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Main arrow Archive of previous Issues arrow ╣2 2013 (30) arrow Socio-demographic characteristics and assessment of long-term survival after coronary artery bypass surgery on the basis of disability
Socio-demographic characteristics and assessment of long-term survival after coronary artery bypass surgery on the basis of disability Print
Thursday, 18 April 2013

Summary. Socio-demographic profile of patients with coronary heart disease who had a coronary artery bypass surgery in 2000-2009 at the Chelyabinsk Interregional Cardiac Surgery Center has been analyzed. The number of coronary artery bypass surgeries increased over the study period. The overall male/female ratio was 9:1. The analysis showed an increased share of people of pre-retirement and retirement age among patients referred to coronary artery bypass surgery. After coronary artery bypass surgery 26.7% of all patients without disability were given disability status for the first time ever. The overall group of the disabled people after surgery increased up to 60.4%, patients without disability status added up to 39.6% respectively. Social and occupational profile analysis of the disabled people showed that before surgery 77.1% of patients were engaged in physical labor. Among men, the rate was 78.6%, and a little lower in women - 64.1%. 21.4% of men and 35.9% of women referred to surgical treatment for coronary heart disease during the study period were white collar workers. Patients predominantly included residents of big cities (Chelyabinsk, Magnitogorsk). Long-term survival assessment showed that one and three-year survival was higher among those patients who got disability status after surgery, while the ten-year survival was higher among those without disability. Differences between groups were statistically significant for Breslow (Generalized Wilcoxon) (p = 0.000), and Tarone-Ware (p = 0.002) tests. At the same time the share of people over 60 years of age among patients without disability status was higher and, coupled with other factors, could have affected the long-term survival. The study gives an overview of the current status and performance capabilities of cardiac surgery services in Chelyabinsk region. Expanded implementation of modern cardiac surgery technologies requires monitoring of treatment and patientsĺ condition in long-term perspective following the surgery.

Keywords. Ischemic heart disease; coronary artery bypass surgery; long-term survival; register; disability.

References

  1. Bokeriya LA, Stupakov IN, Samorodskaya IV, Bolotova EV, Fufaev EN. Clinical and social characteristics of adult patients with cardiovascular diseases and the need for certain types of treatment and diagnostic care (by the data of researches in patients of public healthcare facilities). Obshchestvennoe zdorov'e i profilaktika zabolevaniy 2007;(5):50-54 (in Russia).
  2. Bokeriya LA, Stupakov IN, Samorodskaya IV. International experience in formation of data bases for heart operated patients. Grudnaya i serdechno-sosudistaya khirurgiya 2009;(2):52-57 (in Russia).
  3. Bokeriya LI. Optimization of calculation of needs in cardiac surgery for patients with cardiovascular diseases. Zdravookhranenie Rossiyskoy Federatsii 2008;(4):25-27 (in Russia).
  4. ôHealthcare developmentö, the State Program of the Russian Federation. Moscow. College of the MH&SD of the RF, September 28, 2012. 66 p. [╚ݲň­Ýň˛]. 2012 [cited 2013 Jan 12]. Available from: https://gov.cap.ru/home/11/2012/%D0%B4%D0%BE%D0%BA%D1%83%D0%BC%D0%B5%D0%BD%D1%82%D1%8B/kollegiya_itog.pdf (in Russia).
  5. Karpov YuA, Aronov DM. Cardiac rehabilitation in Russia needs a radical reorganization. Kardiologicheskiy vestnik 2010;V(2):5-11 (in Russia).
  6. Baum A, Garofalo JP, Yali AM. Socioeconomic status and chronic stress. Does stress account for SES effects on health? Ann. NY Acad. Sci 1999;896:131-144.
  7. Hällberg V, Palomäki A, Kataja M, Tarkka M. Return to work after coronary artery bypass surgery. A 10-year follow-up study. Scand. Cardiovasc. J 2008;8:1-8.
  8. MacKenzie TA, Malenka DJ, Olmstead EM. Prediction of survival after coronary revascularization: modeling short-term, mid-term, and long-term survival. Northern New England Cardiovascular Disease Study Group. Ann Thorac. Surg 2009;87 (2):463-472.
  9. Mattioli AV, Bonatti S, Zennaro M, Mattioli G. The relationship between personality, socio-economic factors, acute life stress and the development, spontaneous conversion and recurrences of acute lone atrial fibrillation. Europace 2005;7(3):211-220.
  10. Mobley LR, Freeh HE. Firm growth and failure in increasingly competitive markets: theory and application to hospital markets. Journal of the Economics of Business 1994;1:77-93.
  11. Perk J, Alexanderson K. Sick leave due to coronary artery disease or stroke. Scand. J. Public Health 2004;32 (Suppl. 63):S181-206.
  12. Yancy CW, Fonarow GC, Albert NM, Curtis AB, Stough WG, Gheorghiade M, et al. Influence of patient age and sex on delivery of guideline-recommended heart failure care in the outpatient cardiology practice setting: fin dings from IMPROVE HF. Am. Heart J 2009;157(4):754-762.

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