{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:55:33Z","timestamp":1765727733782},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[1995,3]]},"abstract":"\n Background and Purpose<\/jats:italic>\n Few studies have reported the longitudinal trend of return to work after stroke. The purpose of our study was to evaluate the longitudinal trend of proportion of patients who return to work after stroke and further to examine the predictors of return to work while taking follow-up periods into consideration.\n <\/jats:p>\n \n Methods<\/jats:italic>\n We conducted a retrospective cohort study on the association between characteristics of stroke patients at admission and return to work after first stroke, taking length of follow-up period into consideration (n=183). The patients were all younger than 65 years and were working at the time of their stroke. A follow-up questionnaire evaluated return to work and related information. Data were analyzed using the Kaplan-Meier method for curves of the proportion of return to work and Cox\u2019s proportional hazards model for odds ratios of return to work.\n <\/jats:p>\n \n Results<\/jats:italic>\n The curve of proportion of return to work had two steep slopes, and the proportion was at a maximum at 18 months from patient admission. The adjusted odds ratios of return to work for patients with normal muscle strength versus severe weakness, without apraxia versus with apraxia, and with white-collar versus blue-collar occupations were 5.16 (\n P<\/jats:italic>\n <.05), 4.16 (\n P<\/jats:italic>\n <.05), and 1.43 (.05<\n P<\/jats:italic>\n <.10), respectively.\n <\/jats:p>\n \n Conclusions<\/jats:italic>\n The increase of proportion of return to work after stroke was nonlinear, and this trend was referable to the social security systems available to the patients included in this study. Normal muscle strength and absence of apraxia were significant predictors of return to work after stroke. White-collar occupation showed a tendency to promote return to work.\n <\/jats:p>","DOI":"10.1161\/01.str.26.3.399","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T20:08:03Z","timestamp":1308341283000},"page":"399-401","update-policy":"http:\/\/dx.doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":67,"title":["Return to Work After Stroke"],"prefix":"10.1161","volume":"26","author":[{"given":"Satoru","family":"Saeki","sequence":"first","affiliation":[{"name":"From the Departments of Rehabilitation Medicine (S.S., H.O.) and Environmental Epidemiology (T.O., K.T., T.H.), University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hajime","family":"Ogata","sequence":"additional","affiliation":[{"name":"From the Departments of Rehabilitation Medicine (S.S., H.O.) and Environmental Epidemiology (T.O., K.T., T.H.), University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiteru","family":"Okubo","sequence":"additional","affiliation":[{"name":"From the Departments of Rehabilitation Medicine (S.S., H.O.) and Environmental Epidemiology (T.O., K.T., T.H.), University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Takahashi","sequence":"additional","affiliation":[{"name":"From the Departments of Rehabilitation Medicine (S.S., H.O.) and Environmental Epidemiology (T.O., K.T., T.H.), University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsutomu","family":"Hoshuyama","sequence":"additional","affiliation":[{"name":"From the Departments of Rehabilitation Medicine (S.S., H.O.) and Environmental Epidemiology (T.O., K.T., T.H.), University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_1_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1985.03350260078030"},{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1987.00520230051013"},{"key":"e_1_3_1_3_2","unstructured":"Black-Schaffer RM Osberg JS. Return to work after stroke: development of a predictive model. Arch Phys Med Rehabil. 1990; 71:285-290."},{"key":"e_1_3_1_4_2","doi-asserted-by":"crossref","unstructured":"Saeki S Ogata H Okubo T Takahashi K Hoshuyama T. Factors influencing return to work after stroke in Japan. Stroke. 1993; 24:1182-1185.","DOI":"10.1161\/01.STR.24.8.1182"},{"key":"e_1_3_1_5_2","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1111\/j.2517-6161.1972.tb00899.x","volume":"34","year":"1972","unstructured":"Cox DR. Regression models and lifetables. J R Stat Soc Series. 1972;34:187-220.","journal-title":"J R Stat Soc Series"},{"key":"e_1_3_1_6_2","unstructured":"SAS Institute Inc. SAS\/STAT User\u2019s Guide Version 6. 4th ed. Cary NC: SAS Institute Inc; 1989;2:1027-1069."},{"key":"e_1_3_1_7_2","unstructured":"SAS Institute Inc. SAS Technical Report P-229. In: SAS\/STAT Software: Change and Enhancements Release 6.07. Cary NC: SAS Institute Inc; 1992:433-479."},{"key":"e_1_3_1_8_2","first-page":"106","volume":"13","year":"1979","unstructured":"Mackay A, Nias BC. Strokes in the young and middle-aged: consequences to the family and to society. J R Coll Physicians Lond. 1979;13:106-112.","journal-title":"Physicians Lond"}],"container-title":["Stroke"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/01.STR.26.3.399","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T22:15:13Z","timestamp":1715552113000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.STR.26.3.399"}},"subtitle":["A Follow-up Study"],"short-title":[],"issued":{"date-parts":[[1995,3]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1995,3]]}},"alternative-id":["10.1161\/01.STR.26.3.399"],"URL":"https:\/\/doi.org\/10.1161\/01.str.26.3.399","relation":{},"ISSN":["0039-2499","1524-4628"],"issn-type":[{"value":"0039-2499","type":"print"},{"value":"1524-4628","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,3]]},"assertion":[{"value":"1994-07-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1994-11-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"1995-03-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}