Key result
Female sex, lower education, and specific clinical factors linked to higher work disability after AMI.
Why the study?
Scientific knowledge regarding risk factors for work disability, specifically long-term sickness absence and disability pension after acute myocardial infarction, is limited.
What are the socio-demographic, work-related, and medical risk factors for long-term sickness absence and disability pension in patients surviving a first acute myocardial infarction?
Cohort (n=8,199)
What are the socio-demographic, work-related, and medical risk factors for long-term sickness absence and disability pension in patients surviving a first acute myocardial infarction?
Socio-demographic factors (female sex, lower education, non-European origin) and clinical factors (STEMI, CABG, diabetes, stroke, musculoskeletal/mental disorders) are significant risk factors for long-term work disability after a first AMI.
Answers are grounded in this paper and cite their sources.
Socio-demographic and clinical factors identify AMI survivors at higher work disability risk; leaves open whether targeted interventions improve employment outcomes.
BACKGROUND: Scientific knowledge on risk factors for work disability in terms of long-term sickness absence (SA) and disability pension (DP) following acute myocardial infarction (AMI) is limited. The study aimed to investigate socio-demographic, work-related and medical characteristics as risk factors for long-term SA (>90 days) and DP in patients with a first AMI. METHODS: This is a population-based cohort study of 8199 individuals aged 19-60 years who had a first AMI during 2008-10 and were alive 30 days after AMI. Univariate and multivariable hazard ratios (HRs) and 95% confidence intervals (CIs) with regard to long-term SA and DP with a 3-year follow-up were estimated by Cox regression. RESULTS: We found a higher risk of long-term SA and DP after AMI in women, those with lower education and previous SA (range of HRs: 1.29-7.34). Older age and being born in non-European countries were associated with a 2- to 3-fold higher risk of DP. Moreover, ST-elevation myocardial infarction (STEMI), musculoskeletal and common mental disorders (CMDs) were risk factors for long-term SA and DP, while diabetes mellitus and stroke were associated with a higher risk of DP (range of HRs: 1.12-2.98). Coronary artery bypass grafting (CABG) compared with percutaneous coronary intervention was associated with a 2-fold higher risk of work disability. CONCLUSIONS: Older women, those with lower education and non-European immigrants had a higher risk of work disability after AMI, particularly permanent work disability. STEMI, CABG, diabetes mellitus, stroke, musculoskeletal disorders and CMDs provide important clinical information for work disability after AMI.
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Wang et al. (2018) conducted a cohort in acute myocardial infarction (n=8,199). Socio-demographic, work-related and medical characteristics was evaluated on long-term sickness absence (>90 days) and disability pension (HR 1.12-7.34). Socio-demographic factors (female sex, lower education) and medical characteristics (STEMI, CABG, diabetes, stroke) were associated with a higher risk of work disability after AMI (HRs 1.12-7.34).
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