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

Eva Calvo-Bonacho, Luis Miguel Ruilope, Miguel Angel Sánchez-Chaparro, Cesar Cerezo, Carlos Catalina-Romero, Paloma Martínez-Muñoz, José R. Banegas, Bernard Waeber, Arturo Gonzalez-Quintela, Alberto Zanchetti

Research output: Contribution to journalArticle

Abstract

AimsWe 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 resultsWe 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 €5 801 464.18 per year. Furthermore, pharmacological treatment for hypertension or hyperlipidaemia was significantly associated with longer SL duration.ConclusionModerate-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.

Original languageEnglish
Pages (from-to)299-306
Number of pages8
JournalEuropean Heart Journal
Volume35
Issue number5
DOIs
Publication statusPublished - Feb 1 2014

Keywords

  • Cardiovascular risk
  • Sick leave
  • Sickness absence
  • Work-related accidents

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    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. (2014). Influence of high cardiovascular risk in asymptomatic people on the duration and cost of sick leave: Results of the ICARIA study. European Heart Journal, 35(5), 299-306. https://doi.org/10.1093/eurheartj/eht156