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Workforce affiliation in primary and secondary prevention implantable cardioverter defibrillator patients: a nationwide Danish study

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Title: Workforce affiliation in primary and secondary prevention implantable cardioverter defibrillator patients: a nationwide Danish study
Authors: Simone H Rosenkranz, Charlotte H Wichmand, Lærke Smedegaard, Sidsel Møller, Jenny Bjerre, Morten Schou, Christian Torp-Pedersen, Berit T Philbert, Charlotte Larroudé, Thomas M Melchior, Jens C Nielsen, Jens B Johansen, Sam Riahi, Teresa Holmberg, Gunnar Gislason, Anne-Christine Ruwald
Source: Rosenkranz, S H, Wichmand, C H, Smedegaard, L, Møller, S, Bjerre, J, Schou, M, Torp-Pedersen, C, Philbert, B T, Larroudé, C, Melchior, T M, Nielsen, J C, Johansen, J B, Riahi, S, Holmberg, T, Gislason, G & Ruwald, A-C 2024, 'Workforce affiliation in primary and secondary prevention Implantable Cardioverter Defibrillator patients-a nationwide Danish study', European Heart Journal-Quality of Care and Clinical Outcomes, vol. 10, no. 4, qcad054, pp. 314-325. https://doi.org/10.1093/ehjqcco/qcad054
Rosenkranz, S H, Wichmand, C H, Smedegaard, L, Møller, S, Bjerre, J, Schou, M, Torp-Pedersen, C, Philbert, B T, Larroudé, C, Melchior, T M, Nielsen, J C, Johansen, J B, Riahi, S, Holmberg, T, Gislason, G & Ruwald, A-C 2024, 'Workforce affiliation in primary and secondary prevention Implantable Cardioverter Defibrillator patients-a nationwide Danish study', European Heart Journal-Quality of Care & Clinical Outcomes, vol. 10, no. 4, pp. 314-325. https://doi.org/10.1093/ehjqcco/qcad054
Publisher Information: Oxford University Press (OUP), 2023.
Publication Year: 2023
Subject Terms: Male, Adult, Death, Sudden, Cardiac/prevention & control, Implantable Cardioverter Defibrillator, Defibrillators, Implantable/statistics & numerical data, Epidemiology, Sick Leave/statistics & numerical data, Denmark, Secondary Prevention/methods, Return to Work, Risk Factors, Secondary Prevention, Workforce affiliation, Humans, Implantable/statistics & numerical data, Registries, Risk markers, Return-to-work, Aged, Retrospective Studies, Cardiac/prevention & control, Return to Work/statistics & numerical data, Middle Aged, Sudden, Denmark/epidemiology, Primary Prevention/methods, 3. Good health, Defibrillators, Implantable, Death, Primary Prevention, Death, Sudden, Cardiac, 8. Economic growth, Female, Sick Leave, Employ- ment maintenance, Defibrillators, Follow-Up Studies
Description: Background and aim There are a paucity of studies investigating workforce affiliation in connection with first-time implantable cardioverter defibrillator (ICD)-implantation. This study explored workforce affiliation and risk markers associated with not returning to work in patients with ICDs. Methods Using the nationwide Danish registers, patients with a first-time ICD-implantation between 2007 and 2017 and of working age (30–65 years) were identified. Descriptive statistic and logistic regression models were used to describe workforce affiliation and to estimate risk markers associated with not returning to work, respectively. All analyses were stratified by indication for implantation (primary and secondary prevention). Results Of the 4659 ICD-patients of working age, 3300 patients (71%) were members of the workforce (employed, on sick leave or unemployed) (primary: 1428 (43%); secondary:1872 (57%)). At baseline, 842 primary and 1477 secondary prevention ICD-patients were employed. Of those employed at baseline, 81% primary and 75% secondary prevention ICD-patients returned to work within 1 year, whereof more than 80% remained employed the following year. Among patients receiving sick leave benefits at baseline, 25% were employed after 1 year. Risk markers of not returning to work were ‘younger age’ in primary prevention ICD-patients, while ‘female sex’, left ventricular ejection fraction ‘LVEF ≤40’, ‘lower income’, and ‘≥3 comorbidities’ were risk markers in secondary prevention ICD-patients. Lower educational level was a risk marker in both patient groups. Conclusion High return-to-work proportions following ICD-implantation, with a subsequent high level of employment maintenance were found. Several significant risk markers of not returning to work were identified including ‘lower educational level’ that posed a risk in both patient groups. Trial registration number Capital Region of Denmark, P-2019-051.
Document Type: Article
Language: English
ISSN: 2058-1742
2058-5225
DOI: 10.1093/ehjqcco/qcad054
Access URL: https://pubmed.ncbi.nlm.nih.gov/37682525
Rights: OUP Standard Publication Reuse
Accession Number: edsair.doi.dedup.....6266182c17b5f9d42580104610c195ae
Database: OpenAIRE
Description
Abstract:Background and aim There are a paucity of studies investigating workforce affiliation in connection with first-time implantable cardioverter defibrillator (ICD)-implantation. This study explored workforce affiliation and risk markers associated with not returning to work in patients with ICDs. Methods Using the nationwide Danish registers, patients with a first-time ICD-implantation between 2007 and 2017 and of working age (30–65 years) were identified. Descriptive statistic and logistic regression models were used to describe workforce affiliation and to estimate risk markers associated with not returning to work, respectively. All analyses were stratified by indication for implantation (primary and secondary prevention). Results Of the 4659 ICD-patients of working age, 3300 patients (71%) were members of the workforce (employed, on sick leave or unemployed) (primary: 1428 (43%); secondary:1872 (57%)). At baseline, 842 primary and 1477 secondary prevention ICD-patients were employed. Of those employed at baseline, 81% primary and 75% secondary prevention ICD-patients returned to work within 1 year, whereof more than 80% remained employed the following year. Among patients receiving sick leave benefits at baseline, 25% were employed after 1 year. Risk markers of not returning to work were ‘younger age’ in primary prevention ICD-patients, while ‘female sex’, left ventricular ejection fraction ‘LVEF ≤40’, ‘lower income’, and ‘≥3 comorbidities’ were risk markers in secondary prevention ICD-patients. Lower educational level was a risk marker in both patient groups. Conclusion High return-to-work proportions following ICD-implantation, with a subsequent high level of employment maintenance were found. Several significant risk markers of not returning to work were identified including ‘lower educational level’ that posed a risk in both patient groups. Trial registration number Capital Region of Denmark, P-2019-051.
ISSN:20581742
20585225
DOI:10.1093/ehjqcco/qcad054