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[The return to work after coronary revascularization]

J A Sobrino1, J L Merino, I Maté

  • 1Unidad Médico-Quirúrgica de Cardiología, Hospital La Paz, Madrid.

Revista Espanola De Cardiologia
|March 1, 1995
PubMed
Summary

Coronary artery revascularization, particularly surgery, significantly reduced work resumption rates in Spanish patients. Most patients did not return to work post-procedure, indicating a surprising link to working cessation.

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Area of Science:

  • Cardiology
  • Public Health
  • Occupational Medicine

Background:

  • Work resumption is a key indicator of therapeutic success post-intervention.
  • Previous studies on working status after coronary revascularization exist for Western countries.
  • Limited data is available on this topic within Spain.

Purpose of the Study:

  • To investigate work resumption rates after coronary artery revascularization in a Spanish population.
  • To analyze the impact of different revascularization methods (surgery vs. angioplasty) on return-to-work.
  • To identify factors influencing post-procedure employment status.

Main Methods:

  • A study involving 210 patients undergoing coronary artery revascularization (surgery or percutaneous transluminal coronary angioplasty).

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  • Exclusion criteria included age 65+ and female sex (n=64).
  • Comparison of working rates before and after interventions, and between symptomatic and asymptomatic patients.

    • Main Results:

    • Work rates decreased significantly post-revascularization: from 63.2% to 28.9% for surgery, and 57.1% to 41.4% for angioplasty.
    • Very few inactive patients returned to work post-procedure.
    • Asymptomatic patients after angioplasty had higher return-to-work rates (58.1%) than symptomatic ones (11.1%, p < 0.0001).

    Conclusions:

    • Coronary artery revascularization, especially surgery, appears to be a significant factor in work cessation in the studied Spanish population.
    • The findings contrast with expectations and highlight a need for further investigation into socioeconomic impacts.
    • Intervention type and patient symptomatology influence return-to-work outcomes.