Assessment of the length of sick leave in patients with ischemic heart disease

BMC Cardiovascular Disorders

Research Article

Catalina Serna Arnaiz¹  Nausica Català Tella¹  Leonardo Galván Santiago²  Jordi Real Gatius³  Oriol Yuguero Torres⁴ 

[1] ABS Eixample, Institut Català de la Salut, Balmes avenue, 4, 25006, Lleida, Spain;Departament Català de la Salut, Servicio de farmacia, Lleida, Spain;Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Lleida, Spain;Facultat de Medicina i Ciències de la Salut, Universitat Internacional de Catalunya, Sant Cugat, Barcelona, Spain;Servicio de Urgencias del Hospital Universitari Arnau de Vilanova, Lleida, Spain;

关键词: Sick leave;    Ischemic heart disease;    Acute coronary syndrome;    Coronary heart disease;    Acute myocardial ischemia;    Cost;    Anxiety/depression;   

DOI  :  10.1186/s12872-016-0460-7

 received in 2016-06-04, accepted in 2016-12-23,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe prevalence of ischemic heart disease is high. Few recent studies have investigated the periods of sick leave of these patients. Our aim is to determine the length of sick leave after an acute coronary syndrome, its costs, associated factors and to assess the use of antidepressants and/or anxiolytics.MethodsAn observational study of a retrospective cohort of patients on sick leave due to ischemic heart disease in a health region between 2008–2011, with follow-up until the first return to work, death, or end of the study (31/12/2012). Measurements: length of sick leave, sociodemographic variables and medical prescriptions.ResultsFour hundred and ninety-seven patients (mean age 53 years, 90.7% male), diagnosed with acute myocardial infarction (60%), angina pectoris (20.7%) or chronic form of ischemic heart disease (19.1%). Thirty-seven per cent of patients took anxiolytics the year after diagnosis and 15% took antidepressants. The average duration of sick leave was 177 days (95% CI: 163–191 days). Patients diagnosed with acute myocardial infarction returned to work after a mean of 192 days, compared to 128 days in cases with angina pectoris. Patients who took antidepressants during the year after diagnosis returned to work after a mean of 240 days. The mean work productivity loss was estimated to be 9,673 euros/person.ConclusionsThe mean duration of sick leave due to ischemic heart disease was almost six months. Consumption of psychotropic medication doubled after the event. Older age, suffering an acute myocardial infarction and taking antidepressants were associated with a longer sick leave period.

【 授权许可】

CC BY   
© The Author(s). 2017