title: Factors influencing return to work at one year after coronary bypass graft surgery: results of the PERISCOP study.
abstract: OBJECTIVE
  The aim of this study was to evaluate the predictive factors of return to work after coronary bypass graft surgery, for the subgroup of professionally active patients aged less than 60 years included in the PERISCOP study.
  
  
  METHODS
  In the principal, prospective, multicentre study, 2065 patients were evaluated 20+/-10 days after surgery by exercise testing, echocardiogram and 24-h ambulatory ECG monitoring. A questionnaire was completed one year after surgery. We studied a subgroup of this population, consisting of 530 patients previously defined (94.5% men; mean age: 50.5+/-5.8 years).
  
  
  RESULTS
  One year after surgery, five of these patients had died and 21 were lost to follow-up. Among the remaining patients, 340 patients (67.5%) had returned to work. Forty patients (7.9%) had retired, 45 (8.9%) were on sick leave, 22 (4.4%) were unemployed, 49 (9.7%) returned to work after the deadline of 12 months, eight (1.6%) had given insufficient information on return to work. In multivariate analysis, the independent predictors of a failure to return to work were age >51 years [OR: 0.39 (95% CI: 0.25-0.59)], being a manual worker [OR: 0.49 (95% CI: 0.31-0.79)], being from South East France [(OR: 0.42 (95% CI: 0.23-0.74)], presence of angina [OR: 0.40 (95% CI: 0.20-0.82)], dyspnoea [(OR: 0.46 (95% CI: 0.28-0.77)] and a duration of exercise <420 s [(OR: 0.50 (95% CI: 0.33-0.76)].
  
  
  CONCLUSIONS
  Return to work after coronary bypass graft surgery is observed in 67.5% of cases and depends essentially on socio-professional factors and residual symptoms. A regional effect was also observed, which requires further study.
authors.affiliation: Service de réadaptation cardiaque, Hôpital Broussais-HEGP, 96 rue Didot, 75014, Paris. philippe.sellier@brs.ap-hop-paris.fr
authors.forename: Philippe
authors.initials: P
authors.lastname: Sellier
authors.forename: Patrick
authors.initials: P
authors.lastname: Varaillac
authors.forename: Gilles
authors.initials: G
authors.lastname: Chatellier
authors.forename: Marie C
authors.initials: MC
authors.lastname: D'Agrosa-Boiteux
authors.forename: Hervé
authors.initials: H
authors.lastname: Douard
authors.forename: Claude
authors.initials: C
authors.lastname: Dubois
authors.forename: Pierre C
authors.initials: PC
authors.lastname: Goepfert
authors.forename: Catherine
authors.initials: C
authors.lastname: Monpère
authors.forename: Alain Saint
authors.initials: AS
authors.lastname: Pierre
mesh_terms: D000367:Age Factors; D000787:Angina Pectoris / Q000150:complications; D001026:Coronary Artery Bypass; D004417:Dyspnea / Q000150:complications; D004651:Employment / Q000706:statistics & numerical data*; D005080:Exercise Test; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009790:Occupations; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012111:Residence Characteristics