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@ARTICLE{Bode:279362,
author = {Bode, Felix J and Zadon, Nina A and Asperger, Hannah and
Beckonert, Niklas M and Ebrahimi, Taraneh and Nitsch, Louisa
and Nordsiek, Julia and Meissner, Julius N and Shirvani,
Omid and Stösser, Sebastian and Thielscher, Christian and
Dorn, Franziska and Lehnen, Nils C and Petzold, Gabor C and
Weller, Johannes M},
title = {{H}ome and workforce reintegration one year after
thrombectomy in acute stroke patients.},
journal = {European stroke journal},
volume = {10},
number = {2},
issn = {2396-9873},
address = {London},
publisher = {Sage Publishing},
reportid = {DZNE-2025-00739},
pages = {416 - 421},
year = {2025},
abstract = {Endovascular thrombectomy (EVT) combined with intravenous
thrombolysis is the current standard treatment for acute
large-vessel occlusion stroke. Beyond clear clinical
benefits in the acute and post-acute phases, comprehensive
evaluations of long-term outcomes, including home and
workforce reintegration, remain limited. This study aimed to
assess home and workforce reintegration 1 year post-EVT in a
cohort of acute stroke patients and explore their
association with health-related quality of life (HRQoL).We
conducted a prospective observational study of 404 patients
undergoing EVT at a tertiary university medical center
between October 2019 and December 2021. Patients' functional
outcomes were evaluated using the modified Rankin Scale
(mRS), and HRQoL was assessed via the European Quality of
Life Five Dimension Scale (EQ-5D). Data on occupational and
living status were collected through standardized telephone
interviews at 3- and 12-months post-treatment.Of 357
patients with 12-month follow-up data, $33.6\%$ had a
favorable outcome (mRS 0-2). Among stroke survivors, the
rate of home reintegration without nursing care was
$42.1\%,$ and workforce reintegration among previously
employed patients was $43.3\%$ at 12 months. Both outcomes
were significantly associated with improved HRQoL. Lower
neurological deficits and younger age were predictive of
successful home and workforce reintegration.One year
post-EVT, approximately $40\%-50\%$ of acute stroke patients
successfully reintegrate into home and work settings. These
findings underscore the need for ongoing support tailored to
improving long-term reintegration and quality of life for
stroke survivors.Data access statement:The data supporting
the findings of the study are available from the
corresponding author upon reasonable request and in
accordance to European data privacy obligations.},
keywords = {Humans / Male / Female / Quality of Life / Aged /
Thrombectomy: methods / Middle Aged / Prospective Studies /
Stroke: surgery / Stroke Rehabilitation / Treatment Outcome
/ Aged, 80 and over / Thrombectomy (Other) / functional
outcome (Other) / ischemic stroke (Other) / quality of life
(Other) / workforce reintegration (Other)},
cin = {AG Petzold},
ddc = {610},
cid = {I:(DE-2719)1013020},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:39359171},
pmc = {pmc:PMC11556533},
doi = {10.1177/23969873241282875},
url = {https://pub.dzne.de/record/279362},
}