Return to Work After Acute Myocardial Infarction: Comparison Between Young Women and Men.
Return to Work After Acute Myocardial Infarction: Comparison Between Young Women and Men.
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DOI：
10.1161/circoutcomes.115.002611
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发表时间：
2016-02
期刊：
影响因子：
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通讯作者：
Krumholz HM
中科院分区：
文献类型：
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作者：
Dreyer RP;Xu X;Zhang W;Du X;Strait KM;Bierlein M;Bucholz EM;Geda M;Fox J;D'Onofrio G;Lichtman JH;Bueno H;Spertus JA;Krumholz HM
急性心肌梗死（AMI）后重返工作岗位是一个重要的结局，尤其与年轻患者相关。女性可能处于更大的风险，不返回工作的证据表明，他们更差的恢复后，AMI比类似的年龄男性。然而，尚未在年轻人群（≤55岁）中广泛研究AMI后重返工作岗位的性别差异。我们分析了1680例年龄在18-55岁（57%为女性）的AMI患者的数据，这些患者参加了VIRGO研究（恢复的变化：性别对年轻AMI患者结局的作用），这些患者在事件发生前全职工作（≥35小时）。资料来源为病历摘要及病人访谈。我们进行了多变量回归分析，以检查AMI后12个月重返工作岗位的性别差异，以及患者特征与重返工作岗位的相关性。与年轻男性相比，年轻女性重返工作岗位的可能性较低（89% vs. 85%，P=0.018）;然而，在调整患者社会人口学特征、心理社会因素和健康措施后，这种性别差异并不显著。已婚、从事专业或文书工作、身体健康状况更好、既往无冠心病或高血压与12个月后重返工作岗位的可能性更高显著相关。在年轻人口中，女性在AMI后重返工作岗位的可能性低于男性。这一不利条件是由人口、职业和健康特征的差异造成的。
Return to work following acute myocardial infarction (AMI) is an important outcome and is particularly relevant to young patients. Women may be at a greater risk for not returning to work given evidence of their worse recovery after AMI than similarly aged men. However, sex differences in return to work after AMI has not been studied extensively in a young population (≤55 years). We analyzed data from 1680 AMI patients aged 18–55 years (57% women) participating in the VIRGO study (Variation in Recovery: Role of Gender on Outcomes of Young AMI patients) who were working full time (≥35 hours) prior to the event. Data were obtained by medical record abstraction and patient interviews. We conducted multivariable regression analyses to examine sex differences in return to work at 12 months after AMI, and the association of patient characteristics with return to work. Compared to young men, young women were less likely to return to work (89% vs. 85%, P=0.018); however this sex difference was not significant after adjusting for patient socio-demographic characteristics, psychosocial factors, and health measures. Being married, engaging in a professional or clerical type of work, having more favorable physical health, and having no prior coronary disease or hypertension were significantly associated with a higher likelihood of return to work at 12 months. Among a young population, women are less likely to return to work after AMI than men. This disadvantage is explained by differences in demographic, occupational and health characteristics.