Department of Internal Medicine, Hatanpää Hospital, Tampere, Finland. ville.hallberg@ tampere.fi
Scand Cardiovasc J. 2009;43(5):277-84. doi: 10.1080/14017430802506601.
To establish which factors influence patients' return to work and how well they remain at work after coronary artery bypass grafting (CABG).
Five hundred and sixty nine consecutive CABG patients aged less than 65 years were followed for 10 years. Data were collected from patient records and by questionnaires supplemented with information from Finnish national archives.
Multivariate analysis showed the best predictors for return to work to be younger age, preoperative working, as well as absence of diabetes or perioperative cardiac damage. Almost half of the patients aged less than 60 and preoperatively not retired were working one year after CABG. Five years postoperatively, 85% of patients younger than 60 years and once returned to work were still working. Correspondingly, of subjects remaining under 60 years during a 10-year follow-up, 75% continued working.
Younger age and preoperative employment were the most important predictors of successful return to work. Once returned after CABG, patients' staying at work was comparable with that in the general population.
确定哪些因素会影响患者术后重返工作岗位的情况,以及他们在冠状动脉旁路移植术(CABG)后的工作保持情况。
对 569 例年龄小于 65 岁的连续 CABG 患者进行了 10 年的随访。数据来自患者病历和问卷调查,并通过芬兰国家档案中的信息进行了补充。
多变量分析显示,影响患者重返工作岗位的最佳预测因素是年龄较小、术前工作,以及没有糖尿病或围手术期心脏损伤。近一半年龄小于 60 岁且术前未退休的患者在 CABG 后一年仍在工作。术后 5 年,年龄小于 60 岁且曾经重返工作岗位的患者中有 85%仍在工作。相应地,在 10 年随访期间仍未满 60 岁的患者中,有 75%继续工作。
年龄较小和术前就业是成功重返工作岗位的最重要预测因素。一旦 CABG 后重返工作岗位,患者的工作保持情况与一般人群相当。