Volume 10 Supplement 1

Proceedings of the WSCTS 25th Anniversary Congress

Open Access

Factors related to permanent disability employment on patients fewer than 62 years operated by open heart surgery

  • R MartinezSanz1, 2,
  • R Ávalos1,
  • L Perdomo2,
  • ME Alonso2,
  • F Benitez2,
  • JJ Jiménez1,
  • J Montoto1,
  • PC Prada1,
  • P Garrido1,
  • R de la Llana1, 2,
  • M Brouard1 and
  • JL Iribarren1
Journal of Cardiothoracic Surgery201510(Suppl 1):A311

https://doi.org/10.1186/1749-8090-10-S1-A311

Published: 16 December 2015

Background

The quality of life after cardiac surgery greatly improves the reincorporation into the usual job, although not always in the same proportion.

Objective

Our proposal is to identify factors that complicate the return to work after open heart surgery.

Materials and method

All the patients younger of 62 years old who underwent open heart surgery between the years 2010 and 2012 were studied. Perioperative variables were collected: preoperative functional status, LVEF, type of intervention, type of job (employee or self-employed person) and permanent incapacity (PI) for employment through a review of their medical history.

Results

A cohort of 204 patients was studied. Age 51 +/- 9 years; 156 (76,5%) were male; Logistic Euroscore (LE) of 5.1 +/- 8.4, LVEF 58 +/- 11. Surgery was 86 (42.2%) CABG, 79 (38.7%) valvular, 16 (7.8%) combined surgery and 23 (11.3%) others. 28 (13.7%) were self-employed. 15 of them already had a PI at the time of surgery. Patients with PI presented a LE of 6.7+/- 3.9 Vs. 11+/- 5 (p = 0.006); age 53+/-6 vs 48 +/-10 (p < 0.001), with no difference in LVEF. There were more PI among women (57%) than male 41% (p = 0.046). There was a higher percentage of valvular surgery in women. Higher number of CABG and valvular surgery was associated with PI (p = 0.015).

Conclusions

Permanent work cessation activity after open-heart surgery was statistically determined with an older age, comorbidity, female gender and type of intervention. Valve surgery, the number of valves operated or higher number of bypasses increase the probability of PI.

Authors’ Affiliations

(1)
Complejo Hospitalario Universitario de Canarias
(2)
Universidad de La Laguna

Copyright

© MartinezSanz et al. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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