Skip to main content
NCBI home page
Canadian Medical Association Journal logoLink to Canadian Medical Association Journal
. 1982 Feb 1;126(3):255–260.

Factors predicting working status after aortocoronary bypass surgery.

N Danchin, P David, M G Bourassa, P Robert, B R Chaitman
PMCID: PMC1862827  PMID: 6977403

Abstract

The working status of 1165 patients aged 59 years or less (mean 49.8 years) was evaluated 7 to 77 months (mean 36 months) after aortocoronary bypass surgery. Although 76% of the patients eventually returned to work, only 56% were working 6 months after their operation. The proportion of patients working peaked at 2 years after the operation (at 66%) and decreased progressively to 56% at 4 years and 53% at 5 years without ever reaching the proportions that applied 12 and 6 months before the operation (84% and 69% respectively). Multivariate analysis identified three socioeconomic and three clinical variables as predicting the working status at 6 months and at yearly points during the first 4 years after the operation. Of the socioeconomic variables analysed, preoperative unemployment of long duration, a preoperative occupation that required strenuous physical effort and a low level of education were, in that order, the strongest predictors of postoperative unemployment. Among the clinical variables, associated noncardiovascular illness and the severity and duration of angina pectoris independently influenced the patients' post-operative working status. The authors conclude that modification of some of these variables should by attempted both before and after aortocoronary bypass surgery to see whether the rate of return to employment after the operation can be improved in selected patients.

Full text

PDF
255

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barnes G. K., Ray M. J., Oberman A., Kouchoukos N. T. Changes in working status of patients following coronary bypass surgery. JAMA. 1977 Sep 19;238(12):1259–1262. [PubMed] [Google Scholar]
  2. Blachly P. H., Blachly B. J. Vocational and emotional status of 263 patients after heart surgery. Circulation. 1968 Sep;38(3):524–532. doi: 10.1161/01.cir.38.3.524. [DOI] [PubMed] [Google Scholar]
  3. Bourassa M. G., Lespérance J., Campeau L., Bois M. A., Saltiel J. Selective coronary angiography using a percutaneous femoral technique. Can Med Assoc J. 1970 Jan 31;102(2):170–173. [PMC free article] [PubMed] [Google Scholar]
  4. David P., Tenaille H., Blain M., Tremblay H. Etude sur les facteurs de non-retour au travail des cardiaques opérés. Union Med Can. 1976 Aug;105(8):1199–1205. [PubMed] [Google Scholar]
  5. GOLDBERG R. T., SPECTOR H. T. REHABILITATION OF PATIENTS AFTER CARDIAC SURGERY: A FOLLOW-UP STUDY. Arch Phys Med Rehabil. 1965 May;46:374–377. [PubMed] [Google Scholar]
  6. Hammermeister K. E., DeRouen T. A., English M. T., Dodge H. T. Effect of surgical versus medical therapy on return to work in patients with coronary artery disease. Am J Cardiol. 1979 Jul;44(1):105–111. doi: 10.1016/0002-9149(79)90258-3. [DOI] [PubMed] [Google Scholar]
  7. Kjoller E. Resumption of work after acute myocardial infarction. Acta Med Scand. 1976;199(5):379–385. [PubMed] [Google Scholar]
  8. Lapin E. S., Murray J. A., Bruce R. A., Winterscheid L. Changes in maximal exercise performance in the evaluation of saphenous vein bypass surgery. Circulation. 1973 Jun;47(6):1164–1173. doi: 10.1161/01.cir.47.6.1164. [DOI] [PubMed] [Google Scholar]
  9. Lawrie G. M., Morris G. C., Howell J. F., Ogura J. W., Spencer W. H., 3rd, Cashion W. R., Winters W. L., Beazley H. L., Chapman D. W., Peterson P. K. Results of coronary bypass more than 5 years after operation in 434 patients. Clinical, treadmill exercise and angiographic correlations. Am J Cardiol. 1977 Nov;40(5):665–672. doi: 10.1016/0002-9149(77)90180-1. [DOI] [PubMed] [Google Scholar]
  10. Lespérance J., Saltiel J., Petitclerc R., Bourassa M. G. Angulated views in the sagittal plane for improved accuracy of cinecoronary angiography. Am J Roentgenol Radium Ther Nucl Med. 1974 Jul;121(3):565–574. doi: 10.2214/ajr.121.3.565. [DOI] [PubMed] [Google Scholar]
  11. McIntosh H. D., Garcia J. A. The first decade of aortocoronary bypass grafting, 1967-1977. A review. Circulation. 1978 Mar;57(3):405–431. doi: 10.1161/01.cir.57.3.405. [DOI] [PubMed] [Google Scholar]
  12. Sandler H., Dodge H. T. The use of single plane angiocardiograms for the calculation of left ventricular volume in man. Am Heart J. 1968 Mar;75(3):325–334. doi: 10.1016/0002-8703(68)90089-6. [DOI] [PubMed] [Google Scholar]
  13. Symmes J. C., Lenkei S. C., Berman N. D. Influence of aortocoronary bypass surgery on employment. Can Med Assoc J. 1978 Feb 4;118(3):268–270. [PMC free article] [PubMed] [Google Scholar]
  14. Tremblay G., Biron P., Pelletier L. C., Cossette R., Dontigny L., Proulx A. Retour au travail après pontage aorto-coronarien. Union Med Can. 1976 Aug;105(8):1206–1208. [PubMed] [Google Scholar]
  15. Wallwork J., Potter B., Caves P. K. Return to work after coronary artery surgery for angina. Br Med J. 1978 Dec 16;2(6153):1680–1681. doi: 10.1136/bmj.2.6153.1680. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Wenger N. K., Hellerstein H. K., Blackburn H., Castranova S. J. Uncomplicated myocardial infarction. Current physician practice in patient management. JAMA. 1973 Apr 23;224(4):511–514. doi: 10.1001/jama.224.4.511. [DOI] [PubMed] [Google Scholar]

Articles from Canadian Medical Association Journal are provided here courtesy of Canadian Medical Association

RESOURCES