Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/27111
Title: Factors associated with paid employment 12 months after stroke in A Very Early Rehabilitation Trial (AVERT).
Austin Authors: Cain, Stephen;Churilov, Leonid ;Collier, Janice M;Carvalho, Lilian B;Borschmann, Karen ;Moodie, Marj;Thijs, Vincent N ;Bernhardt, Julie
Affiliation: Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia
University of Melbourne, Parkville, Victoria, Australia
The Florey Institute of Neuroscience and Mental Health
Austin Health
Issue Date: 2022
Date: 2021-07-26
Publication information: Annals of Physical and Rehabilitation Medicine 2022-05; 65(3): 101565
Abstract: Returning to work is an important outcome for stroke survivors. This sub-study of a randomised controlled trial aimed to provide characteristics of working-age stroke participants and identify factors associated with return to work at 12 months. We used paid employment data collected as part of A Very Early Rehabilitation Trial (AVERT, n=2104), an international randomised controlled trial studying the effects of very early mobilisation after stroke at 56 acute stroke units across Australia, New Zealand, the United Kingdom, Malaysia and Singapore. For the present analysis, data for trial participants < 65 years old were included if they were working at the time of stroke and had complete 12-month return-to-work data. The primary outcome was 12-month return to paid work. Univariable and multivariable logistic regression analyses were conducted to determine the association of multiple factors with return to work. In total, 376 AVERT participants met the inclusion criteria for this sub-study. By 12 months, 221 (59%) participants had returned to work at a median of 38 hr per week. Similar rates were found across geographic regions. On univariable analysis, the odds of returning to paid employment were increased with younger age (OR per year 0.95, 95%CI 0.92-0.97), no previous diabetes (0.4, 0.24-0.67), lower stroke severity (OR per National Institutes of Health Stroke Scale point 0.82, 0.78-0.86), less 3-month depressive traits (Irritability Depression Anxiety [IDA] scale) (OR per IDA point 0.87, 0.80-0.93), less 3-month disability (modified Rankin Scale), and prior full-time work (2.04, 1.23-3.38). On multivariable analysis, return to work remained associated with younger age (OR 0.94, 95%CI 0.91-0.98), lower stroke severity (0.92, 0.86-0.99), prior full-time work (2.33, 1.24-4.40), and less 3-month disability. Return to work at 12 months after stroke was associated with young age, acute stroke severity, 3-month disability and full-time employment before stroke. Greater understanding of this topic could help in developing programs to support successful resumption of work post-stroke.
URI: https://ahro.austin.org.au/austinjspui/handle/1/27111
DOI: 10.1016/j.rehab.2021.101565
Journal: Annals of Physical and Rehabilitation Medicine
PubMed URL: 34325037
Type: Journal Article
Subjects: Employment
Rehabilitation
Return to work
Stroke
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