Return to work after coronary artery bypass surgery. A 10-year follow-up study

Hällberg, Ville; Palomäki, Ari; Kataja, Matti; Tarkka, Matti

doi:10.1080/14017430802506601

Cited by 22 publications

(36 citation statements)

References 25 publications

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“…Younger age has been introduced as a predictor of RTW in several studies [12,17,[24][25][26][27][28][29]. However, in this study, despite a significant association between the younger age (especially under 60) and early return to work, in the univariate analysis, the association of age was not statistically significant in the suggested model of logistic regression analysis.…”

Section: Discussioncontrasting

confidence: 53%

“…However, in the present study the association of higher education was no longer significant in the suggested model of logistic regression. Being employed before the surgery was another RTW predictor [8,27] that could not be evaluated in this study since all the study cases were employed. However, duration of preoperative absence from work was inversely associated with the probability of early return to work, and directly associated with the time interval between the surgery and return to work (in days).…”

Section: Discussionmentioning

confidence: 99%

“…Several predictors for return to work after the surgery have been presented, including: age, self-perceived vocational disability, a physician's perception of a patient's disability, expectations regarding work, duration of the preoperative absence from work, functional class, a patient's perception of working capacity 6 months after CABG, education, job satisfaction, gender (female or male), physical pattern of work, severity of heart failure, white-collar or blue-collar occupation, preoperative employment, non-cardiovascular illnesses, duration of symptoms, participation in a cardiac rehabilitation program (CRP), immigration status, academic profession, etc. [2,8,12,17,19,[24][25][26][27][28][29][30]. However, further and more robust evidence is still required to demonstrate work ability prognostic factors for these patients.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of early return to work after a coronary artery bypass graft surgery (CABG)

Mehrdad¹,

Asli²,

Pouryaghoub³

et al. 2016

Int J Occup Med Environ Health

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International Journal of Occupational Medicine and Environmental CABG). Material and Methods:Two hundred twenty-six working patients who volunteered and underwent a primary coronary artery bypass surgery between September 2013 and May 2014 were selected for the study and followed up for 6 months. Predictors of early return to work (RTW) (within 2 months) were analyzed from variables in a prospectively collected database and the 36-Item Short Form Health Survey (SF-36) questionnaire carried out in the hospital and rehabilitation center as well as from the follow-up performed via the phone. Results: One hundred and two (45.1%) and 155 (68.9%) patients returned to work within 2 and 3 months after the surgery, respectively. Furthermore, 196 patients (87.1%) returned to work within 6 months after the surgery. In the univariate analysis, demographic or socioeconomic factors (such as age, level of education, income), occupational factors (such as occupation type, working hours per week, duration of the preoperative absence from work), psychological factors (such as a patient's concern about adverse health effects of RTW, feeling depressed, a patient's attitude towards his/her ability to RTW and a patient's perception of his/her job stress level) and medical factors (such as serum troponin T and creatine kinase MB (CKMB) level, pump time in surgery, co-surgery and dyslipidemia history) had a statistically significant correlation with early return to work. The patients who early returned to work had significantly higher scores in 3 domains on the SF-36 questionnaire (used for assessing the patients' quality of life), compared to those who did not return to work early (including physical functioning, role limitations due to physical health and pain). Conclusions:In the present study we identified 4 new medical factors that could be used as predictors of early return to work after CABG. These factors are: normal serum troponin T level, shorter pump time in surgery, normal mean arterial pressure (MAP) before the surgery and higher serum magnesium (Mg) levels. Int J Occup Med Environ Health 2016;29(6):947-957

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Section: Discussioncontrasting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Predictors of early return to work after a coronary artery bypass graft surgery (CABG)

Mehrdad¹,

Asli²,

Pouryaghoub³

et al. 2016

Int J Occup Med Environ Health

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“…En cuanto a las variables socioeconómicas la edad es un predictor potente y así aparece en la mayoría de los estudios publicados 17,[24][25][26][27] . El riesgo de tener una incapacidad permanente se incrementa de forma significativa a partir de los 50 años (80,3% en <50 años y 70,5% en> 50 años).…”

Section: Discussionunclassified

“…No obstante es menor que la publicada en estudios previos (243 días de media de duración de IT en el estudio de ) y claramente superior a la duración media de los países de nuestro entorno en los que mayoritariamente se reincorporan antes de los 6 meses 25,37 . Probablemente la descoordinación entre niveles asistenciales puede ser una causa importante responsable de esta prolongación de la I. T. En la mayoría de los casos es el médico de atención primaria quien da los partes de baja y en su momento el alta.…”

Section: Equipos De Valoración De Incapacidades De Inss (Evis)unclassified

Evolución del impacto de la cardiopatía isquémica en la reincorporación laboral de trabajadores españoles

et al. 2015

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MEDICINA y SEGURIDAD del trabajo Julio -septiembre 2015 Med Segur Trab (Internet) 2015 61 (240) ResumenIntroducción: La cardiopatía isquémica es una de las principales causas de morbimortalidad en los países desarrollados dificultando la vuelta al trabajo de estos pacientes. Pretendemos estudiar la evolución de la incapacidad Temporal y Permanente en trabajadores españoles que causan baja por cardiopatía isquémica, así como analizar las variables que influyen en la reincorporación laboral. Material y métodos:Estudio observacional retrospectivo de cohortes con pacientes menores 65 años que sufrieron un infarto agudo de miocardio (IAM) entre Enero de 2000 y mayo de 2011. Se recogieron datos clínicos, demográficos, socioeconómicos y laborales para analizar su relación con la reincorporación laboral.Resultados: Se seleccionaron un total de 5067 pacientes, el 94% varones, y con una edad media de 54,3 años. Un total de 3.679 pacientes (72,6%) se reincorporaron a su actividad laboral tras el infarto, mientras que 1261 (24,9%) obtuvieron la incapacidad laboral permanente. La mayores tasas de incapacidad laboral se observan en los pacientes > 50 años, en los que han sufrido un mayor daño cardiaco (FEVI < 50%), en aquellos con un mayor número de arterias coronarias obstruidas y los que fueron revascularizados mediante cirugía. En cuanto a las variables socioeconómicas se reincorporan menos los trabajadores con salarios más bajos, los trabajadores por cuenta ajena y los que realizan trabajos en los que predomina la carga física y manual frente a las profesiones en que predomina el trabajo intelectual. No encontramos diferencias con respecto a la tasa de reincorporación entre hombres y mujeres o en función del diagnostico que motivó la baja (síndrome coronario agudo vs. angina).Observamos que la tasa de reincorporación laboral se ha incrementado de forma progresiva en la última década. (Desde tasas de reincorporación del 60% en el 2000-2002 a tasas superiores al 80% a partir de 2010) Este incremento se observa en todos los sectores ocupacionales como en todos los tramos etarios en los que se distribuye la muestra Conclusiones: En nuestro estudio se observa un aumento progresivo en los últimos años en el porcentaje de pacientes que se reincorporan al trabajo. Las variables que mejor predicen la reincorporación AbstractBackground: Ischemic cardiopathy is one of the main causes of morbidity and mortality in developed countries. It affects the patients quality of life and interferes with their return to work, thus generating a significant economic cost. The aim of our study is to assess labor conditions of patients who suffered an acute myocardial infarction (AMI), highlighting the factors that could have an impact on their return-to-work time.

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Behavioral Determinants of Employment Status in Cancer Patients

Duijts¹,

Spelten²,

Verbeek³

2014

The Handbook of Behavioral Medicine

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Return to work after coronary artery bypass surgery. A 10-year follow-up study

Abstract: Younger age and preoperative employment were the most important predictors of successful return to work. Once returned after CABG, patients' staying at work was comparable with that in the general population.

Cited by 22 publications

References 25 publications

Predictors of early return to work after a coronary artery bypass graft surgery (CABG)

Predictors of early return to work after a coronary artery bypass graft surgery (CABG)

Evolución del impacto de la cardiopatía isquémica en la reincorporación laboral de trabajadores españoles

Behavioral Determinants of Employment Status in Cancer Patients

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