What Are the Social Consequences of Stroke for Working-Aged Adults?
- 1 June 2009
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Stroke
- Vol. 40 (6), e431-40
- https://doi.org/10.1161/strokeaha.108.534487
Abstract
Background and Purpose— Approximately one fourth of strokes occur in people aged Methods— We reviewed quantitative and qualitative studies identifying social consequences for working-aged adults with stroke using multiple search strategies (electronic databases, bibliographic references, hand searches). Social consequences were defined as those pertaining to the World Health Organization International Classification of Functioning, Disability and Health domain “participation.” Two authors reviewed articles using a standardized matrix for data extraction. Results— Seventy-eight studies were included: 66 were quantitative observational studies, 2 were quantitative interventional studies, 9 were qualitative studies, and one used mixed methods. Seventy studies reported data on return to work after stroke with proportions ranging from 0% to 100%. Other categories of social consequences included negative impact on family relationships (5% to 54%), deterioration in sexual life (5% to 76%), economic difficulties (24% to 33%), and deterioration in leisure activities (15% to 79%). Conclusions— Methodological variations account for the wide range of rates of return to work after stroke. There is limited evidence of the negative impact of stroke on other aspects of social participation. Robust estimates of the prevalence of such outcomes are required to inform the development of appropriate interventions. We propose strategies by which methodology and reporting in this field might be improved.Keywords
This publication has 62 references indexed in Scilit:
- The Influence of Psychiatric Morbidity on Return to Paid Work After Stroke in Younger AdultsStroke, 2008
- Return to work in stroke patientsDisability and Rehabilitation, 2007
- Working after a stroke: Survivors' experiences and perceptions of barriers to and facilitators of the return to paid employmentDisability and Rehabilitation, 2007
- Management of Adult Stroke Rehabilitation CareStroke, 2005
- A study to evaluate the met and unmet needs of members belonging to Young Stroke groups affiliated with the Stroke AssociationDisability and Rehabilitation, 2003
- The unmet needs of young people who have had a stroke: results of a national UK surveyDisability and Rehabilitation, 2002
- Prognostic factors for return to work in stroke patients with aphasiaAphasiology, 1991
- Leisure after strokeInternational Rehabilitation Medicine, 1982
- THE PROGNOSIS OF ISCHEMIC STROKE IN YOUNG ADULTSActa Neurologica Scandinavica, 1977
- A comparison of functionally orientated medical care and formal rehabilitation in the management of patients with hemiplegia due to cerebrovascular diseaseJournal of Chronic Diseases, 1962