Influence of high cardiovascular risk in asymptomatic people on the duration and cost of sick leave: results of the ICARIA study.

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Serval ID
serval:BIB_43CD09B50F49
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Influence of high cardiovascular risk in asymptomatic people on the duration and cost of sick leave: results of the ICARIA study.
Journal
European Heart Journal
Author(s)
Calvo-Bonacho E., Ruilope L.M., Sánchez-Chaparro M.A., Cerezo C., Catalina-Romero C., Martínez-Muñoz P., Banegas J.R., Waeber B., Gonzalez-Quintela A., Zanchetti A.
ISSN
1522-9645 (Electronic)
ISSN-L
0195-668X
Publication state
Published
Issued date
2014
Volume
35
Number
5
Pages
299-306
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
AIMS: We investigated the potential influence of a moderate-to-high cardiovascular (CV) risk (CVR) (defined as a Systematic COronary Risk Evaluation model, or SCORE ≥ 4%), in the absence of an established CV disease, on the duration and cost of CV and non-CV sick leave (SL) resulting from common and occupational accidents or diseases.
METHODS AND RESULTS: We conducted a prospective cohort study on 690 135 workers with a 1-year follow-up and examined CV- and non-CV-related SL episodes. To obtain baseline values, CVR factors were initially assessed at the beginning of the year during routine medical examination. The CVR was calculated with the SCORE charts for all subjects. Moderate-to-high CVR was defined as SCORE ≥ 4%. A baseline SCORE ≥ 4% was associated with a higher risk for long-term CV and non-CV SL, as revealed by follow-up assessment. This translated into an increased cost, estimated at euro5 801 464.18 per year. Furthermore, pharmacological treatment for hypertension or hyperlipidaemia was significantly associated with longer SL duration.
CONCLUSION: Moderate-to-high CVR in asymptomatic subjects was significantly associated with the duration and cost of CV and non-CV SL. These results constitute the first body of evidence that the SCORE charts can be used to identify people with a non-established CV disease, which might ultimately translate into more lost workdays and therefore increased cost for society.
Pubmed
Web of science
Open Access
Yes
Create date
13/05/2013 15:32
Last modification date
01/10/2019 7:17
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