Unemployment and deprivation are associated with a poorer outcome following percutaneous coronary angioplasty

Abstract This prospective observational study aimed to assess the impact of employment status and deprivation on quality of life 12 months after percutaneous coronary intervention (PCI). Patients completed a questionnaire at baseline and at 1 year follow-up including a health utility score (EQ-5D),...

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Bibliographic Details
Published in:International journal of cardiology 2007-11, Vol.122 (2), p.168-169
Main Authors: Leslie, S.J, Rysdale, J, Lee, A.J, Eteiba, H, Starkey, I.R, Pell, J, Denvir, M.A
Format: Article
Language:English
Subjects:
Adult
Angioplasty, Balloon, Coronary - adverse effects
Angioplasty, Balloon, Coronary - economics
Biological and medical sciences
Cardiac symptoms
Cardiology. Vascular system
Cardiovascular
Chest Pain - etiology
Coronary heart disease
Deprivation
Diseases of the cardiovascular system
Dyspnea - etiology
Employment
Employment status
Female
Heart
Humans
Male
Medical sciences
Middle Aged
Outcome Assessment (Health Care)
Percutaneous coronary intervention
Poverty Areas
Quality of Life
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Sickness Impact Profile
Socioeconomic Factors
Surveys and Questionnaires
Unemployment - psychology
Unemployment - statistics & numerical data
United Kingdom
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Summary:Abstract This prospective observational study aimed to assess the impact of employment status and deprivation on quality of life 12 months after percutaneous coronary intervention (PCI). Patients completed a questionnaire at baseline and at 1 year follow-up including a health utility score (EQ-5D), symptoms and employment status. Deprivation was assessed using the Carstairs' deprivation category based on area postcodes. The majority (79.6%) of patients of working age returned to work within 12 months. Unemployment was associated with a lower quality of life (QoL) at baseline (0.49 (0.32) vs 0.61 (0.27), p = 0.002) and less improvement in QoL 1 year after PCI (0.15 (0.37) vs 0.26 (0.31), p < 0.012). Furthermore, unemployed patients had significantly less improvement in chest pain score ( p = 0.002) and breathlessness ( p < 0.001). Unemployed patients from the most deprived areas had lowest QoL at follow-up and least improvement in QoL at 1 year. Unemployment and deprivation are associated with poorer outcomes following PCI.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2006.11.052