title: Unemployment and deprivation are associated with a poorer outcome following percutaneous coronary angioplasty.
abstract: This prospective observational study aimed to assess the impact of employment status and deprivation on quality of life 12 months after percutaneous coronary intervention (PCI). Patients completed a questionnaire at baseline and at 1 year follow-up including a health utility score (EQ-5D), symptoms and employment status. Deprivation was assessed using the Carstairs' deprivation category based on area postcodes. The majority (79.6%) of patients of working age returned to work within 12 months. Unemployment was associated with a lower quality of life (QoL) at baseline (0.49 (0.32) vs 0.61 (0.27), p=0.002) and less improvement in QoL 1 year after PCI (0.15 (0.37) vs 0.26 (0.31), p<0.012). Furthermore, unemployed patients had significantly less improvement in chest pain score (p=0.002) and breathlessness (p<0.001). Unemployed patients from the most deprived areas had lowest QoL at follow-up and least improvement in QoL at 1 year. Unemployment and deprivation are associated with poorer outcomes following PCI.
authors.forename: S J
authors.initials: SJ
authors.lastname: Leslie
authors.forename: J
authors.initials: J
authors.lastname: Rysdale
authors.forename: A J
authors.initials: AJ
authors.lastname: Lee
authors.forename: H
authors.initials: H
authors.lastname: Eteiba
authors.forename: I R
authors.initials: IR
authors.lastname: Starkey
authors.forename: J
authors.initials: J
authors.lastname: Pell
authors.forename: M A
authors.initials: MA
authors.lastname: Denvir
mesh_terms: D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000191:economics; D002637:Chest Pain / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D004651:Employment; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011204:Poverty Areas; D011788:Quality of Life; D018434:Sickness Impact Profile; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014478:Unemployment / Q000523:psychology / Q000706:statistics & numerical data*; D006113:United Kingdom