ArticleBMJ (Clinical research ed.)2023
Labour market participation and retirement after stroke in Denmark: registry based cohort study.
Article in BMJ (Clinical research ed.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 17 citations in OpenAlex.
- Factors associated with perceived work ability among people working one year after stroke: an exploratory cross-sectional study.Journal of rehabilitation medicine · 2026Article
- Labor market participation among patients referred to occupational medicine with low-back pain: a Danish nationwide register-based cohort study.Scandinavian journal of work, environment & health · 2026Article
- Workforce Attachment After Patent Foramen Ovale Closure.Structural heart : the journal of the Heart Team · 2026Article
- Social participation in stroke survivors and its influencing factors: a latent profile analysis.BMC health services research · 2026Article
- Lasting Income Costs of Mental and Physical Illness.JAMA health forum · 2026Observational
- Stroke severity and other predictors of venous thromboembolism in stroke patients-a population-based cohort study.Research and practice in thrombosis and haemostasis · 2025Article
- Article
- The impact of stroke on employment income: A cohort study using hospital and income tax data in Ontario, Canada.Clinical rehabilitation · 2024Article
- Trends in the Use of Medications for Secondary Ischemic Stroke Prevention in Denmark, 2005-2021.Neurology · 2024Article
- Association between maternal employment status and presence of children with major congenital anomalies in Denmark.BMC public health · 2024Article
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine labour market participation and retirement among patients with stroke and matched people in the general population according to stroke subtype.
designNationwide, population based, matched cohort study.
settingDanish Stroke Registry, covering all Danish hospitals, and other nationwide registries (2005-18).
participantsPatients (aged 18-60 years and active in the labour market) with a first time diagnosis of ischaemic stroke (n=16 577), intracerebral haemorrhage (n=2025), or subarachnoid haemorrhage (n=4305), and individuals from the general population, matched on age, sex, and calendar year (n=134 428). The median Scandinavian stroke scale score was 55.
main outcome measuresUnweighted prevalences of labour market participation, receipt of sick leave benefits, receipt of disability pension, voluntary early retirement, state pension, and death were computed for each week and up to five years after stroke diagnosis. A log-linear Poisson model was used to obtain exact prevalence estimates as well as propensity score weighted prevalence differences and prevalence ratios at six months, one year, two years, and five years after stroke diagnosis.
resultsMost patients (62% of those with ischaemic stroke, 69% of those with intracerebral haemorrhage, and 52% of those with subarachnoid haemorrhage) went on sick leave within three weeks of diagnosis. Prevalence of labour market participation among patients with ischaemic stroke compared with matched individuals from the general population was 56.6% versus 96.6% at six months, and 63.9% versus 91.6% at two years. Prevalence of sick leave was 39.8% versus 2.6% at six months, and 15.8% versus 3.8% at two years. Prevalence of receipt of a disability pension was 0.9% versus 0.2% at six months, and 12.2% versus 0.6% at two years. Adjusting for socioeconomic and comorbidity differences between patients and matched individuals from the general population using propensity score weighting methods had little impact on contrasts. Patients with intracerebral haemorrhage had higher prevalences of sick leave and receipt of a disability pension and thus a lower prevalence of labour market participation, while prevalences for patients with subarachnoid haemorrhage were similar in magnitude to those for patients with ischaemic stroke.
conclusionsIn a highly resourced country, about two thirds of working age adults with ischaemic stroke of primarily mild severity participated in the labour market two years after diagnosis. Sick leave and receipt of a disability pension were the most common reasons for non-participation. Patients with intracerebral haemorrhage were less likely to return to the labour market than patients with ischaemic stroke and subarachnoid haemorrhage.
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