Employment Status at Time of First Hospitalization for Heart Failure is Associated with a Higher Risk of Death and Rehospitalization for Heart Failure
Key result
Being out of the workforce at first HF hospitalization is linked to ~59% higher mortality.
- HR 1.59
- 95% CI 1.50-1.68
- n=25,571
Why the study?
Employment status at time of first heart failure hospitalization may reflect health status and its association with mortality and rehospitalization risk was examined.
Does not being part of the workforce at the time of first HF hospitalization increase the risk of death and rehospitalization in working-age patients?
Population
25,571 patients aged 18-60 with first HF hospitalization in Denmark 1997-2015
Comparison
Not part of workforce vs part of workforce at time of first HF hospitalization
Design
Nationwide cohort study
Authors
Discussion
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Member takes
Implication
Employment status may stratify risk after first HF hospitalization; leaves open whether interventions improve outcomes.
Study Design
Type
Cohort (n=25,571)
Multicenter
Yes
Structured PICO
Does not being part of the workforce at the time of first HF hospitalization increase the risk of death and rehospitalization in working-age patients?
P
Population
25,571 working-age adults (18-60 years) with a first heart failure hospitalization in Denmark between 1997 and 2015.
E
Exposure
Not being part of the workforce at time of index admission
C
Comparator
Being part of the workforce at time of index admission
O
Outcome
Death from any causehard clinical
Main Result
Hazard Ratio: 1.59 (95% CI 1.5–1.68)
Not being part of the workforce at the time of first HF hospitalization is an independent risk factor for increased mortality and recurrent HF hospitalization in working-age patients.
Cite This Study
Rørth et al. (2017) conducted a cohort in Heart failure (n=25,571). Not being part of the workforce vs. Part of the workforce was evaluated on Death from any cause (HR 1.59, 95% CI 1.50-1.68). Not being part of the workforce at the time of first heart failure hospitalization was associated with a significantly higher risk of all-cause mortality (HR 1.59; 95% CI 1.50-1.68).