在就业人群中心房颤动和其他心律失常的负担：相关成本、缺勤和客观生产力损失。
The burden of atrial fibrillation and other cardiac arrhythmias in an employed population: associated costs, absences, and objective productivity loss.
机构信息
Human Capital Management Services, Inc, Cheyenne, Wyo 82001, USA.
出版信息
J Occup Environ Med. 2010 Apr;52(4):383-91. doi: 10.1097/JOM.0b013e3181d967bc.
OBJECTIVE
To establish the burden of atrial fibrillation (AF) and other cardiac arrhythmias (CA) in an employed population.
METHODS
Regression model analysis comparing objective work output, employee turnover, comorbidity prevalence, total health benefit (health care, drug, sick leave, disability, workers' compensation) costs, and absence days for AF versus Non-AF and CA versus Non-CA cohorts, while controlling for differences in patient characteristics.
RESULTS
Cohort sizes were 1403 (AF), 323,333 (Non-AF), 4497 (CA), and 318,917 (Non-CA) employees. Annual AF benefit costs exceeded Non-AF costs by $3958. CA costs exceeded Non-CA costs by $2897. AF and CA cohorts had significantly more sick leave and short-term disability absence days than Non-AF and Non-CA cohorts, respectively. Annual CA work output was significantly lower than Non-CA output.
CONCLUSIONS
AF and CA place significant cost, absence, and productivity burdens on employers.
目的
在就业人群中确定心房颤动（AF）和其他心律失常（CA）的负担。
方法
回归模型分析比较了 AF 与非-AF 以及 CA 与非-CA 队列的客观工作产出、员工离职率、合并症患病率、总健康福利（医疗保健、药物、病假、残疾、工人赔偿）成本和缺勤天数，同时控制了患者特征的差异。
结果
队列规模分别为 1403 名（AF）、323333 名（非-AF）、4497 名（CA）和 318917 名（非-CA）员工。AF 的年度福利成本比非-AF 高出 3958 美元。CA 的成本比非-CA 高出 2897 美元。AF 和 CA 队列的病假和短期残疾缺勤天数明显多于非-AF 和非-CA 队列。CA 的年度工作产出明显低于非-CA 产出。
结论
AF 和 CA 给雇主带来了巨大的成本、缺勤和生产力负担。
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