医学
冲程(发动机)
置信区间
荟萃分析
优势比
康复
物理疗法
溶栓
梅德林
随机对照试验
物理医学与康复
内科学
机械工程
政治学
法学
工程类
心肌梗塞
作者
C. Orange,Charlotte Lanhers,Guillaume Coll,Nicolas Coste,Frédéric Dutheil,Isabelle Hauret,Bruno Pereira,Emmanuel Coudeyre
标识
DOI:10.1016/j.apmr.2023.08.027
摘要
To identify prognostic factors for return to work (RTW) after stroke.PubMed, MEDLINE, Cochrane, and Embase were systematically searched.Studies had to include people of working age (<65 years old) at the time of stroke (ischemic, hemorrhagic, or subarachnoid hemorrhage). The evaluation of RTW and rate of RTW had to be mentioned. Study selection was done by 2 independent authors. In total, 1241 articles were screened, 39 met all inclusion criteria.Characteristics of included studies were recorded independently by 2 authors. Differences were resolved through discussion or with a third author. Quality was assessed using the Scottish Intercollegiate Guidelines Network quality assessment tool.Among the 39 studies, prognostic factors for RTW were hemorrhagic stroke (odds ratio 0.53 [95% confidence interval 0.45-0.60], n=18 studies), sex (men) (1.26 [1.14-1.40], n=31), aphasia (0.37 [0.20-0.69], n=7), occupation (white collar worker) (1.84 [1.64-2.06], n=17), independence in activities of daily living (3.99 [1.73-9.23], n=7), and stroke severity (NIHSS) (1.23 [1.08-1.39], n=6).This meta-analysis highlighted positive and negative prognostic factors associated with RTW after stroke. Two categories were distinguished: modifiable and non-modifiable prognostic factors. This study provides information to help understand the issues, set appropriate objectives and implement appropriate strategies to guide people to RTW after stroke. Randomized controlled studies are needed to better evaluate work-place intervention programs as well as the effects of intravenous thrombolysis, and cognitive and neuropsychological rehabilitation on return-to-work rates after stroke.
科研通智能强力驱动
Strongly Powered by AbleSci AI