The Impact of Severe Heart Disease on Causes of Death and Survival after Disability Retirement.

Autor:	Pozzobon CR; Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ - Brasil., Soares GP; Universidade Federal do Rio de Janeiro - Instituto do Coração Edson Abdala Saad, Rio de Janeiro, RJ - Brasil.; Universidade de Vassouras, Vassouras, RJ - Brasil., Luiz RR; Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ - Brasil., de Oliveira GMM; Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ - Brasil.
Jazyk:	Portuguese; English
Zdroj:	Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2024 Sep 23; Vol. 121 (9), pp. e20240068. Date of Electronic Publication: 2024 Sep 23 (Print Publication: 2024).
DOI:	10.36660/abc.20240068
Abstrakt:	Background: Noncommunicable diseases contribute to premature deaths and limitations. Disability retirement is linked to chronic conditions, particularly cardiovascular diseases. The II Brazilian Guideline for Severe Heart Disease established criteria for cardiovascular disease classification. However, there is a lack of research in this topic within federal institutions. Objectives: Evaluate the survival and causes of death among disabled retirees at UFRJ, focusing on the impact of severe heart disease. Methods: A retrospective cohort study based on retirement and death records over 15 years. Retirements were categorized into three groups: full retirement due to severe heart disease, full retirement due to other diseases and proportional. Causes of death were obtained from death certificates. Mortality rates, survival and the presence of matching diagnoses between retirement and death were evaluated. Chi-square, log-rank, Cox models, Kaplan-Meier curves were utilized. Statistical significance with a 95% confidence interval, considering p<0.05. Results: There were 630 retirements, 368 (51.4%) in females, with an average age of 52.9 (SD=7.8) years, and 169 (26.8%) deaths. Mortality was higher in professors (37.0%; p=0.113), in the age group between 65 and 70 years (48.4%; p=0.004), in males (34.0%; p=0.001), and in full retirements due to severe heart disease (41.5%; p<0.001). Matching diagnoses between retirement and death were more frequent in professors (74.1%; p=0.026) and in full retirements due to severe heart disease (72.7%; p<0.001). Conclusions: Severe heart disease diagnosis is associated with higher mortality and shorter survival in disabled retirees. Its frequent occurrence in retirement and death diagnoses underscores its significance in this context.
Databáze:	MEDLINE
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