Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ - Brasil.
Universidade Federal do Rio de Janeiro - Instituto do Coração Edson Abdala Saad, Rio de Janeiro, RJ - Brasil.
Arq Bras Cardiol. 2024 Sep 23;121(9):e20240068. doi: 10.36660/abc.20240068. eCollection 2024.
Noncommunicable diseases contribute to premature deaths and limitations. Disability retirement is linked to chronic conditions, particularly cardiovascular diseases. The II Brazilian Guideline for Severe Heart Disease established criteria for cardiovascular disease classification. However, there is a lack of research in this topic within federal institutions.
Evaluate the survival and causes of death among disabled retirees at UFRJ, focusing on the impact of severe heart disease.
A retrospective cohort study based on retirement and death records over 15 years. Retirements were categorized into three groups: full retirement due to severe heart disease, full retirement due to other diseases and proportional. Causes of death were obtained from death certificates. Mortality rates, survival and the presence of matching diagnoses between retirement and death were evaluated. Chi-square, log-rank, Cox models, Kaplan-Meier curves were utilized. Statistical significance with a 95% confidence interval, considering p<0.05.
There were 630 retirements, 368 (51.4%) in females, with an average age of 52.9 (SD=7.8) years, and 169 (26.8%) deaths. Mortality was higher in professors (37.0%; p=0.113), in the age group between 65 and 70 years (48.4%; p=0.004), in males (34.0%; p=0.001), and in full retirements due to severe heart disease (41.5%; p<0.001). Matching diagnoses between retirement and death were more frequent in professors (74.1%; p=0.026) and in full retirements due to severe heart disease (72.7%; p<0.001).
Severe heart disease diagnosis is associated with higher mortality and shorter survival in disabled retirees. Its frequent occurrence in retirement and death diagnoses underscores its significance in this context.
非传染性疾病导致过早死亡和身体残疾。残疾退休与慢性疾病有关，尤其是心血管疾病。巴西第二部严重心脏病学指南为心血管疾病的分类制定了标准。然而，联邦机构在这一领域的研究还很缺乏。
评估 UFRJ 残疾退休人员的生存和死亡原因，重点关注严重心脏病的影响。
这是一项基于超过 15 年退休和死亡记录的回顾性队列研究。退休人员被分为三组：因严重心脏病完全退休、因其他疾病完全退休和按比例退休。从死亡证明中获得死亡原因。评估死亡率、生存率和退休与死亡之间是否存在匹配诊断。使用卡方检验、对数秩检验、Cox 模型、Kaplan-Meier 曲线。统计显著性以 95%置信区间表示，p 值<0.05。
共有 630 名退休人员，其中 368 名（51.4%）为女性，平均年龄为 52.9 岁（标准差=7.8），169 人（26.8%）死亡。教授的死亡率较高（37.0%；p=0.113），65-70 岁年龄组（48.4%；p=0.004），男性（34.0%；p=0.001）和因严重心脏病完全退休（41.5%；p<0.001）。退休和死亡诊断之间的匹配诊断在教授中更为常见（74.1%；p=0.026）和因严重心脏病完全退休（72.7%；p<0.001）。
严重心脏病诊断与残疾退休人员的高死亡率和较短的生存期相关。其在退休和死亡诊断中的频繁出现凸显了其在这方面的重要性。
