Bradshaw Pamela J, Jamrozik Konrad, Gilfillan Ian S, Thompson Peter L
School of Population Health, The University of Western Australia, M431, 35 Stirling Highway, Crawley, WA 6009, Australia.
Heart Lung Circ. 2005 Sep;14(3):191-6. doi: 10.1016/j.hlc.2004.12.022. Epub 2005 Jun 2.
Return to paid employment may be facilitated by coronary artery bypass graft (CABG) surgery. We assessed work status in a population-based study of long-term outcomes of CABG.
To determine the association between returning to work after CABG and clinical and socio-demographic factors.
A postal survey of 2,500 randomly selected patients 6-20 years post-CABG. The outcomes assessed were work status in the year before and after CABG and health-related quality of life (HRQOL) measured with SF-36.
Response was 82% (n = 2,061). Employment fell from 56% in the year prior to CABG to 42% in the year after. Workers in 'blue-collar' occupations were more likely to reduce their work status than those in 'white collar' occupations (46% versus 29%, p < 0.001). Independent predictors of reducing employment were increasing age (9% per year, 99% CI: 1.06-1.11, p < 0.001), 'blue-collar' versus 'white collar' occupation (OR: 2.1, 99% CI: 1.4-3.1) and female sex (OR: 2.1, 99% CI: 1.1-3.6). HRQOL among participants under 60 years of age at follow-up was better for those who returned to work after CABG surgery.
CABG surgery is followed by a net loss to paid employment of working age patients which increases with age, and is more likely for those in blue-collar occupations and women.
冠状动脉旁路移植术（CABG）手术可能有助于患者恢复带薪工作。我们在一项基于人群的CABG长期预后研究中评估了工作状态。
确定CABG术后恢复工作与临床及社会人口学因素之间的关联。
对2500例随机选取的CABG术后6至20年的患者进行邮寄调查。评估的结果包括CABG术前和术后一年的工作状态，以及用SF-36量表测量的健康相关生活质量（HRQOL）。
回复率为82%（n = 2061）。就业率从CABG术前一年的56%降至术后一年的42%。从事“蓝领”职业的工人比从事“白领”职业的工人更有可能降低工作状态（46%对29%，p < 0.001）。就业减少的独立预测因素包括年龄增长（每年9%，99%CI：1.06 - 1.11，p < 0.001）、“蓝领”与“白领”职业（OR：2.1，99%CI：1.4 - 3.1）以及女性（OR：2.1，99%CI：1.1 - 3.6）。随访时年龄在60岁以下且CABG术后恢复工作的参与者的HRQOL更好。
CABG手术后，工作年龄患者的带薪就业出现净损失，且随年龄增长而增加，蓝领职业者和女性更易出现这种情况。
