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Data from: Return to work after ischemic stroke in young adults: a registry-based follow-up study


Aarnio, Karoliina et al. (2019), Data from: Return to work after ischemic stroke in young adults: a registry-based follow-up study, Dryad, Dataset,


Objective: We aimed to investigate the proportion of young patients not returning to work (NRTW) at one year after ischemic stroke (IS) and during follow-up, and clinical factors associated with NRTW. Methods: Patients from Helsinki Young Stroke Registry with an IS occurring in the years 1994-2007, who were at paid employment within one year before IS, and with National Institutes of Health Stroke Scale (NIHSS) score ≤15 points at hospital discharge, were included. Data on periods of payment came from the Finnish Centre for Pensions, and death data from Statistics Finland. Multivariate logistic regression analyses assessed factors associated with NRTW one year after IS and Lasagna plots visualized the proportion of patients returning to work over time. Results: We included a total of 769 patients, of whom 289 (37.6%) were not working at one year, 323 (42.0%) at two years, and 361 (46.9%) at five years from IS. When adjusted for age, sex, socioeconomic status and NIHSS score at admission, factors associated with NRTW at one year after IS were large anterior strokes, strokes caused by large-artery atherosclerosis, high-risk sources of cardioembolism, and rare causes other than dissection compared with undetermined cause, moderate to severe aphasia versus no aphasia, mild and moderate to severe limb paresis versus no paresis, and moderate to severe visual field deficit versus no deficit. Conclusions: NRTW is a frequent adverse outcome after IS in young adults with mild to moderate IS. Clinical variables available during acute hospitalization may allow prediction of NRTW.

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