Return to Work After Coronary Artery Bypass Surgery: Psychosocial and Economic Aspects

ISBN-13: 9783642698576 / Angielski / Miękka / 2011 / 398 str.

P. J. Walter

Opis

When I gave a presentation on return to work after heart valve replacement at the Tenth Congress of the German Society for Thoracic and Cardiovascular Surgery in 1981, I was surprised by the relatively low level of interest that cardiac surgeons seemed to have in this subject. This stimulated me to intensify my research in this area and to extend it to patients with coron ary heart disease. Obviously, physiological and mechanical aspects of medical treatment are of special interest to the surgeon. For the majority of cardiac surgical patients, that is those with coronary heart disease, the technical problems of the operative procedure have been solved to a great extent. Many studies have demonstrated that, aside from reduction of symptoms, aortocoronary bypass operation can lead to improvement of cardiac performance un der stress conditions. However in spite of the technical solutions to hemodynamic problems, it has become very clear that the reintegration of patients into their social sphere has not been accomplished to the extent that might be expected, as exempli fied by the relatively low rate of postoperative return to work."

Spis treści

Return to Work After Coronary Artery Bypass Surgery: Incidence and Main Factors.- Age- and Sex-Specific Incidence and Main Factors.- Psychosocial and Economic Aspects.- The Influence of Economic and Societal Factors.- Employment Status: Pre- and Postoperative Characteristics..- Employment Status of Patients After Coronary Artery Bypass Surgery.- Can Aortocoronary Bypass Surgery Improve Return to Work?.- Factors Contributing to Resumption of Work.- Summary of the Discussion.- Employment Patterns in Males Before and After Myocardial Revascularization Surgery: A Study of 2229 Consecutive Patients Followed for as Long as 10 Years.- Reemployment Related to Functional and Hemodynamic Changes.- Determinants of Vocational Rehabilitation.- Incidence of Return to Work in Relation to Invasive, Noninvasive, and Social Parameters.- Postoperative Exercise Performance Determines Return to Work.- Predictability of Postoperative Resumption of Work.- Clinical Results and Return to Work after Coronary Heart Surgery.- Working Capacity and Psychological Adjustment Before and After Surgery.- Summary of the Discussion.- Return to Work After Coronary Artery Bypass Surgery in Comparison to Heart Valve Replacement.- Return to Work After Heart Valve Replacement.- Return to Work After Coronary Artery Bypass Surgery in Comparison to Medical Treatment.- Long Term Changes in Work Status Among Patients in the Coronary Artery Surgery Study Registry.- Comparison of Employment Status Between Medically and Surgically Treated Coronary Artery Disease over 6–7 Years.- Return to Work After Surgical and Medical Treatment of Patients with Coronary Artery Disease.- Return to Work Aftery Coronary Artery Bypass Surgery in Comparison with Medical Treatment.- Return to Work After Coronary Artery Bypass Surgery in Comparison to Coronary Angioplasty.- Vocational Rehabilitation After Coronary Angioplasty and Coronary Bypass Surgery.- Return to Work After Coronary Angioplasty.- Work Status and Percutaneous Transluminal Coronary Angioplasty.- Return to Work After Thrombolysis According to the Subsequent Treatment.- Summary of the Discussion.- Psychosocial and Behavioral Aspects of Coronary Artery Bypass Surgery.- The Discrepancy Between Social and Medical Rehabilitation of Patients with Coronary Heart Disease.- Psychosocial Predictors of Work Status.- Psychiatric Complications.- Benefits and Psychological Problems of Aortocoronary Bypass and Valve Replacement Surgery.- Psychological and Behavioral Responses.- Return to Work and Sexual Relations Among Patients Following Coronary Artery Bypass Grafting and Myocardial Infarction.- Sexual Relations and the Perception of Health and Happiness Among Patients Following Coronary Artery Bypass Crafting and Myocardial Infarction.- Psychosocial Aspects.- Psychological Adaptation of Patients in the Early Rehabilitative Phase After Heart Surgery.- Some Questions and Remarks.- Summary of the Discussion.- Economic Considerations: Costs of Coronary Artery Bypass Surgery.- Comparison of Costs for Medical and Surgical Treatment of Coronary Obstructive Disease.- Costs of Open Heart Surgery: ACVB Surgery vs Valve Replacement.- The Costing of Coronary Artery Bypass Surgery.- Cost-Effectiveness of Coronary Artery Bypass Surgery.- Cost-Effectiveness in Coronary Artery Surgery: In Relation to the Gross National Product.- The Contribution of Social Medicine to the Cost-Benefit Analysis of Coronary Bypass Surgery.- Summary of the Discussion.- Rehabilitation and Return to Work: Strategies for Improving the Work Status of Patients After Coronary Artery Bypass Surgery.- Return to Work After Coronary Bypass Surgery: Problems and Prospects.- Can We Improve Work Status After Surgery?.- The Rehabilitation of Patients Following Coronary Revascularization Surgery: Social and Economic Aspects..- The Significance of Radionuclide Ventriculography for the Prognosis and Social Fate of Heart Infarction Patients (With or Without Left Ventricular Aneurysm).- Comparison of Active Participation in the Rotterdam Outpatient Cardiac Rehabilitation Program and Home Rehabilitation: A 5-Year Follow-up of a Controlled linical Trial on Psychological Well-Being: A resentation on Behalf of CAPRI.- Medical Problems and Hemodynamic Responses of yocardial Revascularization Surgery Patients to Early ardiac Rehabilitation.- Inability to Work After Myocardial Infarction: A 5-Year Follow-up Study.- Postoperative Work Rehabilitation.- Survival After Return to Work.- Cardiac Rehabilitation: Influence on Work Resumption..- Summary of the Discussion.