Share

September 23, 2014; 83 (13) Article

Long-term increased risk of unemployment after young stroke

A long-term follow-up study

Noortje A.M.M. Maaijwee, Loes C.A. Rutten-Jacobs, Renate M. Arntz, Pauline Schaapsmeerders, Hennie C. Schoonderwaldt, Ewoud J. van Dijk, Frank-Erik de Leeuw
First published August 15, 2014, DOI: https://doi.org/10.1212/WNL.0000000000000817
Full PDF
Citation
Permissions

Make Comment

See Comments

Downloads
326

Share

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

Abstract

Objective: To investigate the prevalence, excess risk, and risk factors of unemployment in patients after a TIA, ischemic stroke, or intracerebral hemorrhage at ages 18 through 50 years, compared with nationwide controls.

Methods: We performed a hospital-based cohort study among 694 patients, aged 18–50 years, with a first-ever TIA, ischemic stroke, or intracerebral hemorrhage. After a mean follow-up duration of 8.1 (SD 7.7) years, we used logistic regression analysis to calculate odds ratio (OR) with 95% confidence interval (CI) for being unemployed as a young stroke patient, compared with the Dutch population of vocational age (n = 7,803,000), with subsequent assessment of risk factors of unemployment.

Results: Young stroke patients had a higher risk of being unemployed than their peers in the Dutch population: women OR 2.3 (1.8–2.9), men OR 3.2 (2.5–4.0). A higher NIH Stroke Scale score at admission (OR 1.1 [95% CI 1.0–1.1]) and a longer follow-up duration (middle tertile OR 2.8 [95% CI 1.7–4.7], upper tertile OR 3.4 [95% CI 1.9–6.1]) were associated with a higher risk of being unemployed.

Conclusion: Young stroke patients had a 2–3 times higher risk of unemployment after 8 years of follow-up. Return-to-work programs should be developed, adjusted, and evaluated in order to diminish the negative effects that unemployment can have on patients' life satisfaction and to limit the socioeconomic consequences.

GLOSSARY

CBS=
Central Bureau of Statistics;
CI=
confidence interval;
FUTURE=
Follow-Up of TIA and stroke patients and Unelucidated Risk factor Evaluation;
ICH=
intracerebral hemorrhage;
NIHSS=
NIH Stroke Scale;
OR=
odds ratio

Footnotes

  • Go to Neurology.org for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • Editorial, page 1128

  • Supplemental data at Neurology.org

  • Received January 7, 2014.
  • Accepted in final form May 23, 2014.
View Full Text

AAN Non-Member Subscribers

Purchase access

Letters: Rapid online correspondence

No comments have been published for this article.
Comment

REQUIREMENTS

You must ensure that your Disclosures have been updated within the previous six months. Please go to our Submission Site to add or update your Disclosure information.

Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.

If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.

Submission specifications:

  • Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
  • Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
  • Submit only on articles published within 6 months of issue date.
  • Do not be redundant. Read any comments already posted on the article prior to submission.
  • Submitted comments are subject to editing and editor review prior to posting.

More guidelines and information on Disputes & Debates

Compose Comment

More information about text formats

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
NOTE: The first author must also be the corresponding author of the comment.
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Publishing Agreement
NOTE: All authors, besides the first/corresponding author, must complete a separate Publishing Agreement Form and provide via email to the editorial office before comments can be posted.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

You May Also be Interested in

Back to top
Advertisement

Related Articles

Topics Discussed

Alert Me

Recommended articles