Lundbom J, Myhre H O, Ystgaard B, Bolz K D, Hammervold R, Levang O W
Department of Surgery, Regional Hospital and University Clinic, Trondheim, Norway.
Scand J Thorac Cardiovasc Surg. 1992;26(3):187-92. doi: 10.3109/14017439209099076.
Factors influencing the effect on employment status were investigated in 250 patients (males: females 224:26) who underwent coronary artery bypass surgery between March 1983 and November 1985. The median age at operation was 57.9 (range 36.6-69.4) years and the median follow-up time 32 (19-52) months. Preoperatively 149 patients (59.6%) were receiving sick pay or disability pension because of their heart disease. Only 64 (25.6%) were gainfully employed, in contrast to 97 (38.8%) at follow-up. Of those who were working at the time of operation, all but eight returned to work postoperatively. At follow-up 183 (80.3%) were free from symptoms or much improved, with degree of improvement somewhat greater in those who were working postoperatively. The period of sick leave and the preoperative waiting time were significantly shorter for patients who were working postoperatively than for those who were awarded disability pension. Age, previous myocardial infarction, duration of preoperative angina and type of work were also found to influence postoperative employment status.
在1983年3月至1985年11月期间接受冠状动脉搭桥手术的250例患者（男:女为224:26）中，研究了影响就业状况的因素。手术时的中位年龄为57.9岁（范围36.6 - 69.4岁），中位随访时间为32个月（19 - 52个月）。术前，149例患者（59.6%）因心脏病领取病假工资或残疾抚恤金。只有64例（25.6%）有收益性工作，相比之下，随访时为97例（38.8%）。在手术时工作的患者中，除8例外，其余术后均恢复工作。随访时，183例（80.3%）无症状或有很大改善，术后工作的患者改善程度略大。术后工作的患者病假时间和术前等待时间明显短于获得残疾抚恤金的患者。年龄、既往心肌梗死、术前心绞痛持续时间和工作类型也被发现会影响术后就业状况。
