TY - JOUR

T1 - Self-reported mental and physical health is associated with not returning to work in patients with ischemic heart disease

AU - Saarinen, Stine Lise

AU - Borregaard, Britt

AU - Ekholm, Ola

AU - Christensen, Anne Vinggaard

AU - Thorup, Charlotte Brun

AU - Thomsen, Thordis

AU - Thrysoee, Lars

AU - Mols, Rikke Elmose

AU - Juel, Knud

AU - Berg, Selina Kikkenborg

AU - Rasmussen, Trine Bernholdt

N1 - Publisher Copyright: © 2024

PY - 2024

Y1 - 2024

N2 - Background: Ischemic Heart Disease (IHD) can lead to prolonged sick leave and loss of ability to work. This study aimed to describe non-return to work (non-RTW) across three IHD subgroups at 3 and at 12 months post discharge, and explore whether baseline characteristics, and patient-reported mental and physical health were associated with work detachment. Methods: Data from the national cohort study DenHeart were used, including the patient-reported outcomes (PROs) Short-Form 12, Hospital Anxiety and Depression Scale, Edmonton Symptom Assessment Scale and HeartQoL measured at discharge and register-based follow-up at 3 and at 12 months. A total of 3873 patients with IHD ≤ 63 years old and part of the workforce prior to hospitalisation, were included in the analyses and divided into three groups: chronic IHD/stable angina, non-STEMI (non-ST-Elevation Myocardial Infarction)/unstable angina and STEMI (ST-Elevation Myocardial Infarction). A composite outcome of ‘prolonged sick leave’ and/or ‘left the workforce’ was defined as non-return to work (non-RTW). Adjusted logistic regression models were performed. Results: Overall, the frequency of non-RTW was 37.7% and 38.0% at 3 and 12 months, respectively, thus not improving with time. The largest proportion of non-RTW was found in STEMI patients, followed by non-STEMI/unstable angina and IHD/stable angina patients. Several clinical and socio-demographic factors, as well as patient-reported mental and physical health were associated with non-RTW among the subgroups. Conclusion: The findings demonstrate a need for identifying IHD patients at risk of non-RTW after discharge based on their mental and physical health and a need for initiatives to minimize unwanted non-RTW.

AB - Background: Ischemic Heart Disease (IHD) can lead to prolonged sick leave and loss of ability to work. This study aimed to describe non-return to work (non-RTW) across three IHD subgroups at 3 and at 12 months post discharge, and explore whether baseline characteristics, and patient-reported mental and physical health were associated with work detachment. Methods: Data from the national cohort study DenHeart were used, including the patient-reported outcomes (PROs) Short-Form 12, Hospital Anxiety and Depression Scale, Edmonton Symptom Assessment Scale and HeartQoL measured at discharge and register-based follow-up at 3 and at 12 months. A total of 3873 patients with IHD ≤ 63 years old and part of the workforce prior to hospitalisation, were included in the analyses and divided into three groups: chronic IHD/stable angina, non-STEMI (non-ST-Elevation Myocardial Infarction)/unstable angina and STEMI (ST-Elevation Myocardial Infarction). A composite outcome of ‘prolonged sick leave’ and/or ‘left the workforce’ was defined as non-return to work (non-RTW). Adjusted logistic regression models were performed. Results: Overall, the frequency of non-RTW was 37.7% and 38.0% at 3 and 12 months, respectively, thus not improving with time. The largest proportion of non-RTW was found in STEMI patients, followed by non-STEMI/unstable angina and IHD/stable angina patients. Several clinical and socio-demographic factors, as well as patient-reported mental and physical health were associated with non-RTW among the subgroups. Conclusion: The findings demonstrate a need for identifying IHD patients at risk of non-RTW after discharge based on their mental and physical health and a need for initiatives to minimize unwanted non-RTW.

KW - Ischemic heart disease

KW - Mental health

KW - Patient-reported outcomes

KW - Return to work

U2 - 10.1016/j.ijcard.2024.132180

DO - 10.1016/j.ijcard.2024.132180

M3 - Journal article

C2 - 38759797

AN - SCOPUS:85193279239

VL - 409

JO - International Journal of Cardiology

JF - International Journal of Cardiology

SN - 0167-5273

M1 - 132180

ER -