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Predictors of return to work following carotid endarterectomy.
Vohra, R S; Coughlin, P A; McShane, P; Bains, M; Laughlan, K A; Gough, M J.
Afiliação
  • Vohra RS; Leeds Vascular Institute, General Infirmary at Leeds, Leeds, UK.
Br J Surg ; 95(9): 1111-4, 2008 Sep.
Article em En | MEDLINE | ID: mdl-18581440
BACKGROUND: Carotid endarterectomy (CEA) is an important part of secondary prevention in selected patients following a transient ischaemic attack or stroke. A key marker of success, return to work following surgery, was assessed in a retrospective cohort study. METHODS: Patients from the UK aged less than 65 years at operation were sent a questionnaire concerning return to work after CEA. Data were analysed using univariable tests and logistic regression. RESULTS: Some 174 (64.4 per cent) of 270 patients responded; their median age was 60 (range 35-64) years and 124 were men. Seventy-five per cent of respondents employed preoperatively returned to work following CEA. Newly retiring patients were older (62 versus 58 years; P < 0.001). Univariable analysis confirmed that age and preoperative stroke influenced return to work. The adjusted odds ratio for patients with versus without a preoperative stroke was 0.46 (95 per cent confidence interval 0.22 to 0.97) (P = 0.040). Median convalescence was 4 weeks, but was shorter in the self-employed (P = 0.039) and prolonged in patients with symptomatic cardiovascular disease (P = 0.023) and those who required postoperative critical care (P = 0.039). CONCLUSION: Return to work following CEA was influenced by age and preoperative stroke.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Ataque Isquêmico Transitório / Endarterectomia das Carótidas / Estenose das Carótidas / Emprego / Reabilitação do Acidente Vascular Cerebral Tipo de estudo: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2008 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Ataque Isquêmico Transitório / Endarterectomia das Carótidas / Estenose das Carótidas / Emprego / Reabilitação do Acidente Vascular Cerebral Tipo de estudo: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2008 Tipo de documento: Article