Return to the Workforce After First Hospitalization for Heart Failure: A Danish Nationwide Cohort Study

CirculationPublished Nationwide registry-based cohort study

Authors' conclusion

Patients in the workforce before HF hospitalization had low mortality but high risk of detachment from the workforce 1 year later. Young age, male sex, and a higher level of education were predictors of return to work.

Study context

Population
Working-age (18–60 years) patients in the workforce before a first heart failure (HF) hospitalization, Denmark, 1997–2012of 21,455 working-age patients
Participants
11,880 participants
Outcome
Return to work
Follow-up
1 year after first HF hospitalization
Methodological detailsnationwide Danish registries, individual-level linkage
  • Nationwide Danish registries
  • Individual-level linkage

Main finding

As reported in the abstract

Status 1 year after first HF hospitalization · 1 year

Returned to the workforce

8040

67.7%

Did not return

2981

25.1%

Died

805

6.7%

Emigrated

54

0.5%

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Predictors of return to workAge 18-30 vs Age 51-60 · logistic regression3.12 (2.42–4.03)
Predictors of return to workLong-higher education vs Basic school · logistic regression2.06 (1.63–2.60)

Predictors of return to work

ComparisonOR (95% CI)
Male sexLogistic regression1.22 (1.12–1.34)
Hospital stay >7 daysLogistic regression0.56 (0.51–0.62)
History of strokeLogistic regression0.55 (0.45–0.69)
CKDLogistic regression0.46 (0.36–0.59)
Chronic obstructive pulmonary diseaseLogistic regression0.62 (0.52–0.75)
DMLogistic regression0.76 (0.68–0.85)
CancerLogistic regression0.49 (0.40–0.61)

Original publication

Return to the Workforce After First Hospitalization for Heart Failure: A Danish Nationwide Cohort Study. Circulation. Published 9 August 2016. doi:10.1161/circulationaha.116.021859

Summarised from the published abstract; every number is checked against it

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