Workforce affiliation in primary and secondary prevention implantable cardioverter defibrillator patients: a nationwide Danish study.

IF 4.8 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

European Heart Journal - Quality of Care and Clinical Outcomes Pub Date : 2024-06-20 DOI:10.1093/ehjqcco/qcad054

Simone H Rosenkranz, Charlotte H Wichmand, Lærke Smedegaard, Sidsel Møller, Jenny Bjerre, Morten Schou, Christian Torp-Pedersen, Berit T Philbert, Charlotte Larroudé, Thomas M Melchior, Jens C Nielsen, Jens B Johansen, Sam Riahi, Teresa Holmberg, Gunnar Gislason, Anne-Christine Ruwald

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引用次数: 0

Abstract

Background and aim: There are a paucity of studies investigating workforce affiliation in connection with first-time implantable cardioverter defibrillator (ICD)-implantation. This study explored workforce affiliation and risk markers associated with not returning to work in patients with ICDs.

Methods: Using the nationwide Danish registers, patients with a first-time ICD-implantation between 2007 and 2017 and of working age (30-65 years) were identified. Descriptive statistic and logistic regression models were used to describe workforce affiliation and to estimate risk markers associated with not returning to work, respectively. All analyses were stratified by indication for implantation (primary and secondary prevention).

Results: Of the 4659 ICD-patients of working age, 3300 patients (71%) were members of the workforce (employed, on sick leave or unemployed) (primary: 1428 (43%); secondary:1872 (57%)). At baseline, 842 primary and 1477 secondary prevention ICD-patients were employed. Of those employed at baseline, 81% primary and 75% secondary prevention ICD-patients returned to work within 1 year, whereof more than 80% remained employed the following year. Among patients receiving sick leave benefits at baseline, 25% were employed after 1 year. Risk markers of not returning to work were 'younger age' in primary prevention ICD-patients, while 'female sex', left ventricular ejection fraction 'LVEF ≤40', 'lower income', and '≥3 comorbidities' were risk markers in secondary prevention ICD-patients. Lower educational level was a risk marker in both patient groups.

Conclusion: High return-to-work proportions following ICD-implantation, with a subsequent high level of employment maintenance were found. Several significant risk markers of not returning to work were identified including 'lower educational level' that posed a risk in both patient groups.

Trial registration number: Capital Region of Denmark, P-2019-051.

查看原文本刊更多论文

植入式心律转复除颤器一级预防和二级预防患者的隶属关系：一项丹麦全国性研究。

背景和目的：很少有研究调查与首次植入心律转复除颤器（ICD）相关的劳动力隶属关系。本研究探讨了与 ICD 患者不重返工作岗位相关的劳动力隶属关系和风险指标：利用丹麦全国范围的登记册，对 2007 年至 2017 年间首次植入 ICD 的工作年龄（30-65 岁）患者进行了识别。描述性统计和逻辑回归模型分别用于描述劳动力隶属关系和估算与不重返工作岗位相关的风险指标。所有分析均按植入适应症（一级预防和二级预防）进行分层：在 4659 名处于工作年龄的 ICD 患者中，有 3300 名患者（71%）属于劳动力（就业、病假或失业）（一级预防：1428 人（43%）；二级预防：1872 人（57%））。基线时，842 名一级预防 ICD 患者和 1477 名二级预防 ICD 患者有工作。在基线时就业的患者中，81% 的一级预防 ICD 患者和 75% 的二级预防 ICD 患者在 1 年内重返工作岗位，其中 80% 以上的患者在第二年继续就业。在基线时享受病假福利的患者中，有 25% 在 1 年后继续就业。在一级预防ICD患者中，"年龄较小 "是不能重返工作岗位的风险标志，而在二级预防ICD患者中，"女性"、左心室射血分数 "LVEF ≤40"、"收入较低 "和 "合并症≥3 "是风险标志。教育程度较低是两组患者的风险标志：结论：ICD 植入术后重返工作岗位的比例很高，随后的就业维持率也很高。结论：研究发现，植入 ICD 后重返工作岗位的比例很高，随后的就业维持率也很高。研究还发现了几个无法重返工作岗位的重要风险指标，其中 "教育程度较低 "在两组患者中都存在风险：丹麦首都地区，P-2019-051。

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来源期刊

European Heart Journal - Quality of Care and Clinical Outcomes CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

9.40

自引率

3.80%

发文量

期刊介绍： European Heart Journal - Quality of Care & Clinical Outcomes is an English language, peer-reviewed journal dedicated to publishing cardiovascular outcomes research. It serves as an official journal of the European Society of Cardiology and maintains a close alliance with the European Heart Health Institute. The journal disseminates original research and topical reviews contributed by health scientists globally, with a focus on the quality of care and its impact on cardiovascular outcomes at the hospital, national, and international levels. It provides a platform for presenting the most outstanding cardiovascular outcomes research to influence cardiovascular public health policy on a global scale. Additionally, the journal aims to motivate young investigators and foster the growth of the outcomes research community.