初级和二级预防植入式心脏转换器除器患者的劳动力归属:一项全国性的丹麦研究
Simone H Rosenkranz1, Charlotte H Wichmand1, Lærke Smedegaard1
1Department of Cardiology, Copenhagen University Hospital, Herlev and Gentofte, Hellerup, Denmark.
European heart journal. Quality of care & clinical outcomes
|September 8, 2023
概括
大多数接受植入式心脏转换器除器 (ICD) 的患者可以恢复工作,但教育程度较低和其他因素增加了无法恢复工作的风险. 本研究确定了ICD植入后重新进入劳动力的关键风险标志物.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 职业医学 职业医学是专业的.
背景情况:
- 有限的研究存在于植入心脏转换器除器 (ICD) 植入后的劳动力归属.
- 了解返回工作的因素对于患者的福祉和医疗保健系统的效率至关重要.
研究的目的:
- 调查首次进行ICD植入的患者的劳动力归属.
- 确定与ICD植入后无法返回工作相关的风险标志物.
主要方法:
- 利用全国性的丹麦登记册来识别初次ICD植入的劳动年龄患者 (30-65岁) (2007-2017).
- 雇员描述性统计和物流回归模型用于分析劳动力归属和风险标志物.
- 根据ICD植入的指示进行分层分析 (初级和二级预防).
主要成果:
- 在4659名患者中,有71%的人在工作中;81% (初级预防) 和75% (二级预防) 的就业患者在一年内恢复工作.
- 不重返工作的风险标志物包括年龄较小 (初级预防),女性性别,排泄率降低 (LVEF ≤40%),收入较低和多种并发病 (二级预防).
- 在初级和二级预防组中,较低的教育水平是无法返回工作的重要风险标志物.
结论:
- 在ICD植入后,高比例的患者恢复工作,并获得持续的就业机会.
- 确定了显著的风险标志物,特别是较低的教育水平,影响了回归工作率.
- 调查结果强调,需要针对那些有长期缺勤风险的患者提供有针对性的支持.
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