Unemployment and deprivation are associated with a poorer outcome following percutaneous coronary angioplasty.
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.
Leslie
S J
SJ
Rysdale
J
J
Lee
A J
AJ
Eteiba
H
H
Starkey
I R
IR
Pell
J
J
Denvir
M A
MA
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