Employment status before and after open heart valve surgery: A cohort study

Borregaard, Britt; Dahl, Jordi S.; Ekholm, Ola; Fosbøl, Emil Loldrup; Riber, Lars Peter; Sibilitz, Kirstine Lærum; Pedersen, Sasja M.; Rothberg, Thomas P. H.; Nielsen, Maiken H.; Berg, Selina Kikkenborg; Møller, Jacob Eifer

doi:10.1371/journal.pone.0240210

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…Labour market active patients that have suffered a cardiac event return to work at varying degrees [1][2][3][4][5][6]. Various factors drive the pace and probability of returning to work, including age, comorbidities, and psychosocial and socioeconomic factors [7].…”

Section: Introductionmentioning

confidence: 99%

Return to work: does cardiac rehabilitation make a difference? Danish nationwide register-based study

Pedersen

Kruse

Zwisler

et al. 2021

Scand J Public Health

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Aim: to assess whether participation in cardiac rehabilitation affects the probability of returning to work after ischaemic heart disease. Methods: the study population consisted of 24,509 patients (18–70 years of age) discharged from an inpatient admission at a Danish hospital during 2014–2018 and who were working before their admission. Only patients with a percutaneous coronary intervention or coronary artery bypass grafting surgery procedure and ICD-10 codes I20–I25 as their main diagnosis or ICD-10 codes I21, I240, I248 or I249 as secondary diagnosis during an emergency admission were included. Exposure was defined as participation in cardiac rehabilitation ( N = 15,742), and binary indicator of being at work in the last week of a given month were used as primary outcomes. Coarsened exact matching (CEM) of exposed and unexposed patients was used to reduce selection bias. Logistic regression models were applied on the matched population ( N = 15,762). Results: Less deprived and less comorbid patients were more likely to receive cardiac rehabilitation. CEM succeeded in arriving at a population where this selection was reduced and in this population we found that patients who received cardiac rehabilitation had a lower probability of returning to work after 3 months (OR 0.81, 95%CI: 0.77–0.84), a higher but insignificant probability after 6 (OR 1.02, 95%CI: 0.97–1.08), and a higher probability after 9 (OR 1.08, 95%CI: 1.02–1.15) and 12 months (OR 1.20, 95%CI: 1.13–1.28). Conclusions: Deprived and comorbid patients have lower use of cardiac rehabilitation. In a matched population where this bias is reduced, cardiac rehabilitation will increase the probability of returning to work.

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Section: Introductionmentioning

confidence: 99%

Return to work: does cardiac rehabilitation make a difference? Danish nationwide register-based study

Pedersen

Kruse

Zwisler

et al. 2021

Scand J Public Health

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Factors Influencing Health-Related Quality of Life, Return to Work, and Optimal Utilization of Cardiac Rehabilitation in Adults with Cardiac Disorders-A Literature Review

Murkudkar

Agarwal

Mullerpatan

2023

Crit Rev Phys Rehabil Med

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Cardiovascular disease contributes to the largest burden of noncommunicable diseases leading to death and disability globally. Cardiac rehabilitation (CR) is recognized as a secondary prevention program for patients with cardiovascular disease. Its benefits include mortality reduction, symptom relief, reduction in smoking, improved exercise tolerance, risk factors modification, psychosocial well-being, and early return to work (RTW). Although these benefits are well known, intrinsic and extrinsic factors influencing CR utilization and optimization have not been studied. Thus, the present review aimed to explore factors that influence health-related quality of life (HRQoL), RTW, and optimal utilization of cardiac rehabilitation in adults with primary cardiac disorders. A review of the literature was performed using Cochrane Library, PubMed, CINAHL, and Google Scholar databases. Fifty-eight studies published in English during 2012-2022, conducted on adult patients were included in the review. Higher education, physician support, family support, and health insurance were facilitators of a better quality of life. A socially vulnerable group, depression-anxiety, cognitive impairments, and older age negatively influence HRQoL. RTW improves HRQoL. Comprehensive CR, social support, and health-care benefits lead to early occupational reintegration. Therefore, improving referral, enrollment, adherence, and completion are deemed necessary for optimal CR utilization.

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Health Related Quality of Life for Patients after Mitral Valve Replacement Surgery

K.S.¹,

H.A.²,

I.E.³

2022

African Journal of Health, Nursing and Midwifery

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Background: Mitral valve disease is becoming a public health problem due to increasing life expectancy and new treatment methods for mitral valve replacement, mitral valve replacement surgery can be a challenging and stressful life event, however, patient experiences after mitral valve replacement surgery are inadequately described. Aim of the study: The aim of this study is to assess health related quality of life for patients after mitral valve replacement surgery. Design A descriptive exploratory research design was used to achieve the aim of this study. Setting the study was carried out in the outpatient and cardiothoracic unit at Beni–Suef University Hospital. Sample A purposive sample of all available patients (N=60). Tools: Two tools were used to collect the data. I - self – administration questionnaire II world health organization quality of life SF12 assessment questionnaire. Results: less than a quarter of the studied patients had a satisfactory level of knowledge regarding mitral valve disease. Less than half of the studied patients had low quality of life level and less than a third had a high quality of life level. A statistically significant relation was found between patients’ level of knowledge job, gender, and educational level. There is no statistically significant relation found between patient's quality of life and their age, gender, marital status, gender, job, and level of education. Conclusion: It concluded that less than a quarter of the studied patient had a satisfactory level of knowledge Overall the study has indicated that, the majority of the studied patients had educational, Physical, Psychological, Social, and mental needs to improve their QOL Recommendations: Further research is recommended to carry out on larger sample to determine patient's quality of life needs.

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Employment status before and after open heart valve surgery: A cohort study

Cited by 3 publications

References 20 publications

Return to work: does cardiac rehabilitation make a difference? Danish nationwide register-based study

Return to work: does cardiac rehabilitation make a difference? Danish nationwide register-based study

Factors Influencing Health-Related Quality of Life, Return to Work, and Optimal Utilization of Cardiac Rehabilitation in Adults with Cardiac Disorders-A Literature Review

Health Related Quality of Life for Patients after Mitral Valve Replacement Surgery

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