Labor Market Participation Among Working-Age Heart Failure Patients With a Cardiac Resynchronization Therapy Device.

Autor:	Bjerre HL; Author Affiliations : Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark (Drs Bjerre, Mols, Frausing, Eiskjær, Løgstrup, Kronborg, and Nielsen); Department of Clinical Medicine, Aarhus University, Aarhus, Denmark (Drs Bjerre, Mols, Frausing, Witt, Eiskjær, Løgstrup, Kronborg, and Nielsen); and Department of Clinical Epidemiology, Aarhus University Hospital and Aarhus University, Aarhus, Denmark (Mr Bakos and Ms Horváth-Puhó)., Mols RE, Bakos I, Frausing MHJP, Horváth-Puhó E, Witt CT, Eiskjær H, Løgstrup BB, Kronborg MB, Nielsen JC
Jazyk:	angličtina
Zdroj:	Journal of cardiopulmonary rehabilitation and prevention [J Cardiopulm Rehabil Prev] 2024 Sep 01; Vol. 44 (5), pp. 345-352. Date of Electronic Publication: 2024 Sep 03.
DOI:	10.1097/HCR.0000000000000884
Abstrakt:	Purpose: Labor market participation is an important rehabilitation goal for working-age patients living with heart failure (HF). Cardiac resynchronization therapy (CRT) reduces mortality and HF hospitalizations and improves quality of life, but no studies have investigated labor market participation following CRT. We therefore aimed to describe labor market participation in patients with HF before and after CRT implantation. Methods: This region-wide register-based cohort study comprised patients with HF aged 40 to 63 yr, with ejection fraction ≤35% and QRS duration >130 milliseconds, who received a CRT system from 2000 to 2017 in the Central Denmark Region. Using unambiguous, individual-level linkage in Danish medical and administrative registries, we assessed weekly employment status from 1 yr prior to CRT implantation until 2 to 5 yr of follow-up and conducted stratified analyses by sociodemographic and disease-related risk factors. Results: We identified 546 patients, of whom 42% were in early retirement 1 yr prior to implantation. Active employment decreased from 45% to 19% from 1 yr before until implantation, declining primarily in the last 8 wk before implantation. The proportion of patients in active employment increased in the first 8 wk after CRT implantation and then stabilized, reaching 31% at 1-yr follow-up. We observed lower labor market participation in patients with older age, multimorbidity, lower educational level, and upgrade procedures, but higher in later calendar year. Conclusions: In working-age patients with HF, labor market participation increased after CRT implantation, despite many patients being retired prior to implantation. We observed differences in active employment related to several sociodemographic and disease-related factors. Competing Interests: MHJPF received consulting fees from Medtronic outside this work. JCN received institutional research grants from the Novo Nordisk Foundation and the Danish Heart Foundation outside this work. The remaining authors have no conflicts of interest to declare. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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