缺血性脑卒中后重返工作岗位的教育程度和年龄:丹麦全国登记队列研究》。

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY
Eva Rosendahl, Nicholas Carlson, Kristian Kragholm, Jawad H Butt, Emil L Fosbøl, Gunnar Gislason, Christian Torp-Pedersen, Christine Benn Christiansen
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引用次数: 0

摘要

目的调查缺血性中风患者重返工作岗位和脱离劳动力的情况,包括与年龄和教育水平的关系:方法:在丹麦登记册中识别了 1997 年至 2017 年间首次发生缺血性脑卒中的 18 至 60 岁劳动力患者,并对其进行了为期 5 年的随访。计算了重返工作岗位和随后脱离劳动力队伍的累积发病率,并根据年龄组和教育水平进行了分层。Cox回归分析用于多变量分析:共纳入 28,325 名患者(中位年龄为 52.3 岁(四分位数间距(IQR)为 46.1 至 56.6),64.3% 为男性)。1年后,62.0%的患者参加了工作,其中18至30岁年龄组的比例最高(80.0%),51至60岁年龄组的比例最低(58.5%)。一年后重返工作岗位的累计发生率为 73.4%(20,475 人),其中年轻年龄组(18 至 30 岁、31 至 40 岁、41 至 50 岁和 51 至 60 岁年龄组分别为 87.0%、76.7%、74.5% 和 71.3%)和高学历(长期高等教育、基础教育或职业教育分别为 80.3%、72.1% 和 71.3%)的发生率最高。随后劳动力脱离的一年累计发生率为 25.6%(5248 例),在年轻年龄组(18 至 30 岁、31 至 40 岁、41 至 50 岁和 51 至 60 岁年龄组分别为 22.4%、23.1%、24.1% 和 27.2%)和高教育程度组(长期高等教育、基础教育和职业教育分别为 13.0%、28.4% 和 27.2%)中发生率最低。在整个随访期间,10,855 人(53.0%)再次离职:结论:大部分患者在 1 年内重返工作岗位,但有一半以上的患者再次离开劳动力市场。年轻和受教育时间长与较高的重返工作岗位率和较低的离职率有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Education and Age in Return to Work After Ischemic Stroke: A Danish Nationwide Registry-based Cohort Study.

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.

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来源期刊
Neurologist
Neurologist 医学-临床神经学
CiteScore
1.90
自引率
0.00%
发文量
151
审稿时长
2 months
期刊介绍: The Neurologist publishes articles on topics of current interest to physicians treating patients with neurological diseases. The core of the journal is review articles focusing on clinically relevant issues. The journal also publishes case reports or case series which review the literature and put observations in perspective, as well as letters to the editor. Special features include the popular "10 Most Commonly Asked Questions" and the "Patient and Family Fact Sheet," a handy tear-out page that can be copied to hand out to patients and their caregivers.
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