Sickness Absence following Coronary Revascularisation. A National Study of Women and Men of Working Age in Sweden 1994–2006 英文参考文献.docVIP

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Sickness Absence following Coronary Revascularisation. A National Study of Women and Men of Working Age in Sweden 1994–2006 英文参考文献.doc

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Sickness Absence following Coronary Revascularisation. A National Study of Women and Men of Working Age in Sweden 1994–2006 英文参考文献

SicknessAbsencefollowingCoronaryRevascularisation. ANationalStudyofWomenandMenofWorkingAgein Sweden1994–2006 MargarethaVoss1*,Torbjo¨rnIvert2,KennethPehrsson3,NiklasHammar4,5,KristinaAlexanderson1, TageNilsson6,MarjanVaez1 1Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden, 2Department of Cardiothoracic Surgery and Anesthesiology,KarolinskaUniversityHospital,Stockholm,Sweden,3DepartmentofCardiology,KarolinskaUniversityHospital,Stockholm,Sweden,4AstraZenecaRD, So¨derta¨lje, Sweden,5InstituteofEnvironmentalMedicine,KarolinskaInstitutet,Stockholm,Sweden,6PCI-unit,CentralHospital,Karlstad,Sweden Abstract Background:Evidencebasedandgenderspecificknowledgeaboutsicknessabsencefollowingcoronaryrevascularisationis lacking. The objective was to investigate sickness absence after a first coronary artery bypass grafting (CABG) or percutaneouscoronaryintervention(PCI)amongwomenandmeninanationalSwedishstudy. Materials and Methods: All patients 30–63 years of age, who underwent a first CABG (n=22,985, 16% women) or PCI (40,891,22%women)inSwedenbetween1994and2006wereincluded.Informationonsicknessabsence,co-morbidity, andotherpatientcharacteristicswasobtainedfromnationalregisters.Long-termsicknessabsence(LTSA)wasdefinedas .180and.90sick-leavedaysinthefirstsick-leavespellfollowingCABGandPCI,respectively.Prevalenceratio(PR)and 95%confidenceinterval(CI)ofLTSAwerecalculated. Findings:LTSAfollowedtheinterventionsin41%and36%forCABGandPCIpatients,respectively.Womenhadmoreoften LTSA compared with men, (CABG PR=1.23: 95% CI 1.19–1.28 and PCI PR=1.19; 95% CI 1.16–1.23). A history of sickness absencetheyearbeforetheinterventionincreasedtheriskforLTSAaftertheinterventioninbothgenders.Amongwomen, older age, or being self employed or unemployed was associated with a lower risk for LTSA. Among men previous cardiovasculardisease,diabetesandlowsocio-economicpositionincreasedtherisk.Duringtheobservationperiod,there wasnochangeinsicknessabsen