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

doi:10.1016/j.ahj.2017.09.009

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

Department of Clinical Medicine

6 Citations (Scopus)

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.

Original language	English
Journal	American Heart Journal
Volume	195
Pages (from-to)	130-138
Number of pages	9
ISSN	0002-8703
DOIs	https://doi.org/10.1016/j.ahj.2017.09.009
Publication status	Published - Jan 2018

Keywords

Adolescent
Adult
Denmark/epidemiology
Endocarditis, Bacterial/epidemiology
Female
Follow-Up Studies
Humans
Incidence
Male
Middle Aged
Population Surveillance
Return to Work/statistics & numerical data
Risk Factors
Sick Leave/trends
Social Class
Young Adult

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10.1016/j.ahj.2017.09.009

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@article{f7ad5be19e9b429d92753b131321dcd2,

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.",

keywords = "Adolescent, Adult, Denmark/epidemiology, Endocarditis, Bacterial/epidemiology, Female, Follow-Up Studies, Humans, Incidence, Male, Middle Aged, Population Surveillance, Return to Work/statistics & numerical data, Risk Factors, Sick Leave/trends, Social Class, Young Adult",

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.}",

year = "2018",

month = jan,

doi = "10.1016/j.ahj.2017.09.009",

language = "English",

volume = "195",

pages = "130--138",

journal = "American Heart Journal",

issn = "0002-8703",

publisher = "Mosby Inc.",

}

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.

KW - Adolescent

KW - Adult

KW - Denmark/epidemiology

KW - Endocarditis, Bacterial/epidemiology

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Incidence

KW - Male

KW - Middle Aged

KW - Population Surveillance

KW - Return to Work/statistics & numerical data

KW - Risk Factors

KW - Sick Leave/trends

KW - Social Class

KW - Young Adult

U2 - 10.1016/j.ahj.2017.09.009

DO - 10.1016/j.ahj.2017.09.009

M3 - Journal article

C2 - 29224640

SN - 0002-8703

VL - 195

SP - 130

EP - 138

JO - American Heart Journal

JF - American Heart Journal

ER -

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

Abstract

Keywords

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