Sex Disparities in Re-Employment in Stroke Patients With Large Vessel Occlusion Undergoing Mechanical Thrombectomy.
Journal
Stroke
ISSN: 1524-4628
Titre abrégé: Stroke
Pays: United States
ID NLM: 0235266
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
pubmed:
22
4
2022
medline:
28
7
2022
entrez:
21
4
2022
Statut:
ppublish
Résumé
Strokes in the working-age population represent a relevant share of ischemic strokes and re-employment is a major factor for well-being in these patients. Income differences by sex have been suspected a barrier for women in returning to paid work following ischemic stroke. We aim to identify predictors of (not) returning to paid work in patients with large vessel occlusion treated with mechanical thrombectomy (MT) to identify potential areas of targeted vocational rehabilitation. From 6635 patients enrolled in the German Stroke Registry Endovascular Treatment between 2015 and 2019, data of 606 patients of the working population who survived large vessel occlusion at least 90 days past MT were compared based on employment status at day 90 follow-up. Univariate analysis, multiple logistic regression and analyses of area under the curve were performed to identify predictors of re-employment. We report 35.6% of patients being re-employed 3 months following MT (median age 54.0 years; 36.1% of men, 34.5% of women [ There is more to re-employment after MT than functional outcome alone. In particular, attention should be paid to possible systemic barriers deterring women from resuming paid work. URL: https://www. gov; Unique identifier: NCT03356392.
Sections du résumé
BACKGROUND
Strokes in the working-age population represent a relevant share of ischemic strokes and re-employment is a major factor for well-being in these patients. Income differences by sex have been suspected a barrier for women in returning to paid work following ischemic stroke. We aim to identify predictors of (not) returning to paid work in patients with large vessel occlusion treated with mechanical thrombectomy (MT) to identify potential areas of targeted vocational rehabilitation.
METHODS
From 6635 patients enrolled in the German Stroke Registry Endovascular Treatment between 2015 and 2019, data of 606 patients of the working population who survived large vessel occlusion at least 90 days past MT were compared based on employment status at day 90 follow-up. Univariate analysis, multiple logistic regression and analyses of area under the curve were performed to identify predictors of re-employment.
RESULTS
We report 35.6% of patients being re-employed 3 months following MT (median age 54.0 years; 36.1% of men, 34.5% of women [
CONCLUSIONS
There is more to re-employment after MT than functional outcome alone. In particular, attention should be paid to possible systemic barriers deterring women from resuming paid work.
REGISTRATION
URL: https://www.
CLINICALTRIALS
gov; Unique identifier: NCT03356392.
Identifiants
pubmed: 35443786
doi: 10.1161/STROKEAHA.121.037386
doi:
Banques de données
ClinicalTrials.gov
['NCT03356392']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2528-2537Investigateurs
Joachim Röther
(J)
Bernd Eckert
(B)
Michael Braun
(M)
Gerhard F Hamann
(GF)
Eberhard Siebert
(E)
Christian H Nolte
(CH)
Sarah Zweynert
(S)
Georg Bohner
(G)
Jörg Berrouschot
(J)
Albrecht Bormann
(A)
Christoffer Kraemer
(C)
Martina Petersen
(M)
Florian Stögbauer
(F)
Tobias Boeckh-Behrens
(T)
Silke Wunderlich
(S)
Alexander Ludolph
(A)
Karl-Heinz Henn
(KH)
Christian Gerloff
(C)
Jens Fiehler
(J)
Götz Thomalla
(G)
Anna Alegiani
(A)
Franziska Dorn
(F)
Gabor Petzold
(G)
Waltraud Pfeilschifter
(W)
Fee Keil
(F)
Martin Dichgans
(M)
Steffen Tiedt
(S)
Lars Kellert
(L)
Christoph Trumm
(C)
Ulrike Ernemann
(U)
Sven Poli
(S)