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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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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

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