Author + information
- Jawad Haider Butt,
- Lars Køber,
- Rasmus Rørth,
- Kristian Kragholm,
- Christian Torp-Pedersen,
- Gunnar Gislason,
- Søren Lund Kristensen and
- Emil Fosbøl
Background: Return to work after coronary artery bypass grafting (CABG) holds important socioeconomic consequences for patients, although not mentioned in rehabilitation guidelines. As data on this issue are sparse, we examined return to work in a nationwide cohort of CABG patients of working age.
Methods: By linking Danish nationwide administrative registries, we identified 10,111 patients aged 18-60 years undergoing first-time isolated CABG (1998-2012). Of these, 5,593 (55%) patients were employed prior to admission and comprised the study population. Return to work was assessed at 1-year follow-up using multivariable logistic regression.
Results: One year after CABG, 4,361 (78.0%) patients returned to work, 238 (4.3%) were unemployed, 544 (9.7%) were on paid sick leave, 175 (3.1%) received benefits due to reduced working capability, 205 (3.7%) had taken early retirement, 55 (1.0%) died, and 15 (0.3%) emigrated. Factors associated with higher likelihood of returning to work were younger age, male sex, and higher level of education and income (Figure 1). Urgency of surgery and a history of stroke, heart failure, diabetes, chronic kidney disease, chronic obstructive pulmonary disease, and malignancy were associated with lower likelihood of returning to work.
Conclusions: Four of five patients employed prior to CABG returned to work one year later, and mortality was low. Younger age, male sex, higher level of education and income, and absence of major comorbidity were associated with return to work.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Coronary Angiography, Intra-Vascular Imaging, Revascularization and Outcomes
Abstract Category: 2. Acute and Stable Ischemic Heart Disease: Clinical
Presentation Number: 1166-323
- 2017 American College of Cardiology Foundation