Work disability before and after a major cardiovascular event: a ten-year study using nationwide medical and insurance registers

Abstract We examined the trajectories of work disability before and after IHD and stroke events. New IHD (n = 13521) and stroke (n = 7162) cases in 2006–2008 were retrieved from nationwide Swedish hospital records and their annual work disability days five years before and after the date of diagnosi...

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Autores principales:	Marianna Virtanen, Jenni Ervasti, Ellenor Mittendorfer-Rutz, Tea Lallukka, Linnea Kjeldgård, Emilie Friberg, Mika Kivimäki, Erik Lundström, Kristina Alexanderson
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/84233f8aefb74abe911696830dc62bb9
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spelling	oai:doaj.org-article:84233f8aefb74abe911696830dc62bb92021-12-02T16:06:06ZWork disability before and after a major cardiovascular event: a ten-year study using nationwide medical and insurance registers10.1038/s41598-017-01216-22045-2322https://doaj.org/article/84233f8aefb74abe911696830dc62bb92017-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-01216-2https://doaj.org/toc/2045-2322Abstract We examined the trajectories of work disability before and after IHD and stroke events. New IHD (n = 13521) and stroke (n = 7162) cases in 2006–2008 were retrieved from nationwide Swedish hospital records and their annual work disability days five years before and after the date of diagnosis were retrieved from a nationwide disability register. There was no pre-event differences in disability days between the IHD and stroke cases and five years prior to the event, they were close to those observed in the general population. In the first post-event year, the adjusted mean days increased to 83.9 (95% CI 80.6–86.5) in IHD; to 179.5 (95% CI 172.4–186.8) in stroke, a six-fold increase in IHD and 14-fold in stroke. Work disability leveled off among the IHD cases but not among those who had stroke. The highest disability levels for the fifth post-event year after a stroke event was associated with pre-existing diabetes (146.9), mental disorder (141.2), non-employment (137.0), and immigrant status (117.9). In a working-age population, the increase in work disability after a cardiovascular event decreases close to the pre-event level in IHD but remains particularly high after stroke; among patients with comorbid depression or diabetes, immigrants, and those not in employment.Marianna VirtanenJenni ErvastiEllenor Mittendorfer-RutzTea LallukkaLinnea KjeldgårdEmilie FribergMika KivimäkiErik LundströmKristina AlexandersonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Marianna Virtanen Jenni Ervasti Ellenor Mittendorfer-Rutz Tea Lallukka Linnea Kjeldgård Emilie Friberg Mika Kivimäki Erik Lundström Kristina Alexanderson Work disability before and after a major cardiovascular event: a ten-year study using nationwide medical and insurance registers
description	Abstract We examined the trajectories of work disability before and after IHD and stroke events. New IHD (n = 13521) and stroke (n = 7162) cases in 2006–2008 were retrieved from nationwide Swedish hospital records and their annual work disability days five years before and after the date of diagnosis were retrieved from a nationwide disability register. There was no pre-event differences in disability days between the IHD and stroke cases and five years prior to the event, they were close to those observed in the general population. In the first post-event year, the adjusted mean days increased to 83.9 (95% CI 80.6–86.5) in IHD; to 179.5 (95% CI 172.4–186.8) in stroke, a six-fold increase in IHD and 14-fold in stroke. Work disability leveled off among the IHD cases but not among those who had stroke. The highest disability levels for the fifth post-event year after a stroke event was associated with pre-existing diabetes (146.9), mental disorder (141.2), non-employment (137.0), and immigrant status (117.9). In a working-age population, the increase in work disability after a cardiovascular event decreases close to the pre-event level in IHD but remains particularly high after stroke; among patients with comorbid depression or diabetes, immigrants, and those not in employment.
format	article
author	Marianna Virtanen Jenni Ervasti Ellenor Mittendorfer-Rutz Tea Lallukka Linnea Kjeldgård Emilie Friberg Mika Kivimäki Erik Lundström Kristina Alexanderson
author_facet	Marianna Virtanen Jenni Ervasti Ellenor Mittendorfer-Rutz Tea Lallukka Linnea Kjeldgård Emilie Friberg Mika Kivimäki Erik Lundström Kristina Alexanderson
author_sort	Marianna Virtanen
title	Work disability before and after a major cardiovascular event: a ten-year study using nationwide medical and insurance registers
title_short	Work disability before and after a major cardiovascular event: a ten-year study using nationwide medical and insurance registers
title_full	Work disability before and after a major cardiovascular event: a ten-year study using nationwide medical and insurance registers
title_fullStr	Work disability before and after a major cardiovascular event: a ten-year study using nationwide medical and insurance registers
title_full_unstemmed	Work disability before and after a major cardiovascular event: a ten-year study using nationwide medical and insurance registers
title_sort	work disability before and after a major cardiovascular event: a ten-year study using nationwide medical and insurance registers
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/84233f8aefb74abe911696830dc62bb9
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Work disability before and after a major cardiovascular event: a ten-year study using nationwide medical and insurance registers

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