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Return to work after stroke: Development of a predictive model


Autor/in:

Black-Schaffer, R. M.; Osberg, J. S.


Herausgeber/in:

American Academy of Physical Medicine and Rehabilitation (AAPM&R)


Quelle:

Archives of Physical Medicine and Rehabilitation, 1990, Volume 71 (Number 5), Seite 285-290, Philadelphia, Pennsylvania: Saunders, ISSN: 0003-9993 (Print); 1532-821X (Online)


Jahr:

1990



Abstract:


Seventy-nine stroke patients who underwent a vocationally oriented, comprehensive, inpatient stroke rehabilitation program were followed up to evaluate their return to work. At follow-up, 49% had returned to work a mean of 3.1 months after rehabilitation discharge. Factors associated with success and with failure of vocational rehabilitation were then identified, and a predictive model was developed.

There were positive associations between return to work and Barthel Index on admission (p = 0.0002) and discharge (p = 0.0015). Negative associations were found between return to work and aphasia (p = 0.0009), rehabilitation length of stay (p less than 0.0001), and prior alcohol consumption (p = 0.03). A step-wise multiple regression model explained 42% of the variance in return to work. Those most likely to return to work were not aphasic; they had shorter rehabilitation lengths of stay and higher Barthel Index scores on discharge; and they were lighter consumers of alcoholic beverages before their strokes.

In conclusion, a set of factors predictive of return to work in younger stroke patients was identified, including, most notably, a strong negative association with aphasia and an intriguing negative association with prior alcohol consumption.


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Dokumentart:


Zeitschriftenbeitrag / Forschungsergebnis




Bezugsmöglichkeit:


Archives of Physical Medicine and Rehabilitation
Homepage: https://www.archives-pmr.org/

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Referenznummer:

R/ZA0814


Informationsstand: 12.02.2004

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