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Comparative Study
. 2018 Jan 4;7(1):e006991.
doi: 10.1161/JAHA.117.006991.

Trends in Diagnosis-Specific Work Disability Before and After Stroke: A Longitudinal Population-Based Study in Sweden

Tea Lallukka  1   2 , Jenni Ervasti  3 , Erik Lundström  4 , Ellenor Mittendorfer-Rutz  5 , Emilie Friberg  5 , Marianna Virtanen  3   5 , Kristina Alexanderson  5
Affiliations
Comparative Study

Trends in Diagnosis-Specific Work Disability Before and After Stroke: A Longitudinal Population-Based Study in Sweden

Tea Lallukka et al. J Am Heart Assoc. .

Abstract

Background: Although a stroke event often leads to work disability, diagnoses behind work disability before and after stroke are largely unknown. We examined the pre-event and postevent trends in diagnosis-specific work disability among patients of working age.

Methods and results: We included all new nonfatal stroke events in 2006-2008 from population-based hospital registers in Sweden among women and men aged 25 to 60 years (n=12 972). Annual days of diagnosis-specific work disability were followed for 4 years before and after stroke. Repeated measures negative binomial regression models using the generalized estimating equations method were fitted to examine trends in diagnosis-specific work disability before and after the event. Already during the 4 pre-event years, work disability attributed to circulatory diseases increased among women (rate ratio, 1.99; 95% confidence interval, 1.68-2.36) and men (rate ratio, 2.20; 95% confidence interval, 1.88-2.57). Increasing trends before stroke were also found for work disability attributed to mental disorders, musculoskeletal diseases, neoplasms, diseases of the nervous, respiratory, and digestive systems, injuries, and diabetes mellitus. As expected, a sharp increase in work disability days attributed to circulatory diseases was found during the first year after the event among both sexes. Overall, during 4 years after the stroke, there was a decreasing trend for circulatory diseases and injuries, whereas the trend was increasing for nervous diseases and diabetes mellitus.

Conclusions: Work disability attributed to several mental and somatic diagnoses is higher already before a stroke event.

Keywords: chronic disease; cohort study; population studies; registry; sick leave; stroke; work disability.

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Figures

Figure 1
Figure 1
Mean annual days of work disability attributed to key diagnoses other than stroke (y‐axis) among men (n=7769) 4 years before and after date of their stroke event.
Figure 2
Figure 2
Mean annual days of work disability attributed to key diagnoses other than stroke (y‐axis) among women (n=5203) 4 years before and after date of their stroke event.
Figure 3
Figure 3
Mean annual days of work disability attributed to circulatory diseases (y‐axis) 4 years before and 4 years after diagnosis of stroke among men (n=6077) and women (n=3516) not on full disability pension or sickness absence during the 2 years before the event date.
Figure 4
Figure 4
Mean annual days of work disability attributed to key diagnoses other than stroke (y‐axis) 4 years before and 4 years after the stroke among men (n=6077) not on full disability pension or sickness absence during the 2 years before the event date.
Figure 5
Figure 5
Mean annual days of work disability attributred to key diagnoses other than stroke (y‐axis) 4 years before and 4 years after the stroke among women (n=3516) not on full disability pension or sickness absence during the 2 years before the event date.
See this image and copyright information in PMC

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