Key result
Among employed adults with incident cardiovascular disease, those with heart failure had a lower probability of remaining employed at 12 months (62.2%) compared to those with atrial fibrillation (78.9%).
Why the study?
To identify people in particular need of vocational rehabilitation, diagnostic group differences in return to work and subsequent employment detachment following CVD were examined.
Cohort (n=8,187)
Yes
Absolute Event Rate: 62.2% vs 78.9%
Patients with incident heart failure have the lowest probability of returning to work and the highest risk of subsequent detachment from employment compared to other cardiovascular diseases, highlighting a specific need for vocational rehabilitation.
May warrant vocational rehabilitation assessment after heart failure diagnosis; leaves open whether targeted programs improve employment retention.
AIMS: Return to work and employment maintenance following cardiovascular disease (CVD) are important rehabilitation goals for people of working age. To identify people in particular need of vocational rehabilitation, we examined differences in return to work and subsequent detachment from employment among people with atrial fibrillation (AF), heart failure (HF), heart valve disease, and ischaemic heart disease. METHODS AND RESULTS: We conducted a nationwide cohort study and included all individuals of working age (35-65 years) who were employed when diagnosed with incident CVD in 2018. We estimated sex- and age-standardized probabilities of remaining employed at 3, 6, and 12 months after diagnosis, and of detachment from employment within 6 months after having returned to work. Of 46 912 individuals diagnosed in 2018, 8187 were of working age and employed at diagnosis. The mean age was 54.7 years (SD = 6.7), and 74.0% were men. Within 1 year, 89.8% had returned to work, but within the subsequent 6 months, 23.5% of these experienced detachment from employment. At 3, 6, and 12 months after diagnosis the highest standardized probability of being employed was found among people with AF, whereas the lowest probability was found among people with HF {78.9% [95% confidence interval (CI): 77.3-80.4] vs. 62.2% [95% CI: 59.0-65.4] at 12 months}. Similarly, the highest probability of detachment was found for people with HF [30.3% (95% CI: 26.9-33.7)]. CONCLUSION: People with HF present the highest probability of not returning to work. There is a need for developing and documenting effects of vocational rehabilitation strategies within comprehensive cardiac rehabilitation programmes.
No takes yet. Share an insight, caveat, or question.
Jørgensen et al. (2022) conducted a cohort in Cardiovascular disease (n=8,187). Heart failure vs. Atrial fibrillation was evaluated on Remaining employed at 12 months after diagnosis. Among employed adults with incident cardiovascular disease, those with heart failure had a lower probability of remaining employed at 12 months (62.2%) compared to those with atrial fibrillation (78.9%).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: