Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Transpl Int. 2024 Apr 17;37:12230. doi: 10.3389/ti.2024.12230. eCollection 2024.
Most studies on vocational rehabilitation after heart transplantation (HTX) are based on self-reported data. Danish registries include weekly longitudinal information on all public transfer payments. We intended to describe 20-year trends in employment status for the Danish heart-transplant recipients, and examine the influence of multimorbidity and socioeconomic position (SEP). Linking registry and Scandiatransplant data (1994-2018), we conducted a study in recipients of working age (19-63 years). The cohort contained 492 recipients (79% males) and the median (IQR) age was 52 years (43-57 years). Five years after HTX, 30% of the survived recipients participated on the labor market; 9% were in a flexible job with reduced health-related working capacity. Moreover, 60% were retired and 10% eligible for labor market participation were unemployed. Recipients with multimorbidity had a higher age and a lower prevalence of employment. Five years after HTX, characteristics of recipients with labor market participation were: living alone (27%) versus cohabitation (73%); low (36%) versus medium-high (64%) educational level; low (13%) or medium-high (87%) income group. Heart-transplant recipients with multimorbidity have a higher age and a lower prevalence of employment. Socioeconomically disadvantaged recipients had a lower prevalence of labor market participation, despite being younger compared with the socioeconomically advantaged.
大多数心脏移植（HTX）后的职业康复研究都基于自我报告数据。丹麦登记处包括每周关于所有公共转移支付的纵向信息。我们旨在描述丹麦心脏移植受者 20 年来的就业状况趋势，并检查多发病和社会经济地位（SEP）的影响。通过将登记处和 Scandiatransplant 数据（1994-2018 年）进行关联，我们对处于工作年龄（19-63 岁）的受者进行了一项研究。该队列包含 492 名受者（79%为男性），中位（IQR）年龄为 52 岁（43-57 岁）。在 HTX 后 5 年，30%的存活受者参与劳动力市场；9%从事健康相关工作能力降低的灵活工作。此外，60%退休，10%有资格参与劳动力市场的人失业。多发病的受者年龄较大，就业比例较低。在 HTX 后 5 年，参与劳动力市场的受者的特征是：独居（27%）与同居（73%）；低（36%）与中高（64%）教育水平；低（13%）或中高（87%）收入群体。多发病的心脏移植受者年龄较大，就业比例较低。尽管与社会经济地位较高的受者相比，社会经济地位较低的受者参与劳动力市场的比例较低。
