Incapacidad laboral permanente en pacientes menores de 62 años sometidos a cardiocirugía abiertaEstudio monocéntrico de un trienio

  1. R. Martínez Sanz
  2. R. Ávalos
  3. J. J. Jiménez Rivera
  4. Francisco Bosa Ojeda
  5. M.E. Alonso
  6. F. Benítez
  7. L. Perdomo
  8. José L. Iribarren Sarrías
Journal:
Revista española de investigaciones quirúrgicas

ISSN: 1139-8264

Year of publication: 2017

Volume: 20

Issue: 2

Pages: 50-54

Type: Article

Abstract

Introduction and objectives. Although the quality of life after cardiac-surgery usually improves, the reintegration to work is not always possible. Our target is to identify what patients would have less probability of reintegration to work after open-heart surgery. Methods. We studied 204 patients younger than 62 years who underwent cardiac surgery between 2010 and 2012. Data was recorded and analysed. Results. Average age 51±9 years, 156 (76.5 %) males, Logistic Euroscore 5.1 ±8.4; Left ventricular ejection fraction 58±11 %. 86 (42.2 %) patients underwent coronary surgery, 79 (38.7 %) valve surgery, 16 (7.8 %) combined surgery and 23 (11.3 %) others kinds of cardiac surgery. 28 were self-employed (13.7 %). 90 patients were permanent incapacitation for employment after an average of 5.8 months (15 already had permanent incapacity for employment before surgery). Logistic Euroscore was statistically higher in patients than got a permanent incapacity after surgery and they were older with no difference with left ventricular ejection fraction. Women get more permanent incapacity after cardiac surgery but they had more valve surgery. The coronary grafts number, self-employment, as well as valve surgery or valve number operated, were associated with higher total incapacity for employment. Conclusions. Older age, comorbidity, female, to be self-employed and type of intervention were decisive for permanent incapacity for employment. Valve surgery and the number of valves or coronary grafts determine the cumulative probability of permanent incapacity for employment in such patients.