Factors Influencing Return to Work After Stroke: the Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) Study

Overview

Journal BMJ Open

Specialty General Medicine

Date 2019 Jul 14

PMID 31300502

Citations 10

Authors

Junhee Han

Hae In Lee

Yong-Il Shin

Ju Hyun Son

Soo-Yeon Kim

Deog Young Kim

Min Kyun Sohn

Jongmin Lee

Sam-Gyu Lee

Gyung-Jae Oh

Yang-Soo Lee

Min Cheol Joo

Eun Young Han

Won Hyuk Chang

Yun-Hee Kim

Affiliations

Soon will be listed here.

Abstract

Objective: To investigate the rate of return to work and identify key factors associated with return to work between 3 months and 2 years after stroke.

Design: Prospective cohort study.

Setting: The Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) in Korea.

Participants: A total of 193 persons with first-ever stroke who reported working status at 3 months after stroke.

Outcome Measures: Data on baseline characteristics were collected from medical records. Functional assessments were performed using the National Institutes of Health Stroke Scale, the modified Rankin Scale, the Fugl-Meyer Assessment, the Functional Ambulatory Category, the Korean Mini-Mental State Examination, the Korean version of the Frenchay Aphasia Screening Test, the American Speech-Language-Hearing Association National Outcomes Measurement System, the Korean-Modified Barthel Index, the Geriatric Depression Scale-Short Form and the EuroQol-5 dimensions. An enumeration survey included the Reintegration to Normal Living Index, the Psychosocial Well-being Index-Short Form (, the Family Support Index and the Caregivers Burden Index.

Results: Overall, 145 (75.1%) patients who had a stroke in the "Continuously-Employed" group and 48 (24.9%) in the "Employed-Unemployed" group returned to work between 3 months and 2 years after stroke. Multivariate logistic analysis demonstrated that in patients who had a stroke, characteristics such as age, PWI-SF Score, and caregiver characteristics, including age, sex (female) and living arrangements, were significantly associated with return to work between 3 months and 2 years after stroke.

Conclusion: Age and PWI-SF Score of patients who had a stroke, as well as the age, sex and living arrangements of caregivers, are key factors influencing the return to work after stroke.

Trial Registration Number: NCT03402451.

Citing Articles

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