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Tytuł oryginału:
Risk for early ischemic event after acute myocardial infarction in working males.
Autorzy:
Froom
Paul,
Gofer
Dafna,
Boyko
Valentina,
Goldbourt
Uri
Źródło:
Int. J. Occup. Med. Environ. Health 2002: 15 (1) s.43-48, il., tab., bibliogr. 15 poz.
Sygnatura GBL:
306,313
Hasła klasyfikacyjne GBL:
medycyna pracy
kardiologia
Typ dokumentu:
praca kliniczna
tytuł obcojęzyczny
Wskaźnik treści:
ludzie
dorośli 19-44 r.ż.
dorośli 45-64 r.ż.
dorośli = 65 r.ż.
płeć męska
płeć żeńska
Streszczenie angielskie:
We attempt to predict ischemic events in the weeks following the hospital discharge after acute myocaridal infarction (AMI) in order to aid occupational physicians in taking return-to-work decisions. Included in the study were 1299 AMI patients from 14 coronary care units in Israel who had been employed before hospitalization and were seen after discharge 1,2,4,6, 9 and 12 months after the first AMI. Cardiovascular accidnts included death from cardiovascular disease, recurrent infarction or hospitalization due to congestive heart failure or unstable angina. The rate of a first recurrent cardiovascular accident decreased rapidly over the first few weeks. The risk in the third week was still 51 per 1000 person-months, 13.4 (95 p.c. Cl: 9.2 - 19.5) times higher than that after 10 weeks when the incidence reached a low steady state. The major predictors in a logistic regression model for an event were: older age, past history of a cerebrovascular event, and congestive heart failure during the course of hospitalization, but the area under the receiver-operator curve was only 64.4 p.c. We conclude that after acute myocardial infarction, the major risk for a recurrent event is a lapse of tiem from discharge but not other clinical variables. This should be taken into account when considering a proper timing of return-to-work after an acute myocardial infarction.
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