Rasmus Rørth1, Chih Wong2, Kristian Kragholm2, Emil L Fosbøl2, Ulrik M Mogensen2, Morten Lamberts2, Mark C Petrie2, Pardeep S Jhund2, Thomas A Gerds2, Christian Torp-Pedersen2, Gunnar H Gislason2, John J V McMurray2, Lars Køber2, Søren L Kristensen2. 1. From Department of Cardiology, Rigshospitalet, University of Copenhagen, Denmark (R.R., E.L.F., U.M.M., L.K., S.L.K.); BHF Cardiovascular Research Centre, University of Glasgow, UK (C.W., U.M.M., M.C.P., P.S.J., J.J.V.M., S.L.K.); Department of Anesthesiology and Intensive Care Medicine, Cardiovascular Research Centre, Aalborg University Hospital, Denmark (K.K.); Department of Cardiology, Gentofte University Hospital, Copenhagen, Denmark (M.L., G.H.G.); Department of Public health, Section of Biostatistics, University of Copenhagen, Denmark (T.A.G.); and Department of Health, Science and Technology, Aalborg University, Denmark (C.T.-P.). rasmusroerth@hotmail.com. 2. From Department of Cardiology, Rigshospitalet, University of Copenhagen, Denmark (R.R., E.L.F., U.M.M., L.K., S.L.K.); BHF Cardiovascular Research Centre, University of Glasgow, UK (C.W., U.M.M., M.C.P., P.S.J., J.J.V.M., S.L.K.); Department of Anesthesiology and Intensive Care Medicine, Cardiovascular Research Centre, Aalborg University Hospital, Denmark (K.K.); Department of Cardiology, Gentofte University Hospital, Copenhagen, Denmark (M.L., G.H.G.); Department of Public health, Section of Biostatistics, University of Copenhagen, Denmark (T.A.G.); and Department of Health, Science and Technology, Aalborg University, Denmark (C.T.-P.).
Abstract
BACKGROUND: Return to work is important financially, as a marker of functional status and for self-esteem in patients developing chronic illness. We examined return to work after first heart failure (HF) hospitalization. METHODS: By individual-level linkage of nationwide Danish registries, we identified 21 455 patients of working age (18-60 years) with a first HF hospitalization in the period from 1997 to 2012. Of these patients, 11 880 (55%) were in the workforce before HF hospitalization and comprised the study population. We applied logistic regression to estimate odds ratios for associations between age, sex, length of hospital stay, level of education, income, comorbidity, and return to work. RESULTS: One year after first HF hospitalization, 8040 (67.7%) returned to the workforce, 2981 (25.1%) did not, 805 (6.7%) died, and 54 (0.5%) emigrated. Predictors of return to work included younger age (18-30 versus 51-60 years; odds ratio [OR], 3.12; 95% confidence interval [CI], 2.42-4.03), male sex (OR, 1.22; 95% CI, 1.12-1.34), and level of education (long-higher versus basic school; OR, 2.06; 95% CI, 1.63-2.60). Conversely, hospital stay >7 days (OR, 0.56; 95% CI, 0.51-0.62) and comorbidity including history of stroke (OR, 0.55; 95% CI, 0.45-0.69), chronic kidney disease (OR, 0.46; 95% CI, 0.36-0.59), chronic obstructive pulmonary disease (OR, 0.62; 95% CI, 0.52-0.75), diabetes mellitus (OR 0.76; 95% CI, 0.68-0.85), and cancer (OR, 0.49; 95% CI, 0.40-0.61) were all significantly associated with lower chance of return to work. CONCLUSIONS: Patients in the workforce before HF hospitalization had low mortality but high risk of detachment from the workforce 1 year later. Young age, male sex, and a higher level of education were predictors of return to work.
BACKGROUND: Return to work is important financially, as a marker of functional status and for self-esteem in patients developing chronic illness. We examined return to work after first heart failure (HF) hospitalization. METHODS: By individual-level linkage of nationwide Danish registries, we identified 21 455 patients of working age (18-60 years) with a first HF hospitalization in the period from 1997 to 2012. Of these patients, 11 880 (55%) were in the workforce before HF hospitalization and comprised the study population. We applied logistic regression to estimate odds ratios for associations between age, sex, length of hospital stay, level of education, income, comorbidity, and return to work. RESULTS: One year after first HF hospitalization, 8040 (67.7%) returned to the workforce, 2981 (25.1%) did not, 805 (6.7%) died, and 54 (0.5%) emigrated. Predictors of return to work included younger age (18-30 versus 51-60 years; odds ratio [OR], 3.12; 95% confidence interval [CI], 2.42-4.03), male sex (OR, 1.22; 95% CI, 1.12-1.34), and level of education (long-higher versus basic school; OR, 2.06; 95% CI, 1.63-2.60). Conversely, hospital stay >7 days (OR, 0.56; 95% CI, 0.51-0.62) and comorbidity including history of stroke (OR, 0.55; 95% CI, 0.45-0.69), chronic kidney disease (OR, 0.46; 95% CI, 0.36-0.59), chronic obstructive pulmonary disease (OR, 0.62; 95% CI, 0.52-0.75), diabetes mellitus (OR 0.76; 95% CI, 0.68-0.85), and cancer (OR, 0.49; 95% CI, 0.40-0.61) were all significantly associated with lower chance of return to work. CONCLUSIONS:Patients in the workforce before HF hospitalization had low mortality but high risk of detachment from the workforce 1 year later. Young age, male sex, and a higher level of education were predictors of return to work.
Authors: Sidsel Marie Bernt Jørgensen; Nina Føns Johnsen; Thomas Alexander Gerds; Stig Brøndum; Thomas Maribo; Gunnar Gislason; Maria Kristiansen Journal: BMC Public Health Date: 2022-05-27 Impact factor: 4.135
Authors: Kristian Bundgaard Ringgren; Elisabeth Helen Anna Mills; Erika Frischknecht Christensen; Rikke Nørmark Mortensen; Christian Torp-Pedersen; Kristian Hay Kragholm Journal: BMC Emerg Med Date: 2020-11-12
Authors: Yüksel Çavuşoğlu; Hakan Altay; Dursun Aras; Ahmet Çelik; Fatih Sinan Ertaş; Barış Kılıçaslan; Sanem Nalbantgil; Ahmet Temizhan; Dilek Ural; Özlem Yıldırımtürk; Mehmet Birhan Yılmaz Journal: Balkan Med J Date: 2022-07-22 Impact factor: 3.570
Authors: Jacob Tfelt-Hansen; Peter E Weeke; Camilla H B Jespersen; Jawad Haider Butt; Johanna Krøll; Bo Gregers Winkel; Jørgen K Kanters; Gunnar Gislason; Christian Torp-Pedersen; Henning Bundgaard; Henrik Kjærulf Jensen; Lars Køber Journal: Open Heart Date: 2022-07
Authors: Laerke Smedegaard; Anna-Karin Numé; Mette Charlot; Kristian Kragholm; Gunnar Gislason; Peter R Hansen Journal: J Am Heart Assoc Date: 2017-10-04 Impact factor: 5.501
Authors: Britt Borregaard; Jordi S Dahl; Ola Ekholm; Emil Fosbøl; Lars P S Riber; Kirstine L Sibilitz; Sasja M Pedersen; Thomas P H Rothberg; Maiken H Nielsen; Selina K Berg; Jacob E Møller Journal: PLoS One Date: 2020-10-07 Impact factor: 3.240