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George Howard, MSPH; J. Stanwood Till, MD; James F. Toole, MD; Claire Matthews, PhD; B. Lionel Truscott, MD, PhD

JAMA. 1985;253(2):226-232.

Abstract
A study of 379 patients, employed before cerebral infarction and living one year afterward, was undertaken to determine what factors had influenced their returning to work. We found age, occupation, degree of disability, race, and hemisphere infarcted to be significant. Younger patients with less disability were more likely to return to work. Patients employed in professional-managerial positions were more likely to return to work than patients in blue-collar or farming positions. Although there were no racial differences following a left-hemisphere infarct, white patients were more likely to return to work following a right-hemisphere infarct. Sex, blood pressure, severity of stroke, educational level, consciousness level at admission, maximum weakness in extremities, first v repeated stroke, care by a specially trained stroke team, rehabilitation therapy, and speech did not additionally influence the probability of returning to work.

(JAMA 1985;253:226-232)

Author Affiliations
From the Department of Neurology, Bowman Gray School of Medicine, Wake Forest University Medical Center, Winston-Salem, NC (Mr Howard and Drs Till and Toole); the Audiology and Speech Pathology Service, Veterans Administration Medical Center, St Louis (Dr Matthews); and the Neurology Service, Veterans Administration Center, Salisbury, NC (Dr Truscott).

Footnotes
Reprint requests to Department of Neurology, Bowman Gray School of Medicine, Wake Forest University, 300 S Hawthorn Rd, Winston-Salem, NC 27103 (Dr Howard).

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