Article

OBJECTIVE: To study work re-entry by patients having suffered a stroke at least 3
years previously. This was a retrospective survey in which
a questionnaire was administered to all patients admitted after a first stroke to
the "La Tour de Gassies" Centre for Physical and Rehabilitation Medicine (CPRM)
in France between January 2005 and June 2007 and who were in work at the time of
the incident. RESULTS: Fifty-six of the 72 included patients (78%) completed and
returned the survey questionnaire. The mean age at the time of the stroke was
48.3+/-10.1. Eighteen (32.1%) of the 56 patients returned to work after their
stroke (mean post-stroke time interval: 19.2+/-13.4 months). Negative prognostic
factors for a return to work were living alone, the presence of severe functional
impairment and the presence of speech disorders. Positive prognostic factors
included specific, professional support and early involvement of the occupational
physician. Patients who resumed driving were more likely to return to work and
there was a positive correlation between the time to work re-entry and the time
to resumption of driving. CONCLUSION: Close cooperation between occupational
health services and CPRM appears to be necessary to speed the return to work by
stroke patients.
CI - Copyright A(c) 2012 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS