0085 Psychosocial working environment for patients with ischaemic heart disease and association to adverse cardiac events. (23rd June 2014)

• Record Type: Journal Article
• Authors: Biering, Karin; Lund, Thomas; Hviid Andersen, Johan; Henrik Hjollund, Niels
• Is Part Of: Occupational and environmental medicine. Volume 71(2014)Supplement 1
• Page Start: A71
• Page End: A72
• Publication Date: 2014-06-23
• Subjects: Medicine, Industrial -- Periodicals; Environmental health -- Periodicals; 616.980305
• DOI: 10.1136/oemed-2014-102362.222
• Languages: English
• ISSNs: 1351-0711

Abstract

Abstract : Objectives: During the last decades a possible association between the psychosocial working environment and increased risk of Ischaemic heart disease (IHD) has been debated. A systematic review from 2009 found moderate evidence that high psychological demands, lack of social support and iso-strain was associated with IHD. Whether the psychosocial working environment plays a role for patients with existing cardiovascular disease on the risk of new cardiac events and readmissions is unknown Method: A cohort of patients under 65 years and treated with Percutaneous Coronary Intervention was established in 2006. Three months after the procedure the patients answered a questionnaire about their psychosocial working environment. A total of 528 patients had returned to work 12 weeks after the procedure, while 97 were still sick-listed. Patients were followed in registers for 3+ years to determine cardiac readmissions and events. We examined the association between psychosocial working environment and adverse events among those who had returned to work at 3 months by Cox Regression analysis. Results: We were not able to detect any significant associations between psychosocial working environment in terms of quantitative and cognitive demands, workload, involvement, influence, tolerance, social support, the combinations of effort-reward and demand-control and the risk of adverse events. Conclusions: Reporting of problems in the psychosocial working environment are not associated with risk of adverse cardiac events. However, tendencies of a lower risk of cardiac event were present for employees reporting the worst psychosocial environment. This unexpected finding may be explained by vulnerable persons not returning to work.