TY - JOUR
T1 - Employment Status at Time of Acute Myocardial Infarction and Risk of Death and Recurrent Acute Myocardial Infarction
AU - Petersen, Jeppe K.
AU - Shams-Eldin, Abdulrahman N.
AU - Fosbøl, Emil L.
AU - Rørth, Rasmus
AU - Sørensen, Rikke
AU - Jabbari, Reza
AU - Engstrøm, Thomas
AU - Holmvang, Lene
AU - Pedersen, Frants
AU - Alhakak, Amna
AU - Krøll, Johanna
AU - Torp-Pedersen, Christian
AU - Køber, Lars
AU - Butt, Jawad H.
N1 - © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
PY - 2023/5/9
Y1 - 2023/5/9
N2 - BACKGROUND: Employment is important for physical and mental health and self-esteem and provides financial independence. However, little is known on the prognostic value of employment status prior to admission with acute myocardial infarction (MI).METHODS AND RESULTS: Using Danish nationwide registries, all patients between 18 and 60 years with a first-time MI admission (2010-2018) and alive at discharge were included. Rates of all-cause mortality and recurrent MI according to workforce attachment at the time of the event was compared using multivariable Cox regression. Of the 16 060 patients included in the study, 3520 (21.9%) patients were not part of the workforce. Patients who were not part of the workforce were older (52 vs. 51 years), less often men (63% vs. 77%), less likely to have higher education, more often living alone (47% vs. 29%), and more often had comorbidities, including heart failure, atrial fibrillation, hypertension, diabetes, chronic kidney disease, and chronic obstructive pulmonary disease. The absolute 5-year risk of death was 3.3% and 12.8% in the workforce and non-workforce group, respectively. The corresponding rates of recurrent MI were 7.5% and 10.9%, respectively. In adjusted analyses, not being part of the workforce was associated with a significantly higher rate of all-cause mortality [HR: 2.39 (95% CI: 2.01-2.83)] and recurrent MI [1.36 (1.18-1.57)].CONCLUSION: Among patients of working age who were admitted with MI and alive at discharge, not being part of the workforce was associated with a higher long-term rate of all-cause mortality and recurrent MI.
AB - BACKGROUND: Employment is important for physical and mental health and self-esteem and provides financial independence. However, little is known on the prognostic value of employment status prior to admission with acute myocardial infarction (MI).METHODS AND RESULTS: Using Danish nationwide registries, all patients between 18 and 60 years with a first-time MI admission (2010-2018) and alive at discharge were included. Rates of all-cause mortality and recurrent MI according to workforce attachment at the time of the event was compared using multivariable Cox regression. Of the 16 060 patients included in the study, 3520 (21.9%) patients were not part of the workforce. Patients who were not part of the workforce were older (52 vs. 51 years), less often men (63% vs. 77%), less likely to have higher education, more often living alone (47% vs. 29%), and more often had comorbidities, including heart failure, atrial fibrillation, hypertension, diabetes, chronic kidney disease, and chronic obstructive pulmonary disease. The absolute 5-year risk of death was 3.3% and 12.8% in the workforce and non-workforce group, respectively. The corresponding rates of recurrent MI were 7.5% and 10.9%, respectively. In adjusted analyses, not being part of the workforce was associated with a significantly higher rate of all-cause mortality [HR: 2.39 (95% CI: 2.01-2.83)] and recurrent MI [1.36 (1.18-1.57)].CONCLUSION: Among patients of working age who were admitted with MI and alive at discharge, not being part of the workforce was associated with a higher long-term rate of all-cause mortality and recurrent MI.
KW - Atrial Fibrillation
KW - Employment
KW - Hospitalization
KW - Humans
KW - Male
KW - Myocardial Infarction/diagnosis
KW - Patient Discharge
KW - Myocardial infarction
KW - Mortality
KW - Recurrent myocardial infarction
KW - Epidemiology
KW - Employment status
UR - http://www.scopus.com/inward/record.url?scp=85159727153&partnerID=8YFLogxK
U2 - 10.1093/eurjpc/zwad013
DO - 10.1093/eurjpc/zwad013
M3 - Journal article
C2 - 36653331
SN - 2047-4873
VL - 30
SP - 572
EP - 580
JO - European Journal of Preventive Cardiology
JF - European Journal of Preventive Cardiology
IS - 7
M1 - zwad013
ER -