2026-04-13T13:22:32Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/35272025-10-24T10:58:39Zcom_2072_378068com_2072_378040col_2072_378090

00925njm 22002777a 4500 dc Català-Tella, Nausica author Serna-Arnaiz, Maria C. author Real-Gatius, Jordi author Yuguero-Torres, Oriol author Galvan-Santiago, Leonardo author 2018-06-18T09:55:56Z 2018-06-18T09:55:56Z 2017-01-18 Acute coronary syndrome; Coronary heart disease; Sick leave Síndrome Coronario Agudo; Enfermedad Coronaria; Ausencia por enfermedad Síndrome coronari agut; Malaltia coronària; Absència per malaltia BACKGROUND The prevalence of ischemic heart disease is high. Few recent studies have investigated the periods of sick leave of these patients. Our aim is to determine the length of sick leave after an acute coronary syndrome, its costs, associated factors and to assess the use of antidepressants and/or anxiolytics. METHODS An observational study of a retrospective cohort of patients on sick leave due to ischemic heart disease in a health region between 2008-2011, with follow-up until the first return to work, death, or end of the study (31/12/2012). MEASUREMENTS length of sick leave, sociodemographic variables and medical prescriptions. RESULTS Four hundred and ninety-seven patients (mean age 53 years, 90.7% male), diagnosed with acute myocardial infarction (60%), angina pectoris (20.7%) or chronic form of ischemic heart disease (19.1%). Thirty-seven per cent of patients took anxiolytics the year after diagnosis and 15% took antidepressants. The average duration of sick leave was 177 days (95% CI: 163-191 days). Patients diagnosed with acute myocardial infarction returned to work after a mean of 192 days, compared to 128 days in cases with angina pectoris. Patients who took antidepressants during the year after diagnosis returned to work after a mean of 240 days. The mean work productivity loss was estimated to be 9,673 euros/person. CONCLUSIONS The mean duration of sick leave due to ischemic heart disease was almost six months. Consumption of psychotropic medication doubled after the event. Older age, suffering an acute myocardial infarction and taking antidepressants were associated with a longer sick leave period. http://hdl.handle.net/11351/3527 Malalties coronàries Baixa mèdica Raonament basat en casos DISEASES::Cardiovascular Diseases::Heart Diseases::Myocardial Ischemia HEALTH CARE::Population Characteristics::Socioeconomic Factors::Income::Salaries and Fringe Benefits::Sick Leave HEALTH CARE::Environment and Public Health::Public Health::Epidemiologic Methods::Epidemiologic Study Characteristics::Epidemiologic Studies::Cohort Studies ATENCIÓN DE SALUD::Características de la Población::factores socioeconómicos::renta::salarios y retribuciones en especie::licencia por enfermedad ENFERMEDADES::enfermedades cardiovasculares::enfermedades cardíacas::isquemia miocárdica ATENCIÓN DE SALUD::ambiente y salud pública::salud pública::métodos epidemiológicos::características de los estudios epidemiológicos::estudios epidemiológicos::estudios de cohortes Assessment of the length of sick leave in patients with ischemic heart disease