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Employment after coronary angioplasty or coronary bypass surgery in patients employed at the time of revascularization
Autor/in:
Hlatky, Mark A.; Boothroyd, Derek; Horine, Sarah [u. a.]
Herausgeber/in:
American College of Physicians
Quelle:
Annals of Internal Medicine, 1998, Volume 129 (Number 7), Seite 543-547, Philadelphia, Pennsylvania: Eigenverlag, ISSN: 0003-4819
Jahr:
1998
Abstract:
Background:
Patients who undergo coronary angioplasty have a shorter convalescence than those who undergo coronary bypass surgery. This may improve subsequent employment.
Objective:
To compare employment patterns after coronary angioplasty or surgery.
Design:
Multicenter, randomized clinical trial.
Setting:
Seven tertiary care hospitals. PATIENTS: 409 employed patients with multivessel coronary artery disease.
Intervention:
Coronary bypass surgery or balloon angioplasty.
Measurements:
Time to return to work and time spent working during 4 years of follow-up.
Results:
Patients who underwent angioplasty returned to work 6 weeks sooner than patients who underwent coronary bypass surgery (P < 0.001), but long-term employment did not differ significantly (P > 0.2). Long-term employment was significantly lower among patients who were 60 to 64 years of age (P < 0.001), those who worked less than full-time at study entry (P < 0.001), and those who had less formal education (P = 0.005). Patients with only one source of health insurance were more likely to continue working (P = 0. 005).
Conclusions:
Faster recovery after angioplasty speeds return to work but does not improve long-term employment, which is primarily associated with nonmedical factors.
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Schlagworte:
Informationen in der ICF:
Dokumentart:
Zeitschriftenbeitrag / Forschungsergebnis
Bezugsmöglichkeit:
Annals of Internal Medicine
Homepage: https://www.acpjournals.org/journal/aim
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Referenznummer:
R/ZA5301
Informationsstand: 12.02.2004
