Quality of Life Research

, Volume 14, Issue 6, pp 1481–1488

Perceived cognitive function in coronary artery disease – An unrecognised predictor of unemployment


DOI: 10.1007/s11136-005-0195-x

Cite this article as:
Kiessling, A. & Henriksson, P. Qual Life Res (2005) 14: 1481. doi:10.1007/s11136-005-0195-x


Objective: We aimed to assess whether perceived cognitive function influences employment and return to work in patients with coronary artery disease (CAD). Design: Prospective longitudinal cohort study. Setting: Health care system of Södertälje, Stockholm County, Sweden. Patients: We included consecutive unselected patients less than 65 years of age with CAD and followed them during 2 years. Main outcome measures: Gainful employment and return to work in patients with CAD. Results: We found that perceived cognitive function predicts both prevalence of unemployment [OR 2.06 (95% CI: 1.36–3.13); p = 0.0006] and early retirement and sick leave due to coronary artery disease [OR 1.59 (95% CI: 1.12–2.25)] both at baseline and 2 years later. Furthermore, perceived cognitive function predicted return to work after an acute coronary event [OR 2.28 (95% CI: 1.08–4.84)]. Covariates such as age, sex, prevalence and degree of angina (CCS grade), cardiovascular risk factors and events did not change the predictive power. Conclusions: Perceived cognitive function is a hitherto unrecognised independent predictor of unemployment, sick leave and return to work in patients with coronary artery disease. Perceived cognitive function adds a new perspective on ability to gainful employment in patients with CAD. The findings might have significance both to individual care and to society.


Cognitive function Coronary artery disease Employment Quality of life Return to work 

Copyright information

© Springer 2005

Authors and Affiliations

  1. 1.Centre for Clinical Education, KKCDanderyd University HospitalStockholmSweden
  2. 2.Department of MedicineKarolinska Institute at Danderyd University HospitalStockholmSweden

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