合.

研究的目的:

系统地识别和综合与中风后工作年龄人群返回工作 (RTW) 相关的预后因素.
区分影响RTW的可修改和不可修改因素.

主要方法:

在PubMed,MEDLINE,Cochrane和Embase数据库中进行系统的文献搜索.
包括对工作年龄的个人 (65岁以下) 进行的研究,这些人患有缺血性,出血性或下关节出血性中风.
使用苏格兰大学间指南网络 (SIGN) 工具进行质量评估.

主要成果:

出血性中风 (OR 0.53) 和失语 (OR 0.37) 是RTW的负预后因素.
男性性别 (OR 1.26),白领职业 (OR 1.84),日常生活活动的独立性 (OR 3.99),以及较高的中风严重程度 (NIHSS) (OR 1.23) 是积极的预后因素.
39项研究符合纳入标准,数据由两位独立作者提取和分析.

结论:

这次元分析确定了中风后RTW的关键积极和消极预后因素.
了解这些因素可以为有针对性的干预和支持系统提供信息.
建议进行进一步的随机对照试验,以评估工作场所干预和康复对RTW的影响.

关键词:

预测因素预测因素康复康复康复康复回到工作位上工作.审查审查审查审查一次性中风,中风.

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