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Employment sustainability after return to work among Japanese stroke survivors
PURPOSE: Few studies have investigated the work continuance rate among stroke survivors who return to work (RTW). The objective of this study was to investigate work sustainability after RTW and the causes of recurrent sickness absence (RSA) among Japanese stroke survivors. METHODS: Data on stroke s...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060773/ https://www.ncbi.nlm.nih.gov/pubmed/29802486 http://dx.doi.org/10.1007/s00420-018-1319-2 |
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author | Endo, Motoki Haruyama, Yasuo Muto, Go Yokoyama, Kazuhito Kojimahara, Noriko Yamaguchi, Naohito |
author_facet | Endo, Motoki Haruyama, Yasuo Muto, Go Yokoyama, Kazuhito Kojimahara, Noriko Yamaguchi, Naohito |
author_sort | Endo, Motoki |
collection | PubMed |
description | PURPOSE: Few studies have investigated the work continuance rate among stroke survivors who return to work (RTW). The objective of this study was to investigate work sustainability after RTW and the causes of recurrent sickness absence (RSA) among Japanese stroke survivors. METHODS: Data on stroke survivors were collected from an occupational health register. The inclusion criteria were as follows: employees who were aged 15–60 years old and returned to work after an episode of sick leave due to a clinically certified stroke that was diagnosed during the period from 1 January 2000 through 31 December 2011. RESULTS: 284 employees returned to work after their first episode of stroke-induced sick leave. The work continuance rate for all subjects was 78.8 and 59.0% at one and 5 years after the subjects’ RTW, respectively. After returning to work, the subjects worked for a mean of 7.0 years. Of 284 employees who returned to work, 86 (30.3%) experienced RSA. The RSA were caused by recurrent strokes in 57.0% (49/86) of cases, mental disorders in 20.9% (18/86) of cases, and fractures (often due to accidents involving steps at train stations or the subject’s home) in 10.5% (9/86) of cases. 21 employees resigned after returning to work. The resignation rates at 1 and 5 years were 4.9 and 7.6%, respectively. According to the multivariate analysis including all variables, the subjects in the ≥ 50 year group were at greater risk of work discontinuation than the ≤ 49 year (reference) age group (HR: 2.26, 95% CI 1.39–3.68). CONCLUSIONS: Occupational health professionals need to provide better RTW support to stroke survivors and should pay particularly close attention to preventing recurrent strokes, mental disorders, and fractures. |
format | Online Article Text |
id | pubmed-6060773 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-60607732018-08-09 Employment sustainability after return to work among Japanese stroke survivors Endo, Motoki Haruyama, Yasuo Muto, Go Yokoyama, Kazuhito Kojimahara, Noriko Yamaguchi, Naohito Int Arch Occup Environ Health Original Article PURPOSE: Few studies have investigated the work continuance rate among stroke survivors who return to work (RTW). The objective of this study was to investigate work sustainability after RTW and the causes of recurrent sickness absence (RSA) among Japanese stroke survivors. METHODS: Data on stroke survivors were collected from an occupational health register. The inclusion criteria were as follows: employees who were aged 15–60 years old and returned to work after an episode of sick leave due to a clinically certified stroke that was diagnosed during the period from 1 January 2000 through 31 December 2011. RESULTS: 284 employees returned to work after their first episode of stroke-induced sick leave. The work continuance rate for all subjects was 78.8 and 59.0% at one and 5 years after the subjects’ RTW, respectively. After returning to work, the subjects worked for a mean of 7.0 years. Of 284 employees who returned to work, 86 (30.3%) experienced RSA. The RSA were caused by recurrent strokes in 57.0% (49/86) of cases, mental disorders in 20.9% (18/86) of cases, and fractures (often due to accidents involving steps at train stations or the subject’s home) in 10.5% (9/86) of cases. 21 employees resigned after returning to work. The resignation rates at 1 and 5 years were 4.9 and 7.6%, respectively. According to the multivariate analysis including all variables, the subjects in the ≥ 50 year group were at greater risk of work discontinuation than the ≤ 49 year (reference) age group (HR: 2.26, 95% CI 1.39–3.68). CONCLUSIONS: Occupational health professionals need to provide better RTW support to stroke survivors and should pay particularly close attention to preventing recurrent strokes, mental disorders, and fractures. Springer Berlin Heidelberg 2018-05-25 2018 /pmc/articles/PMC6060773/ /pubmed/29802486 http://dx.doi.org/10.1007/s00420-018-1319-2 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article Endo, Motoki Haruyama, Yasuo Muto, Go Yokoyama, Kazuhito Kojimahara, Noriko Yamaguchi, Naohito Employment sustainability after return to work among Japanese stroke survivors |
title | Employment sustainability after return to work among Japanese stroke survivors |
title_full | Employment sustainability after return to work among Japanese stroke survivors |
title_fullStr | Employment sustainability after return to work among Japanese stroke survivors |
title_full_unstemmed | Employment sustainability after return to work among Japanese stroke survivors |
title_short | Employment sustainability after return to work among Japanese stroke survivors |
title_sort | employment sustainability after return to work among japanese stroke survivors |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060773/ https://www.ncbi.nlm.nih.gov/pubmed/29802486 http://dx.doi.org/10.1007/s00420-018-1319-2 |
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