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September 19, 1977, Vol 238, No. 12 >
ARTICLE | September 19, 1977

Changes in Working Status of Patients Following Coronary Bypass Surgery FREE

Glenda K. Barnes, RN; Marjorie J. Ray; Albert Oberman, MD; Nicholas T. Kouchoukos, MD
[+] Author Affiliations

Reprint requests to Division of Preventive Medicine, Seventh Floor, Medical Towers Building, 1717 11th Ave S, Birmingham, AL 35294 (Dr Oberman).


JAMA. 1977;238(12):1259-1262. doi:10.1001/jama.1977.03280130041012
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References

Coronary artery bypass surgery has gained a major role in the management of ischemic heart disease. Relief of symptoms is often the primary goal for these surgical procedures while other effects relating to rehabilitation of such patients have been neglected. To determine change in work status as a result of operation, job status and hours worked before and after surgery were analyzed in 350 patients who had coronary artery bypass grafting procedures. Overall, there was no improvement in return to work or hours worked after surgery. Hours worked before surgery, relief of symptoms, severity of disease, number of bypass grafts placed, and level of education all related substantially to a change in work capacity. It appears that if the potential for enhanced productivity is to be realized, rehabilitative measures must be intensified following coronary artery surgery.

(JAMA 238:1259-1262, 1977)

REFERENCES

1 +
Mundth ED, Austen WG:  Surgical measures for coronary heart disease, part II . N Engl J Med 293:75-80, 1975;.
2 +
Kolata GB:  Coronary bypass surgery: Debate over its benefits . Science 194:1263-1265, 1976;.
3 +
 Coronary-artery bypass surgery , Editorial. Lancet 1:841-842, 1976;.
4 +
Oberman A, Kouchoukos NT, Harrell RR, et al:  Surgical versus medical treatment in disease of the left main coronary artery . Lancet 2:591, 1976;.
5 +
Takaro T, Hultgren HN, Detre KM:  VA cooperative study of coronary arterial surgery: II. Left main disease . Circulation 563( (suppl 2) ):51-52, 1975;.
6 +
Oberman A, Kouchoukos NT, Russell RD, et al:  Coronary artery surgery: Long-term results at the University of Alabama Medical Center , in Davila J (ed): Second Henry Ford Hospital International Symposium on Cardiac Surgery . New York, Appleton-Century-Crofts, 1977;.
7 +
Dunkman WB, Perloff JK, Kastor JA, et al:  Medical perspectives in coronary artery surgery: A caveat . Ann Intern Med 81:817-837, 1974;.
8 +
Mundth ED, Austen WG:  Surgical measures for coronary heart disease, part I . N Engl J Med 293:13-19, 1975;.
9 +
Cannom DS, Miller CD, Shumway NE, et al:  The long-term follow-up of patients undergoing saphenous vein bypass surgery . Circulation 49:77-85, 1974;.
10 +
Goodnight JH, Barr AJ: Statistical Analysis System . Raleigh, NC, Dept of Statistics, North Carolina State University, 1971;.
11 +
Hay DR, Weir LJ, McGregor MR:  Further observations on cardiac rehabilitation . NZ Med J 78:478-481, 1973;.
12 +
Rimm AA, Barboriak JJ, Anderson AJ, et al:  Changes in occupation after aortocoronary vein-bypass operation . JAMA 236:361-364, 1976;.
13 +
Needs and Opportunities for Rehabilitating the Coronary Heart Disease Patient: Report of the Task Force on Cardiovascular Rehabilitation of the National Heart & Lung Institute , publication 75-750. Dept of Health, Education, and Welfare, National Institutes of Health, 1974;.
14 +
Frank KA, Heller S, Kornfeld D:  A survey of adjustments to cardiac surgery . Arch Intern Med 130:735-738, 1972;.
15 +
Warshaw LJ:  Employability of the patient with heart disease: How is it evaluated? J Chronic Dis 18:931-944, 1965;.
16 +
Reeder LG:  Employment practice and the cardiac . J Chronic Dis 18:951-963, 1965;.
17 +
Report of the Task Group on Cardiac Rehabilitation: National Heart, Lung, & Blood Institute Working Conference on Health Behavior, May 1975 , publication 76-868. Dept of Health, Education, and Welfare, 1976;.
18 +
Hellerstein HK, Ford AB:  Rehabilitation of the cardiac patient . JAMA 164:225-231, 1957;.

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1 +
Mundth ED, Austen WG:  Surgical measures for coronary heart disease, part II . N Engl J Med 293:75-80, 1975;.
2 +
Kolata GB:  Coronary bypass surgery: Debate over its benefits . Science 194:1263-1265, 1976;.
3 +
 Coronary-artery bypass surgery , Editorial. Lancet 1:841-842, 1976;.
4 +
Oberman A, Kouchoukos NT, Harrell RR, et al:  Surgical versus medical treatment in disease of the left main coronary artery . Lancet 2:591, 1976;.
5 +
Takaro T, Hultgren HN, Detre KM:  VA cooperative study of coronary arterial surgery: II. Left main disease . Circulation 563( (suppl 2) ):51-52, 1975;.
6 +
Oberman A, Kouchoukos NT, Russell RD, et al:  Coronary artery surgery: Long-term results at the University of Alabama Medical Center , in Davila J (ed): Second Henry Ford Hospital International Symposium on Cardiac Surgery . New York, Appleton-Century-Crofts, 1977;.
7 +
Dunkman WB, Perloff JK, Kastor JA, et al:  Medical perspectives in coronary artery surgery: A caveat . Ann Intern Med 81:817-837, 1974;.
8 +
Mundth ED, Austen WG:  Surgical measures for coronary heart disease, part I . N Engl J Med 293:13-19, 1975;.
9 +
Cannom DS, Miller CD, Shumway NE, et al:  The long-term follow-up of patients undergoing saphenous vein bypass surgery . Circulation 49:77-85, 1974;.
10 +
Goodnight JH, Barr AJ: Statistical Analysis System . Raleigh, NC, Dept of Statistics, North Carolina State University, 1971;.
11 +
Hay DR, Weir LJ, McGregor MR:  Further observations on cardiac rehabilitation . NZ Med J 78:478-481, 1973;.
12 +
Rimm AA, Barboriak JJ, Anderson AJ, et al:  Changes in occupation after aortocoronary vein-bypass operation . JAMA 236:361-364, 1976;.
13 +
Needs and Opportunities for Rehabilitating the Coronary Heart Disease Patient: Report of the Task Force on Cardiovascular Rehabilitation of the National Heart & Lung Institute , publication 75-750. Dept of Health, Education, and Welfare, National Institutes of Health, 1974;.
14 +
Frank KA, Heller S, Kornfeld D:  A survey of adjustments to cardiac surgery . Arch Intern Med 130:735-738, 1972;.
15 +
Warshaw LJ:  Employability of the patient with heart disease: How is it evaluated? J Chronic Dis 18:931-944, 1965;.
16 +
Reeder LG:  Employment practice and the cardiac . J Chronic Dis 18:951-963, 1965;.
17 +
Report of the Task Group on Cardiac Rehabilitation: National Heart, Lung, & Blood Institute Working Conference on Health Behavior, May 1975 , publication 76-868. Dept of Health, Education, and Welfare, 1976;.
18 +
Hellerstein HK, Ford AB:  Rehabilitation of the cardiac patient . JAMA 164:225-231, 1957;.

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