Department of Cardiology, Centro Hospitalar e Universitário do Algarve, Faro, Portugal.
IQVIA, Zaventem, Belgium.
Rev Port Cardiol (Engl Ed). 2021 Feb;40(2):109-115. doi: 10.1016/j.repc.2020.05.019. Epub 2021 Feb 10.
To present the Portuguese results of a multi-country cross-sectional survey aiming to estimate productivity loss in the first year after an acute coronary syndrome (ACS) or stroke.
Patients previously hospitalized for ACS or stroke were enrolled during a routine cardiology/neurology visit 3-12 months after the index event and ≥4 weeks after returning to work. Productivity loss for the patient and the caregiver in the previous four weeks were reported by the patient using the validated iMTA Productivity Cost Questionnaire (iPCQ). Hours lost were converted into eight-hour work days and prorated to one year, combined with initial hospitalization and sick leave, and valued according to Portuguese labor costs.
The analysis included 39 employed patients with ACS (mean age 51 years, 80% men, 95% with myocardial infarction, mean left ventricular ejection fraction 55%) and 31 with stroke (mean age 50 years, 80% men, all ischemic, 77% with modified Rankin Scale 0-1); 41% of ACS and 10% of stroke patients had a history of cardiovascular disease. Mean (SD) productivity loss for patients and caregivers was 47 (62) work days for ACS and 76 (101) work days for stroke. ACS patients lost 37 (39) and caregivers lost 10 (42) work days. Stroke patients and caregivers lost 65 (78) and 12 (38) work days, respectively. Total mean indirect cost per case was €5403 (€7095) and €8726 (€11558) for employed patients with ACS and stroke, respectively.
The annual proportions of productive time lost by employed patients due to ACS and stroke in Portugal were 17% and 27%, respectively. Caregivers of these patients lost about 5% of their annual productive time.
呈现一项多国家横断面调查的葡萄牙结果，该调查旨在估计急性冠状动脉综合征（ACS）或中风后第一年的生产力损失。
在索引事件后 3-12 个月且返回工作岗位后 4 周以上的常规心脏病学/神经病学就诊期间，招募先前因 ACS 或中风住院的患者。患者使用经过验证的 iMTA 生产力成本问卷（iPCQ）报告前四周内患者和护理人员的生产力损失。损失的小时数转换为八小时工作日，并按比例分配到一年，加上初始住院和病假，并根据葡萄牙劳动力成本进行估值。
分析包括 39 名患有 ACS（平均年龄 51 岁，80%为男性，95%为心肌梗死，平均左心室射血分数 55%）和 31 名患有中风（平均年龄 50 岁，80%为男性，均为缺血性，77%改良 Rankin 量表为 0-1）的在职患者；ACS 患者中有 41%和中风患者中有 10%有心血管疾病史。ACS 和中风患者的患者和护理人员的平均（SD）生产力损失分别为 47（62）个工作日和 76（101）个工作日。ACS 患者损失了 37（39）个工作日，护理人员损失了 10（42）个工作日。中风患者和护理人员分别损失了 65（78）和 12（38）个工作日。每位在职 ACS 和中风患者的总平均间接成本分别为 5403 欧元（7095 欧元）和 8726 欧元（11558 欧元）。
葡萄牙 ACS 和中风导致在职患者每年失去生产时间的比例分别为 17%和 27%。这些患者的护理人员每年大约损失 5%的生产时间。
