Factors influencing return to work at one year after coronary bypass graft surgery: results of the PERISCOP study.
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.
Sellier
Philippe
P
Service de réadaptation cardiaque, Hôpital Broussais-HEGP, 96 rue Didot, 75014, Paris. philippe.sellier@brs.ap-hop-paris.fr
Varaillac
Patrick
P
Chatellier
Gilles
G
D'Agrosa-Boiteux
Marie C
MC
Douard
Hervé
H
Dubois
Claude
C
Goepfert
Pierre C
PC
Monpère
Catherine
C
Pierre
Alain Saint
AS
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