Niet-aangeboren hersenletsel (NAH) en arbeidsparticipatie - Diliguide

Communication skills:Communication Effectiveness Index (CETI)Factors positively associatedwith outcomeFactors negatively associatedwith outcomeOutcomeEvidenceFrequency of unemployment was higher amongpatients with aphasiaAmong patients employed before stroke onset 33% ofthe patients with aphasia and 69% without were stillemployed on follow-upEmployedUnemployed(not main outcome)BSaekiReference (first author, yearof publication, countryDesignDemographic data(total number of subjects (N),gender male/female M/F,age mean, SD range, injuryseverity)Variables and usedinstrumentsFactors positively associatedwith outcomeSaeki, 2010, JapanCohort studyPatients with first stroke (cerebral haemorrhage,cerebral infarction, subarachnoid haemorrhage)N = 325,M/F 81/19%Age mean 55.1, SD 7.4, 15-64Employed (fulltime or parttime, competitive employmentor self employment) at stroke onsetInitial evaluation:Age, Gender, Stroke subtype, Occupation, Educationlevel, Marriage, Previous alcohol consumption,Hypertension,Side and severity of hemiplegia (expressed as afunction of the hemiplegic hand and leg based on theBrunnstrom stage (non functional stage 1-3, assistivestage 4-5, functional stage 6),Higher cortical dysfunction (aphasia, agnosia, apraxia),Ability to perform ADL by the Barthel Index(Independent 80-100, Partially dependent 40-79, Totallydependent 0-39)Factors associated with early return to work:Gender: maleFunction of the hemiplegic hand Brunnstrom stage 6:functionalAbility to perform activities of daily livingindependently, Barthel Index 80-100: independentLevels of evidence 189