Return to work after coronary artery bypass in patients aged under 50 years

Pinto, Nigel, Shah, Pallav, Haluska, Brian, Griffin, Rayleene, Holliday, Julie and Mundy, Julie (2012) Return to work after coronary artery bypass in patients aged under 50 years. Asian Cardiovascular and Thoracic Annals, 20 4: 387-391. doi:10.1177/0218492312437881

Author Pinto, Nigel
Shah, Pallav
Haluska, Brian
Griffin, Rayleene
Holliday, Julie
Mundy, Julie
Title Return to work after coronary artery bypass in patients aged under 50 years
Journal name Asian Cardiovascular and Thoracic Annals   Check publisher's open access policy
ISSN 0218-4923
Publication date 2012-08
Sub-type Article (original research)
DOI 10.1177/0218492312437881
Open Access Status
Volume 20
Issue 4
Start page 387
End page 391
Total pages 5
Place of publication London, United Kingdom
Publisher Sage Publications
Language eng
Subject 2705 Cardiology and Cardiovascular Medicine
2746 Surgery
2740 Pulmonary and Respiratory Medicine
2700 Medicine
Formatted abstract
Background: This study was designed to identify factors associated with return to work and quality of life in patients undergoing primary coronary artery bypass at age <50 years.

Methods: 172 patients <50-years old underwent primary coronary artery bypass between January 2000 and December 2006. Predictors of return to work were analysed from variables in a prospectively collected database and on follow-up by the SF-36 questionnaire in 129 (75%) patients.

Results: 136 (79%) patients were working prior to surgery. The educational level was: primary 14.5%, secondary 47%, trade 22%, tertiary 13%, and postgraduate 3%. Type of occupation was blue collar 51%, white collar 41%, pensioner 27%, and unspecfied 8%. The mean follow-up was 86.4±23.4 months. One hundred and twenty-six (69%) patients attended cardiac rehabilitation. Forty (23%) patients experienced recurrence of symptoms; 11 (6%) required reintervention. One hundred and twenty-seven (93%) patients returned to work postoperatively. Univariate predictors of return to work were male sex, blue-collar work, and working prior to surgery. Independent predictors of return to work were working prior to surgery and blue-collar work. Patients who returned to work had significantly higher scores in all 8 domains on the SF36-Questionnaire compared to those who did not return to work.

Conclusions: Preoperative employment and blue collar occupation were associated with a higher rate of return to work after coronary artery bypass in patients of working age. Patients who returned to work had significantly better measured quality of life than those who did not.
Keyword Coronary artery bypass
Coronary disease
Quality of life
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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