Return to the workforce following infective endocarditis—A nationwide cohort study

Jawad H. Butt*, Kristian Kragholm, Michael Dalager-Pedersen, Rasmus Rørth, Søren L. Kristensen, Mavish S. Chaudry, Nana Valeur, Lauge Østergaard, Christian Torp-Pedersen, Gunnar H. Gislason, Lars Køber, Emil L. Fosbøl

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Resumé

Background The ability to return to work after infective endocarditis (IE) holds important socioeconomic consequences for both patients and society, yet data on this issue are sparse. We examined return to the workforce and associated factors in IE patients of working age. Methods Using Danish nationwide registries, we identified 1,065 patients aged 18-60 years with a first-time diagnosis of IE (1996-2013) who were part of the workforce prior to admission and alive at discharge. Results One year after discharge, 765 (71.8%) patients had returned to the workforce, 130 (12.2%) were on paid sick leave, 76 (7.1%) received disability pension, 23 (2.2%) were on early retirement, 65 (6.1%) had died, and 6 (0.6%) had emigrated. Factors associated with return to the workforce were identified using multivariable logistic regression. Younger age (18-40 vs 56-60 years; odds ratio, 2.85; 95% CI, 1.71-4.76) and higher level of education (higher educational level vs basic school; 5.47, 2.05-14.6) and income (highest quartile vs lowest; 3.17, 1.85-5.46) were associated with return to the workforce. Longer length of hospital stay (>90 vs 14-30 days; 0.16, 0.07-0.38); stroke during IE admission (0.38, 0.21-0.71); and a history of chronic kidney disease (0.29, 0.11-0.75), chronic obstructive pulmonary disease (0.31, 0.13-0.71), and malignancy (0.39, 0.22-0.69) were associated with a lower likelihood of returning to the workforce. Conclusions Seven of 10 patients who were part of the workforce prior to IE and alive at discharge were part of the workforce 1 year later. Younger age, higher socioeconomic status, and absence of major comorbidities were associated with return to the workforce.

OriginalsprogEngelsk
TidsskriftAmerican Heart Journal
Vol/bind195
Sider (fra-til)130-138
ISSN0002-8703
DOI
StatusUdgivet - jan. 2018

Fingeraftryk

Cohort Studies
Length of Stay
Pensions
Sick Leave
Return to Work
Retirement
Chronic Obstructive Pulmonary Disease
Registries
Comorbidity
Logistic Models
Odds Ratio
Education
Neoplasms

Citer dette

Butt, J. H., Kragholm, K., Dalager-Pedersen, M., Rørth, R., Kristensen, S. L., Chaudry, M. S., ... Fosbøl, E. L. (2018). Return to the workforce following infective endocarditis—A nationwide cohort study. American Heart Journal, 195, 130-138. https://doi.org/10.1016/j.ahj.2017.09.009
Butt, Jawad H. ; Kragholm, Kristian ; Dalager-Pedersen, Michael ; Rørth, Rasmus ; Kristensen, Søren L. ; Chaudry, Mavish S. ; Valeur, Nana ; Østergaard, Lauge ; Torp-Pedersen, Christian ; Gislason, Gunnar H. ; Køber, Lars ; Fosbøl, Emil L. / Return to the workforce following infective endocarditis—A nationwide cohort study. I: American Heart Journal. 2018 ; Bind 195. s. 130-138.
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title = "Return to the workforce following infective endocarditis—A nationwide cohort study",
abstract = "Background The ability to return to work after infective endocarditis (IE) holds important socioeconomic consequences for both patients and society, yet data on this issue are sparse. We examined return to the workforce and associated factors in IE patients of working age. Methods Using Danish nationwide registries, we identified 1,065 patients aged 18-60 years with a first-time diagnosis of IE (1996-2013) who were part of the workforce prior to admission and alive at discharge. Results One year after discharge, 765 (71.8{\%}) patients had returned to the workforce, 130 (12.2{\%}) were on paid sick leave, 76 (7.1{\%}) received disability pension, 23 (2.2{\%}) were on early retirement, 65 (6.1{\%}) had died, and 6 (0.6{\%}) had emigrated. Factors associated with return to the workforce were identified using multivariable logistic regression. Younger age (18-40 vs 56-60 years; odds ratio, 2.85; 95{\%} CI, 1.71-4.76) and higher level of education (higher educational level vs basic school; 5.47, 2.05-14.6) and income (highest quartile vs lowest; 3.17, 1.85-5.46) were associated with return to the workforce. Longer length of hospital stay (>90 vs 14-30 days; 0.16, 0.07-0.38); stroke during IE admission (0.38, 0.21-0.71); and a history of chronic kidney disease (0.29, 0.11-0.75), chronic obstructive pulmonary disease (0.31, 0.13-0.71), and malignancy (0.39, 0.22-0.69) were associated with a lower likelihood of returning to the workforce. Conclusions Seven of 10 patients who were part of the workforce prior to IE and alive at discharge were part of the workforce 1 year later. Younger age, higher socioeconomic status, and absence of major comorbidities were associated with return to the workforce.",
author = "Butt, {Jawad H.} and Kristian Kragholm and Michael Dalager-Pedersen and Rasmus R{\o}rth and Kristensen, {S{\o}ren L.} and Chaudry, {Mavish S.} and Nana Valeur and Lauge {\O}stergaard and Christian Torp-Pedersen and Gislason, {Gunnar H.} and Lars K{\o}ber and Fosb{\o}l, {Emil L.}",
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doi = "10.1016/j.ahj.2017.09.009",
language = "English",
volume = "195",
pages = "130--138",
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Butt, JH, Kragholm, K, Dalager-Pedersen, M, Rørth, R, Kristensen, SL, Chaudry, MS, Valeur, N, Østergaard, L, Torp-Pedersen, C, Gislason, GH, Køber, L & Fosbøl, EL 2018, 'Return to the workforce following infective endocarditis—A nationwide cohort study', American Heart Journal, bind 195, s. 130-138. https://doi.org/10.1016/j.ahj.2017.09.009

Return to the workforce following infective endocarditis—A nationwide cohort study. / Butt, Jawad H.; Kragholm, Kristian; Dalager-Pedersen, Michael; Rørth, Rasmus; Kristensen, Søren L.; Chaudry, Mavish S.; Valeur, Nana; Østergaard, Lauge; Torp-Pedersen, Christian; Gislason, Gunnar H.; Køber, Lars; Fosbøl, Emil L.

I: American Heart Journal, Bind 195, 01.2018, s. 130-138.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Return to the workforce following infective endocarditis—A nationwide cohort study

AU - Butt, Jawad H.

AU - Kragholm, Kristian

AU - Dalager-Pedersen, Michael

AU - Rørth, Rasmus

AU - Kristensen, Søren L.

AU - Chaudry, Mavish S.

AU - Valeur, Nana

AU - Østergaard, Lauge

AU - Torp-Pedersen, Christian

AU - Gislason, Gunnar H.

AU - Køber, Lars

AU - Fosbøl, Emil L.

PY - 2018/1

Y1 - 2018/1

N2 - Background The ability to return to work after infective endocarditis (IE) holds important socioeconomic consequences for both patients and society, yet data on this issue are sparse. We examined return to the workforce and associated factors in IE patients of working age. Methods Using Danish nationwide registries, we identified 1,065 patients aged 18-60 years with a first-time diagnosis of IE (1996-2013) who were part of the workforce prior to admission and alive at discharge. Results One year after discharge, 765 (71.8%) patients had returned to the workforce, 130 (12.2%) were on paid sick leave, 76 (7.1%) received disability pension, 23 (2.2%) were on early retirement, 65 (6.1%) had died, and 6 (0.6%) had emigrated. Factors associated with return to the workforce were identified using multivariable logistic regression. Younger age (18-40 vs 56-60 years; odds ratio, 2.85; 95% CI, 1.71-4.76) and higher level of education (higher educational level vs basic school; 5.47, 2.05-14.6) and income (highest quartile vs lowest; 3.17, 1.85-5.46) were associated with return to the workforce. Longer length of hospital stay (>90 vs 14-30 days; 0.16, 0.07-0.38); stroke during IE admission (0.38, 0.21-0.71); and a history of chronic kidney disease (0.29, 0.11-0.75), chronic obstructive pulmonary disease (0.31, 0.13-0.71), and malignancy (0.39, 0.22-0.69) were associated with a lower likelihood of returning to the workforce. Conclusions Seven of 10 patients who were part of the workforce prior to IE and alive at discharge were part of the workforce 1 year later. Younger age, higher socioeconomic status, and absence of major comorbidities were associated with return to the workforce.

AB - Background The ability to return to work after infective endocarditis (IE) holds important socioeconomic consequences for both patients and society, yet data on this issue are sparse. We examined return to the workforce and associated factors in IE patients of working age. Methods Using Danish nationwide registries, we identified 1,065 patients aged 18-60 years with a first-time diagnosis of IE (1996-2013) who were part of the workforce prior to admission and alive at discharge. Results One year after discharge, 765 (71.8%) patients had returned to the workforce, 130 (12.2%) were on paid sick leave, 76 (7.1%) received disability pension, 23 (2.2%) were on early retirement, 65 (6.1%) had died, and 6 (0.6%) had emigrated. Factors associated with return to the workforce were identified using multivariable logistic regression. Younger age (18-40 vs 56-60 years; odds ratio, 2.85; 95% CI, 1.71-4.76) and higher level of education (higher educational level vs basic school; 5.47, 2.05-14.6) and income (highest quartile vs lowest; 3.17, 1.85-5.46) were associated with return to the workforce. Longer length of hospital stay (>90 vs 14-30 days; 0.16, 0.07-0.38); stroke during IE admission (0.38, 0.21-0.71); and a history of chronic kidney disease (0.29, 0.11-0.75), chronic obstructive pulmonary disease (0.31, 0.13-0.71), and malignancy (0.39, 0.22-0.69) were associated with a lower likelihood of returning to the workforce. Conclusions Seven of 10 patients who were part of the workforce prior to IE and alive at discharge were part of the workforce 1 year later. Younger age, higher socioeconomic status, and absence of major comorbidities were associated with return to the workforce.

U2 - 10.1016/j.ahj.2017.09.009

DO - 10.1016/j.ahj.2017.09.009

M3 - Journal article

VL - 195

SP - 130

EP - 138

JO - American Heart Journal

JF - American Heart Journal

SN - 0002-8703

ER -

Butt JH, Kragholm K, Dalager-Pedersen M, Rørth R, Kristensen SL, Chaudry MS et al. Return to the workforce following infective endocarditis—A nationwide cohort study. American Heart Journal. 2018 jan;195:130-138. https://doi.org/10.1016/j.ahj.2017.09.009