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

Abstract

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

Preoperative Mental Health Scores and Achieving Patient Acceptable Symptom State Are Predictive of Return to Work After Arthroscopic Rotator Cuff Repair

“…25,26 Psychosocial factors have long been understood to influence outcomes after intervention in cardiac, orthopaedic, gynecologic, urologic, gastrointestinal, and transplant surgeries. 18,31,35,42,43 Specifically, these factors include mood, attitude toward surgery, social support, coping, and personality. The association between mental health and RTW has not been previously demonstrated among patients undergoing rotator cuff repair, but our findings mirror previous literature regarding psychological influences on return to sport in anterior cruciate ligament reconstruction.…”

Patient-reported outcomes predict return to work and health-related quality of life six months after cardiac rehabilitation: Results from a German multi-centre registry (OutCaRe)

“…Our findings go along with an Iranian study of 248 patients after coronary bypass surgery, where the probability of returning early to work was 2.3 times higher in patients with job stress. [46] We assume that patients who report a higher perception of work stress may hold a leading position with a higher degree of personal identification and recognition, resulting in a greater motivation to return to work. This interpretation is quite speculative, but may be supported by the fact that the proportion of patients who returned to work was significantly higher by 14 percentage points in highly educated versus less-educated patients (78% vs. 64%).…”

Physiological and Psychological Determinants of Quality of Life for Patients after Cardiac Surgery and the Associated Factors

“…In contrast to a study that didn't find a significant association between pre-HRQOL and post-surgery level in patients after cardiac surgery [8]. [16]. This study conducted to identify factors determines early return to work after six months of CABG.…”

“…The study identified four 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 [16].…”