Sociodemographic differences in return to work after stroke: the South London Stroke Register (SLSR)
Background:Loss of employment contributes significantly to the burden of stroke on individuals and society. There is limited information on factors influencing return to work after stroke.Objectives:To investigate the frequency and determinants of return to paid work after stroke in a multi-ethnic u...
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| Veröffentlicht in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2009-08, Vol.80 (8), p.888-893 |
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| container_title | Journal of neurology, neurosurgery and psychiatry |
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| creator | Busch, M A Coshall, C Heuschmann, P U McKevitt, C Wolfe, C D A |
| description | Background:Loss of employment contributes significantly to the burden of stroke on individuals and society. There is limited information on factors influencing return to work after stroke.Objectives:To investigate the frequency and determinants of return to paid work after stroke in a multi-ethnic urban population.Methods:Patterns of return to work were examined among people with first ever stroke registered in the population based South London Stroke Register. Employment status and functional outcome (Barthel Index (BI), Frenchay Activity Index (FAI)) were assessed 1 year after stroke. Associations between baseline characteristics and return to paid work were analysed by multivariable logistic regression analysis.Results:Among 2874 patients with first ever strokes in 1995–2004, 400 (15%) were working before the stroke. At 1 year, 94 (35%) of 266 survivors had returned to paid work. Black ethnicity (OR 0.41; 95% CI 0.19 to 0.88), female sex (0.43; 0.21 to 0.91), older age (p30/45) individuals had not resumed work.Conclusions:There were important sociodemographic differences in return to work after stroke that were independent of clinical and service use variables included in the analysis. A large proportion of patients did not resume work despite excellent functional outcome. |
| doi_str_mv | 10.1136/jnnp.2008.163295 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_00552728v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>67491823</sourcerecordid><originalsourceid>FETCH-LOGICAL-b571t-5df2e5f55aebaefc6eebaccf4735c5b98fbf93c4e39fe92a1c6875e22dc97b1f3</originalsourceid><addsrcrecordid>eNqF0duL1DAUB-AiijuuvvskAVlxkY65NE3i2zq4jjAobL29hTQ92elM24xJ6-W_t7XDCL6Yl0Dy5XLOL0keE7wkhOUvd113WFKM5ZLkjCp-J1mQLJcpY_jr3WSBMaUpwxyfJQ9i3OFpSHU_OSOKipxgukiqwtvaV9D622AO29qiqnYOAnQWIqo7FKAfQod6j374sEfG9RBQ7IPfwyvUbwEVfui3aOO7yneo-LOBbuC2jhN8XmyKm8uHyT1nmgiPjvN58un6zcfVOt18ePtudbVJSy5In_LKUeCOcwOlAWdzGGdrXSYYt7xU0pVOMZsBUw4UNcTmUnCgtLJKlMSx8-RyvndrGn0IdWvCL-1NrddXGz2tYcw5FVR-J6N9NttD8N8GiL1u62ihaUwHfog6F5kikrIRPv0H7vzYkbEOTYQkNMsyKUaFZ2WDjzGAO71PsJ6y0lNWespKz1mNR54cLx7KFqq_B47hjODiCEy0pnHBdLaOJ0eJIFKoyaWzm3r-87Rvwn6sggmu339eafFlra5fC6Ll6F_Mvmx3___mb1OwuZw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1781244487</pqid></control><display><type>article</type><title>Sociodemographic differences in return to work after stroke: the South London Stroke Register (SLSR)</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><creator>Busch, M A ; Coshall, C ; Heuschmann, P U ; McKevitt, C ; Wolfe, C D A</creator><creatorcontrib>Busch, M A ; Coshall, C ; Heuschmann, P U ; McKevitt, C ; Wolfe, C D A</creatorcontrib><description>Background:Loss of employment contributes significantly to the burden of stroke on individuals and society. There is limited information on factors influencing return to work after stroke.Objectives:To investigate the frequency and determinants of return to paid work after stroke in a multi-ethnic urban population.Methods:Patterns of return to work were examined among people with first ever stroke registered in the population based South London Stroke Register. Employment status and functional outcome (Barthel Index (BI), Frenchay Activity Index (FAI)) were assessed 1 year after stroke. Associations between baseline characteristics and return to paid work were analysed by multivariable logistic regression analysis.Results:Among 2874 patients with first ever strokes in 1995–2004, 400 (15%) were working before the stroke. At 1 year, 94 (35%) of 266 survivors had returned to paid work. Black ethnicity (OR 0.41; 95% CI 0.19 to 0.88), female sex (0.43; 0.21 to 0.91), older age (p<0.001), diabetes (0.25; 0.08 to 0.79) and dependence (BI ⩽19) in the acute phase (0.24; 0.11 to 0.49) were independently associated with lower odds of return to work in multivariable analysis. Better functional outcome at 1 year was associated with return to paid work (p<0.001) but 53% of 161 independent (BI >19) and 39% of 96 very active (FAI >30/45) individuals had not resumed work.Conclusions:There were important sociodemographic differences in return to work after stroke that were independent of clinical and service use variables included in the analysis. A large proportion of patients did not resume work despite excellent functional outcome.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.2008.163295</identifier><identifier>PMID: 19276102</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Adult ; Age ; Age Factors ; Aged ; Biological and medical sciences ; Cardiovascular disease ; Comorbidity ; Costs ; Employment - economics ; Employment - statistics & numerical data ; Ethnic Groups ; Ethnicity ; Female ; Forecasting ; Hospitals ; Humans ; Ischemia ; London - epidemiology ; Male ; Medical sciences ; Middle Aged ; Neurology ; Occupations ; Population ; Registries ; Self employment ; Sex Factors ; Sociodemographics ; Socioeconomic Factors ; Stroke ; Stroke - complications ; Stroke - economics ; Stroke - epidemiology ; Survivors ; Treatment Outcome ; Variables ; Vascular diseases and vascular malformations of the nervous system ; Young Adult</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 2009-08, Vol.80 (8), p.888-893</ispartof><rights>2009 BMJ Publishing Group</rights><rights>2009 INIST-CNRS</rights><rights>Copyright: 2009 2009 BMJ Publishing Group</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b571t-5df2e5f55aebaefc6eebaccf4735c5b98fbf93c4e39fe92a1c6875e22dc97b1f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jnnp.bmj.com/content/80/8/888.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://jnnp.bmj.com/content/80/8/888.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,776,780,881,3183,23550,27901,27902,77569,77600</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21718792$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19276102$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-00552728$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Busch, M A</creatorcontrib><creatorcontrib>Coshall, C</creatorcontrib><creatorcontrib>Heuschmann, P U</creatorcontrib><creatorcontrib>McKevitt, C</creatorcontrib><creatorcontrib>Wolfe, C D A</creatorcontrib><title>Sociodemographic differences in return to work after stroke: the South London Stroke Register (SLSR)</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>Background:Loss of employment contributes significantly to the burden of stroke on individuals and society. There is limited information on factors influencing return to work after stroke.Objectives:To investigate the frequency and determinants of return to paid work after stroke in a multi-ethnic urban population.Methods:Patterns of return to work were examined among people with first ever stroke registered in the population based South London Stroke Register. Employment status and functional outcome (Barthel Index (BI), Frenchay Activity Index (FAI)) were assessed 1 year after stroke. Associations between baseline characteristics and return to paid work were analysed by multivariable logistic regression analysis.Results:Among 2874 patients with first ever strokes in 1995–2004, 400 (15%) were working before the stroke. At 1 year, 94 (35%) of 266 survivors had returned to paid work. Black ethnicity (OR 0.41; 95% CI 0.19 to 0.88), female sex (0.43; 0.21 to 0.91), older age (p<0.001), diabetes (0.25; 0.08 to 0.79) and dependence (BI ⩽19) in the acute phase (0.24; 0.11 to 0.49) were independently associated with lower odds of return to work in multivariable analysis. Better functional outcome at 1 year was associated with return to paid work (p<0.001) but 53% of 161 independent (BI >19) and 39% of 96 very active (FAI >30/45) individuals had not resumed work.Conclusions:There were important sociodemographic differences in return to work after stroke that were independent of clinical and service use variables included in the analysis. A large proportion of patients did not resume work despite excellent functional outcome.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular disease</subject><subject>Comorbidity</subject><subject>Costs</subject><subject>Employment - economics</subject><subject>Employment - statistics & numerical data</subject><subject>Ethnic Groups</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Forecasting</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Ischemia</subject><subject>London - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Occupations</subject><subject>Population</subject><subject>Registries</subject><subject>Self employment</subject><subject>Sex Factors</subject><subject>Sociodemographics</subject><subject>Socioeconomic Factors</subject><subject>Stroke</subject><subject>Stroke - complications</subject><subject>Stroke - economics</subject><subject>Stroke - epidemiology</subject><subject>Survivors</subject><subject>Treatment Outcome</subject><subject>Variables</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Young Adult</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqF0duL1DAUB-AiijuuvvskAVlxkY65NE3i2zq4jjAobL29hTQ92elM24xJ6-W_t7XDCL6Yl0Dy5XLOL0keE7wkhOUvd113WFKM5ZLkjCp-J1mQLJcpY_jr3WSBMaUpwxyfJQ9i3OFpSHU_OSOKipxgukiqwtvaV9D622AO29qiqnYOAnQWIqo7FKAfQod6j374sEfG9RBQ7IPfwyvUbwEVfui3aOO7yneo-LOBbuC2jhN8XmyKm8uHyT1nmgiPjvN58un6zcfVOt18ePtudbVJSy5In_LKUeCOcwOlAWdzGGdrXSYYt7xU0pVOMZsBUw4UNcTmUnCgtLJKlMSx8-RyvndrGn0IdWvCL-1NrddXGz2tYcw5FVR-J6N9NttD8N8GiL1u62ihaUwHfog6F5kikrIRPv0H7vzYkbEOTYQkNMsyKUaFZ2WDjzGAO71PsJ6y0lNWespKz1mNR54cLx7KFqq_B47hjODiCEy0pnHBdLaOJ0eJIFKoyaWzm3r-87Rvwn6sggmu339eafFlra5fC6Ll6F_Mvmx3___mb1OwuZw</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Busch, M A</creator><creator>Coshall, C</creator><creator>Heuschmann, P U</creator><creator>McKevitt, C</creator><creator>Wolfe, C D A</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope></search><sort><creationdate>20090801</creationdate><title>Sociodemographic differences in return to work after stroke: the South London Stroke Register (SLSR)</title><author>Busch, M A ; Coshall, C ; Heuschmann, P U ; McKevitt, C ; Wolfe, C D A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b571t-5df2e5f55aebaefc6eebaccf4735c5b98fbf93c4e39fe92a1c6875e22dc97b1f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular disease</topic><topic>Comorbidity</topic><topic>Costs</topic><topic>Employment - economics</topic><topic>Employment - statistics & numerical data</topic><topic>Ethnic Groups</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Forecasting</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Ischemia</topic><topic>London - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Occupations</topic><topic>Population</topic><topic>Registries</topic><topic>Self employment</topic><topic>Sex Factors</topic><topic>Sociodemographics</topic><topic>Socioeconomic Factors</topic><topic>Stroke</topic><topic>Stroke - complications</topic><topic>Stroke - economics</topic><topic>Stroke - epidemiology</topic><topic>Survivors</topic><topic>Treatment Outcome</topic><topic>Variables</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Busch, M A</creatorcontrib><creatorcontrib>Coshall, C</creatorcontrib><creatorcontrib>Heuschmann, P U</creatorcontrib><creatorcontrib>McKevitt, C</creatorcontrib><creatorcontrib>Wolfe, C D A</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Busch, M A</au><au>Coshall, C</au><au>Heuschmann, P U</au><au>McKevitt, C</au><au>Wolfe, C D A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sociodemographic differences in return to work after stroke: the South London Stroke Register (SLSR)</atitle><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle><addtitle>J Neurol Neurosurg Psychiatry</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>80</volume><issue>8</issue><spage>888</spage><epage>893</epage><pages>888-893</pages><issn>0022-3050</issn><eissn>1468-330X</eissn><coden>JNNPAU</coden><abstract>Background:Loss of employment contributes significantly to the burden of stroke on individuals and society. There is limited information on factors influencing return to work after stroke.Objectives:To investigate the frequency and determinants of return to paid work after stroke in a multi-ethnic urban population.Methods:Patterns of return to work were examined among people with first ever stroke registered in the population based South London Stroke Register. Employment status and functional outcome (Barthel Index (BI), Frenchay Activity Index (FAI)) were assessed 1 year after stroke. Associations between baseline characteristics and return to paid work were analysed by multivariable logistic regression analysis.Results:Among 2874 patients with first ever strokes in 1995–2004, 400 (15%) were working before the stroke. At 1 year, 94 (35%) of 266 survivors had returned to paid work. Black ethnicity (OR 0.41; 95% CI 0.19 to 0.88), female sex (0.43; 0.21 to 0.91), older age (p<0.001), diabetes (0.25; 0.08 to 0.79) and dependence (BI ⩽19) in the acute phase (0.24; 0.11 to 0.49) were independently associated with lower odds of return to work in multivariable analysis. Better functional outcome at 1 year was associated with return to paid work (p<0.001) but 53% of 161 independent (BI >19) and 39% of 96 very active (FAI >30/45) individuals had not resumed work.Conclusions:There were important sociodemographic differences in return to work after stroke that were independent of clinical and service use variables included in the analysis. A large proportion of patients did not resume work despite excellent functional outcome.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>19276102</pmid><doi>10.1136/jnnp.2008.163295</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of neurology, neurosurgery and psychiatry, 2009-08, Vol.80 (8), p.888-893 |
| issn | 0022-3050 1468-330X |
| language | eng |
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| source | MEDLINE; BMJ Journals - NESLi2 |
| subjects | Adolescent Adult Age Age Factors Aged Biological and medical sciences Cardiovascular disease Comorbidity Costs Employment - economics Employment - statistics & numerical data Ethnic Groups Ethnicity Female Forecasting Hospitals Humans Ischemia London - epidemiology Male Medical sciences Middle Aged Neurology Occupations Population Registries Self employment Sex Factors Sociodemographics Socioeconomic Factors Stroke Stroke - complications Stroke - economics Stroke - epidemiology Survivors Treatment Outcome Variables Vascular diseases and vascular malformations of the nervous system Young Adult |
| title | Sociodemographic differences in return to work after stroke: the South London Stroke Register (SLSR) |
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