Effects of Cardiac Surgery on Duty Status in the Active Duty Military Population

Abstract

No modern studies have addressed the impact of cardiac surgery on military duty status, which is associated with constraints not applicable to the general population. A review of all active duty patients undergoing coronary artery bypass grafting (CABG), mitral valve repair (MVrep), bioprosthetic valve replacement (BIOVALVE), mechanical valve replacement (MECHVALVE), and septal defect closure (ASD/VSD) at Naval Medical Center Portsmouth between January 1, 2004 and December 31, 2011 was used to determine final duty status: Return to Full Duty (RTFD), Medical Board Separation or Planned Retirement/Separation. Complete data on final disposition was available for 99% (75/76) of patients. There were 9 Planned Retirement/Separation patients. There was a 100% rate of RTFD for all MVrep, BIOVALVE, and ASD/VSD patients. Patients undergoing CABG had an 83% (20/23) rate of RTFD. MECHVALVE patients had RTFD in only 23% (5/21) of cases. Patients undergoing MECHVALVE are unlikely to be suitable for continued service after surgery, but most if not all military patients undergoing MVrep, ASD/VSD, or BIOVALVE and the vast majority of CABG patients can expect to return to unrestricted active duty after surgery.

Assessment of Patients' Needs Pre and Post Open Heart surgery

“…This may be due to increased life stressors even among people. This result is in accordance with Leathy &Jada(2015) (18) , who revealed that average age of the studied sample was 40 (range 20-55). Moreover a study conducted by Amaal F et al, (2017) (19) revealed that the average age of the studied sample wasranged between 50 and 59 years with a mean age of (45.9±11.7).…”

Return to work after coronary artery bypass grafting and aortic valve replacement surgery: A scoping review

“…The present study included articles originating from Europe ( n = 29) [23, 24, 26–30, 32–34, 36, 38, 40, 44, 45, 47, 50–54, 56, 58–60, 62–65], USA ( n = 10) [25, 31, 35, 37, 41, 42, 46, 57, 67, 68], Australia ( n = 3) [55, 61, 66], Iran ( n = 2) [39, 43] and Israel ( n = 1) [49].…”

“…Of the 45 papers included in this review, the majority (n = 44) employed quantitative research, whereas one used a mixed-method design. The study designs were eight registry studies [23][24][25][26][27][28][29][30], seven clinical trials (six randomised trials and one non-randomised) [31][32][33][34][35][36][37], 18 cohort studies (15 prospective studies and three retrospective studies) [38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55], one mixed-method study [56], two case-control studies [57,58] and nine cross-sectional studies (three surveys and six crosssectional studies) [59][60][61][62][63][64][65][66][67].…”

Effect of Nursing Procedures Related Pain on Post Open Heart Surgery Patients’ Clinical Outcomes

“…Also, a study conducted by Ahmed et al,(2017) (23) revealed that the average age of the studied sample ranged between 50 and 59 years with a mean age of (45.9±11.7) However, Abd El-gafour et al, (2021) (24) in a study about "assessment of patients' needs pre and post open heart surgery" revealed that less than half of the studied patients ranged between 50-60 years. Moreover, Leahy et al, (2015) (25) revealed Vol. 31.…”