Percutaneous transluminal coronary angioplasty: clinical and quality of life outcomes one year later

McKenna, Kryss; McEniery, Paul T.; Maas, Frikkie; Aroney, Constantine N.; Bett, J. H. N.; Cameron, James N.; Holt, G.; Hossack, Kenneth F.

doi:10.1111/j.1445-5994.1994.tb04419.x

Cited by 22 publications

(17 citation statements)

References 26 publications

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“…Compared to earlier studies, we found a substantially higher number of sick-leave days following coronary revascularisation [3]–[8], [10], [19]. Among the CABG patients, 34% among the women and 24% among the men were sickness absent for at least 365 days after the intervention and for the PCI patients the corresponding figures were 24 and 14%, respectively.…”

Section: Discussioncontrasting

confidence: 79%

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Sickness Absence following Coronary Revascularisation. A National Study of Women and Men of Working Age in Sweden 1994–2006

et al. 2012

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BackgroundEvidence based and gender specific knowledge about sickness absence following coronary revascularisation is lacking. The objective was to investigate sickness absence after a first coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) among women and men in a national Swedish study.Materials and MethodsAll patients 30–63 years of age, who underwent a first CABG (n = 22,985, 16% women) or PCI (40,891, 22% women) in Sweden between 1994 and 2006 were included. Information on sickness absence, co-morbidity, and other patient characteristics was obtained from national registers. Long-term sickness absence (LTSA) was defined as >180 and >90 sick-leave days in the first sick-leave spell following CABG and PCI, respectively. Prevalence ratio (PR) and 95% confidence interval (CI) of LTSA were calculated.FindingsLTSA followed the interventions in 41% and 36% for CABG and PCI patients, respectively. Women had more often LTSA compared with men, (CABG PR = 1.23: 95% CI 1.19–1.28 and PCI PR = 1.19; 95% CI 1.16–1.23). A history of sickness absence the year before the intervention increased the risk for LTSA after the intervention in both genders. Among women, older age, or being self employed or unemployed was associated with a lower risk for LTSA. Among men previous cardiovascular disease, diabetes and low socio-economic position increased the risk. During the observation period, there was no change in sickness absence rates among PCI patients but an increase among CABG patients adjusting for patient characteristics.ConclusionThis national study covering a 13-year period shows that long-term sickness absence following coronary revascularisation is common in Sweden, especially among women, and is associated with socio-economic position, co-morbidity, and sickness absence during the year before the intervention. Gender specific scientific knowledge about use and effects of sickness absence following coronary revascularisation is warranted for the patients, the treating physicians, the healthcare sector, and the society.

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Section: Discussioncontrasting

confidence: 79%

“…Among patients working, most return to work after PCI and CABG; faster after PCI [3], [8], [11], [13]. Only few studies on sickness absence after coronary revascularisation have been performed in Sweden and none of them presented gender specific results [5]–[6].…”

Section: Introductionmentioning

confidence: 99%

Sickness Absence following Coronary Revascularisation. A National Study of Women and Men of Working Age in Sweden 1994–2006

et al. 2012

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“…The median time of sick leave was 25 days (13). After one year, 79% of all patients were still working.…”

Section: Sick Leave In Patients Following Pci or Cabg (Table 8iii)mentioning

confidence: 99%

“…As with myocardial infarction studies, there are three main groups: descriptive, predictive, and interventional regarding both type of coronary artery intervention and aftercare. In three studies (13,29,30) the outcome is described during the first year following the intervention, and six studies (24, 31 -35) investigated the predictors for RTW following the intervention. Seven studies (12, 14, 36 -40) compared the results between patients after PCI or CABG, and four studies (41 -44) described the outcome of rehabilitation programmes.…”

Section: Sick Leave In Patients Following Pci or Cabg (Table 8iii)mentioning

confidence: 99%

Chapter 8. Sick leave due to coronary artery disease or stroke

Perk

Alexanderson

2004

Scand J Public Health

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The assessment of the literature on sick-leave with cardiovascular diseases include only studies with sufficient scientific quality. These studies describe sick leave following stroke, myocardial infarction, coronary artery bypass grafting (CABG), or percutaneous coronary intervention (PCI). We found limited scientific evidence for the following results: After stroke, more than half of the patients of working age returned to work (RTW) during the first year following onset (higher rate for the younger patients). The consequences of brain damage, e.g. impaired ADL ability or cognitive capacity, play an important role in this respect. Also after myocardial infarction most patients RTW. PCI is a milder coronary artery intervention than CABG and RTW is more rapid. However, in the long run there are no differences in sick leave. People at higher ages or with physically demanding jobs return to work to a lesser degree. An international comparison shows that the duration of sick leave due to these conditions in Sweden is longer than in other countries although there is no scientific evidence to support this practice. It appears that the interest in research on sick leave in patients with cardiovascular diseases has waned in recent years. Developments in acute cardiological care should inspire renewed scientific involvement in this area of research.

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“…This implies that focus on rehabilitation and reintegration into the workforce becomes increasingly important. Previous studies have described that around 60-80 % of the patients in the working age return to work after coronary heart disease [2][3][4][5][6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Working Environment and Risk of Adverse Cardiac Events in Patients Treated for Coronary Heart Disease

et al. 2015

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Percutaneous transluminal coronary angioplasty: clinical and quality of life outcomes one year later

Abstract: These findings suggest that, after PTCA, the majority of patients experienced improved quality of life which was sustained one year later.

Cited by 22 publications

References 26 publications

Sickness Absence following Coronary Revascularisation. A National Study of Women and Men of Working Age in Sweden 1994–2006

Sickness Absence following Coronary Revascularisation. A National Study of Women and Men of Working Age in Sweden 1994–2006

Chapter 8. Sick leave due to coronary artery disease or stroke

Psychosocial Working Environment and Risk of Adverse Cardiac Events in Patients Treated for Coronary Heart Disease

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