在肺动脉瘤下arachnoid出血后返回工作
Angelika Sorteberg1,2, Aslan Lashkarivand1,2, Elin Western3
1Department of Neurosurgery, Division of Clinical Neuroscience, Oslo University Hospital, Oslo, Norway.
Frontiers in neurology
|May 15, 2024
概括
肺动脉瘤下关节出血 (aSAH) 的幸存者面临着重返工作的挑战,疲劳是无法返回的主要预测因素. 解决疲劳问题对于aSAH后的成功工作整合至关重要.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 职业健康 职业健康 职业健康
背景情况:
- 经历了动脉瘤下关节出血 (aSAH) 的幸存者通常会经历良好的身体和认知恢复.
- 然而,很大一部分aSAH幸存者没有回到生产性就业.
- 在aSAH后返回工作 (RTW) 的预测者仍然不太了解和辩论.
研究的目的:
- 在大批aSAH患者中,确定中风后长达5年的最大工作能力恢复率.
- 确定与SAH后无法返回工作相关的人口和医疗预测因素.
主要方法:
- 从2012年至2018年期间接受治疗的500名aSAH幸存者 (年龄大于18岁) 的前性数据收集.
- 评估包括工作状态,人口统计,aSAH严重程度 (ICH,WFNS等级),动脉瘤修复方法和并发症 (血管,心脏病发作,脑水).
- 在299名就业患者中评估了RTW,并记录了疲劳水平.
主要成果:
- 51.2%以前就业的患者恢复了有薪工作; 32.4%实现了完整的RTW.
- 没有RTW的独立预测因素包括年龄较大,WFNS等级3和活跃吸烟.
- 临床上显著的疲劳是最强的预测因素,不增加RTW风险五倍;高等教育与增加RTW风险相关.
结论:
- 疲劳是影响aSAH幸存者的重返工作整合的关键因素.
- 虽然aSAH严重程度和WFNS等级起作用,但神经运动缺陷可能与没有RTW更密切相关.
- 教育背景对RTW前景有积极的影响.
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