Bibliographische Angaben zur Publikation
Return to work after coronary artery bypass surgery in a population of long-term survivors
Bradshaw, Pamela J.; Jamrozik, Konrad; Gilfillan, Ian S. [u. a.]
Australasian Society of Cardiac and Thoracic Surgeons; Cardiac Society of Australia and New Zealand
Heart, Lung and Circulation, 2005, Volume 14 (Number 3), Seite 191-196, Marrickville, NSW, Australia: Elsevier, ISSN: 1443-9506 (Print); 1444-2892 (Online)
Return to paid employment may be facilitated by coronary artery bypass graft (CABG) surgery. We assessed work status in a population-based study of long-term outcomes of CABG.
To determine the association between returning to work after CABG and clinical and socio-demographic factors.
A postal survey of 2,500 randomly selected patients 6-20 years post-CABG. The outcomes assessed were work status in the year before and after CABG and health-related quality of life (HRQOL) measured with SF-36.
Response was 82% (n = 2,061). Employment fell from 56% in the year prior to CABG to 42% in the year after. Workers in 'blue-collar' occupations were more likely to reduce their work status than those in ' white collar' occupations (46% versus 29%, p < 0.001). Independent predictors of reducing employment were increasing age (9% per year, 99% CI: 1.06-1.11, p < 0. 001), 'blue-collar' versus 'white collar' occupation (OR: 2.1, 99% CI: 1.4-3.1) and female sex (OR: 2.1, 99% CI: 1.1-3.6). HRQOL among participants under 60 years of age at follow-up was better for those who returned to work after CABG surgery.
CABG surgery is followed by a net loss to paid employment of working age patients which increases with age, and is more likely for those in blue-collar occupations and women.
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