Education and Age in Return to Work After Ischemic Stroke: A Danish Nationwide Registry-based Cohort Study

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Titel: Education and Age in Return to Work After Ischemic Stroke: A Danish Nationwide Registry-based Cohort Study
Autoren: Rosendahl, Eva, Carlson, Nicholas, Kragholm, Kristian, Butt, Jawad H., Fosbøl, Emil L., Gislason, Gunnar, Torp-Pedersen, Christian, Christiansen, Christine Benn
Quelle: Rosendahl, E, Carlson, N, Kragholm, K, Butt, J H, Fosbøl, E L, Gislason, G, Torp-Pedersen, C & Christiansen, C B 2024, 'Education and Age in Return to Work After Ischemic Stroke: A Danish Nationwide Registry-based Cohort Study', The neurologist, vol. 29, no. 5, pp. 299-305. https://doi.org/10.1097/NRL.0000000000000563
Verlagsinformationen: Ovid Technologies (Wolters Kluwer Health), 2024.
Publikationsjahr: 2024
Schlagwörter: Male, Adult, Return to Work/statistics & numerical data, Stroke Rehabilitation/statistics & numerical data, Adolescent, Denmark, 4. Education, Age Factors, Stroke Rehabilitation, Middle Aged, Denmark/epidemiology, 3. Good health, Cohort Studies, Young Adult, Return to Work, Ischemic Stroke/epidemiology, Humans, Educational Status, Female, Registries, 10. No inequality, Ischemic Stroke
Beschreibung: Objectives: To investigate return to work and workforce detachment in ischemic stroke, including the association with age and level of education. Methods: Patients in the workforce aged 18 to 60 with first-time ischemic stroke between 1997 and 2017 were identified in Danish registers and followed for 5 years. The cumulative incidence of return to work and subsequent workforce detachment was computed overall and stratified according to age group and education level. Cox regression analysis was used for multivariate analysis. Results: A total of 28,325 patients were included (median age 52.3 (interquartile range (IQR) 46.1 to 56.6) and 64.3% male). After 1 year, 62.0% were in the workforce, highest in age group 18 to 30 (80.0%) and lowest in patients aged 51 to 60 (58.5%). One-year cumulative incidence of return to work overall was 73.4% (20,475), highest in the young age group (87.0%, 76.7%, 74.5%, and 71.3% for age group 18 to 30, 31 to 40, 41 to 50, and 51 to 60, respectively) and high education (80.3%, 72.1%, and 71.3% for long higher, basic or vocational education, respectively). One-year cumulative incidence of subsequent workforce detachment was 25.6% (5248), lowest in young age (22.4%, 23.1%, 24.1%, and 27.2% for age groups 18 to 30, 31 to 40, 41 to 50, and 51 to 60, respectively) and high level of education (13.0%, 28.4%, and 27.2% for long higher, basic, and vocational education, respectively). During the full follow-up, 10,855 (53.0%) left the workforce again. Conclusions: A high proportion of patients returned to work within 1 year, but more than half left the workforce again. Young age and long education were associated with a higher incidence of return to work and lower subsequent workforce detachment.
Publikationsart: Article
Sprache: English
ISSN: 2331-2637
DOI: 10.1097/nrl.0000000000000563
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/38872349
https://vbn.aau.dk/da/publications/8c031409-c26b-4a20-9913-6c68e1150aee
https://doi.org/10.1097/NRL.0000000000000563
Dokumentencode: edsair.doi.dedup.....97b5f3bfe3d3d3acc729f6bfd5383839
Datenbank: OpenAIRE
Beschreibung
Abstract:Objectives: To investigate return to work and workforce detachment in ischemic stroke, including the association with age and level of education. Methods: Patients in the workforce aged 18 to 60 with first-time ischemic stroke between 1997 and 2017 were identified in Danish registers and followed for 5 years. The cumulative incidence of return to work and subsequent workforce detachment was computed overall and stratified according to age group and education level. Cox regression analysis was used for multivariate analysis. Results: A total of 28,325 patients were included (median age 52.3 (interquartile range (IQR) 46.1 to 56.6) and 64.3% male). After 1 year, 62.0% were in the workforce, highest in age group 18 to 30 (80.0%) and lowest in patients aged 51 to 60 (58.5%). One-year cumulative incidence of return to work overall was 73.4% (20,475), highest in the young age group (87.0%, 76.7%, 74.5%, and 71.3% for age group 18 to 30, 31 to 40, 41 to 50, and 51 to 60, respectively) and high education (80.3%, 72.1%, and 71.3% for long higher, basic or vocational education, respectively). One-year cumulative incidence of subsequent workforce detachment was 25.6% (5248), lowest in young age (22.4%, 23.1%, 24.1%, and 27.2% for age groups 18 to 30, 31 to 40, 41 to 50, and 51 to 60, respectively) and high level of education (13.0%, 28.4%, and 27.2% for long higher, basic, and vocational education, respectively). During the full follow-up, 10,855 (53.0%) left the workforce again. Conclusions: A high proportion of patients returned to work within 1 year, but more than half left the workforce again. Young age and long education were associated with a higher incidence of return to work and lower subsequent workforce detachment.
ISSN:23312637
DOI:10.1097/nrl.0000000000000563