Rimm A A, Barboriak J J, Anderson A J, Simon J S
JAMA. 1976 Jul 26;236(4):361-4.
The effect of aortocoronary vein-bypass operation on changes in occupational status was investigated in a cohort of 893 men. The median period of time between the operation and follow-up evaluation of postoperative occupational status was 14 months. The patients were divided into two age groups, with 55 years as the dividing point. The results showed that 11% of the younger men and 26% of the older group who were employed before the operation retired following the operation. In addition, 30% of the patients changed their occupational status following the operation. When occupational changes also resulted in changes in physical demands, 49% of the patients took new jobs that were less demanding physically, while 40% took jobs that were more demanding. Close to 9% of the patients were retired prior to the operation; about one fifth of them came out of retirement following the operation.
对893名男性组成的队列研究了主动脉冠状动脉静脉搭桥手术对职业状况变化的影响。手术与术后职业状况随访评估之间的中位时间为14个月。患者按年龄分为两组,以55岁为分界点。结果显示,术前就业的较年轻男性中有11%在术后退休,较年长组中有26%术后退休。此外,30%的患者术后改变了职业状况。当职业变化也导致体力需求变化时,49%的患者从事了体力要求较低的新工作,而40%的患者从事了体力要求更高的工作。近9%的患者在手术前已退休;其中约五分之一在术后重新工作。