Background: The prevalence of ischemic heart disease is high. Few recent studies have investigated the periods of sick leave of these patients. Our aim is to determine the length of sick leave after an acute coronary syndrome, its costs, associated factors and to assess the use of antidepressants and/or anxiolytics.
Methods: An observational study of a retrospective cohort of patients on sick leave due to ischemic heart disease in a health region between 2008-2011, with follow-up until the first return to work, death, or end of the study (31/12/2012).
Measurements: length of sick leave, sociodemographic variables and medical prescriptions.
Results: Four hundred and ninety-seven patients (mean age 53 years, 90.7% male), diagnosed with acute myocardial infarction (60%), angina pectoris (20.7%) or chronic form of ischemic heart disease (19.1%). Thirty-seven per cent of patients took anxiolytics the year after diagnosis and 15% took antidepressants. The average duration of sick leave was 177 days (95% CI: 163-191 days). Patients diagnosed with acute myocardial infarction returned to work after a mean of 192 days, compared to 128 days in cases with angina pectoris. Patients who took antidepressants during the year after diagnosis returned to work after a mean of 240 days. The mean work productivity loss was estimated to be 9,673 euros/person.
Conclusions: The mean duration of sick leave due to ischemic heart disease was almost six months. Consumption of psychotropic medication doubled after the event. Older age, suffering an acute myocardial infarction and taking antidepressants were associated with a longer sick leave period.
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http://dx.doi.org/10.1186/s12872-016-0460-7 | DOI Listing |
Ned Tijdschr Geneeskd
January 2025
Radboudumc, Nijmegen. Afd. Medische Microbiologie en Radboudumc Community Infectieziekten.
This article is a reflection on the covid-19 pandemic and the policy on medical and non-medical e.g. (lock down) measures, and on how we can anticipate earlier on for example effects on education and wellbeing of young people.
View Article and Find Full Text PDFInt J Nurs Stud
January 2025
Finnish Institute of Occupational Health (FIOH), Helsinki and Oulu, Finland.
Background: Short intervals between shifts, known as quick returns, have been linked to adverse health effects, and increased risk of occupational accidents, particularly among healthcare employees. To safeguard employee health, the 2020 reform of Working Time Act in Finland limited rest periods under 11 h in irregular shift work.
Objective: To evaluate the changes in quick returns following the 2020 reform of the Working Time Act in Finland and their association with sickness absence among public healthcare employees.
Front Public Health
January 2025
Faculty of Health Sciences, University of Primorska, Izola, Slovenia.
Purpose: Musculoskeletal disorders (MSDs) are one of the main causes of health-related absenteeism. MSDs were a known problem among healthcare workers (HCWs) even before COVID-19. The pandemic, with its associated stresses and changes in working conditions, may have influenced the incidence and duration of MSDs-related sick leave (SL) among HCWs.
View Article and Find Full Text PDFBMC Cancer
January 2025
Medical Sociology Unit, Hannover Medical School, Hannover, Germany.
Background: Evidence suggests a deterioration of health-related quality of life (HRQL) after breast cancer diagnosis and therapy. This study examines sociodemographic and health-related factors that could be associated with the HRQL of working women with breast cancer during the first five years after primary surgery. Second, it explores potential vulnerable groups with respect to HRQL using decision tree analyses.
View Article and Find Full Text PDFBMJ Open
January 2025
Department of Education and Lifelong Learning, Norwegian University of Science and Technology, Trondheim, Norway
Objectives: This paper investigated sickness presence (SP) among students in academic upper secondary schools (USS). The research question asked was: To what extent do the prevalence of SP and reasons for SP vary between school classes in USS in Norway?
Design: A cross-sectional survey was done in the final year of USS. Multilevel modelling was used to estimate school class-level effects.
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