2011-05-01 12:00 - Messages
Journal of Occupational Rehabilitation, 21, supplement 1.
La revue Journal of Occupational Rehabilitation publie un supplément au volume 21 qui se consacre au développement de la réadaptation au travail dans la région Asie-Pacifique. Une dizaine d'articles aborde les questions relatives au développement et à l'implantation de programmes de réadaptation au travail et les différents enjeux relatifs à la prévention et à la gestion de l'incapacité dans les contextes sociaux, politiques et culturels spécifiques de cette région. L'expérience de plusieurs pays tels la Chine, Hong Kong, la Malaisie, les Philippines et Singapoure est abordée.
Tanaka H et al. (2011). Functional and occupational characteristics associated with very early return to work after stroke in Japan. Archives of Physical Medicine and Rehabilitation, 92 (5): 743-748.
To examine clinical, functional, and occupational factors associated with very early return to work after stroke, and to identify factors manageable through occupational arrangements, patient education, and other welfare programs. Design: Prospective cohort study. Setting: Acute care of the first stroke event in 21 acute care hospitals specializing in clinical and occupational health. Participants: Consecutive patients with stroke in working age (N=335). Main Outcome Measures: Data pertaining to demographic, clinical, functional, and occupational factors were collected from hospital records. Multiple logistic regression analysis with backward stepwise selection was used to obtain a final model to predict the likelihood of patients returning very early to work. Results: The sample was predominantly men (80%) with a mean age ± SD of 55.2±7.2 years; 30% succeeded in very early return to work. After adjusting for age, sex, and modified Rankin scale at discharge, white-collar versus blue-collar occupation (odds ratio [OR], 2.06; 95% confidence interval [CI], 1.00–4.21), Barthel Index at onset (OR, 1.02; 95% CI, 1.01–1.03), and employment status at discharge (OR, 17.36; 95% CI, 3.15–95.72) were selected in the final model as significant predictors of very early return to work. Patients with mild physical disability and higher cortical dysfunction found it more difficult to return to work very early compared with those without these conditions. Conclusions: We found that patients with stroke who had mild disability at onset, were in a white collar occupation, and were employed at discharge were more likely to return to work very early, even after adjusting for functional levels at discharge. Cognitive rehabilitation is needed for those with mild physical disability and higher cortical dysfunction.
Minuchi, Nadie et al. (2011). Disability-Free Life Expectancy: A Cross-National Comparison Among Bulgarian, Italian, and Latin American Older Population. Journal of Aging & Health, 23 (4): 629-681.
Objective: To present sociodemographic and health status harmonized variables constructed to evaluate cross-national differences in term of Disability Free Life Expectancy (DFLE) across different surveys. Method: The study comprises national surveys conducted in Bulgaria, Italy, and Latin America and the Caribbean. A homogeneous group of health determinants for the older population was created and the DFLE indicator based on Sullivan’s method was developed considering the harmonized common variables on disability. Results: For all countries, DFLE values decline as age increases for both sexes, with a pronounced decline among women. Regardless the native country, women always present higher Life Expectancy than men at each age; however, they live a higher percentage of these years with disability. Discussion: Further research should be carried out with standardized instruments that allow a more direct comparison, along with measurements of the potential differences across countries, which could explain differences in disability prevalence and DFLE.