Return to Work After Type A Aortic Dissection
Presented During:
Thursday, April 25, 2024: 5:38PM - 7:00PM
Sheraton Times Square
Posted Room Name:
Central Park
Abstract No:
P0289
Submission Type:
Abstract Submission
Authors:
Matthew Billy (1), Salmaan Zafer (2), Christian Hailey Summa (2), Zachary Brennan (3), Jiatian Qu (1), Scott A. LeMaire (4), Tyler Wallen (5)
Institutions:
(1) N/A, N/A, (2) Geisinger Health Systems, Wilkes-Barre, PA, (3) UF, Gainesville, FL, (4) Geisinger Commonwealth School of Medicine, Scranton, PA, (5) The University of Florida Health System, Newberry, FL
Submitting Author:
Matthew Billy
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Co-Author(s):
Salmaan Zafer
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Geisinger Health Systems
Geisinger Health Systems
Christian Hailey Summa
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Geisinger Health Systems
Geisinger Health Systems
Zachary Brennan
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UF
UF
Jiatian Qu
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N/A
N/A
*Scott LeMaire
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Geisinger Commonwealth School of Medicine
Geisinger Commonwealth School of Medicine
Tyler Wallen
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The University of Florida Health System
The University of Florida Health System
Presenting Author:
Matthew Billy
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Abstract:
Objective
Ascending aortic dissection is a highly morbid condition that requires prompt surgical intervention. It frequently affects patients in their working years. The aim of this study is to quantify the socioeconomic impact of aortic surgery on our patient population by their ability to participate and return to work in this multi-center, single institution review.
Methods
After IRB approval, we conducted a retrospective review of a prospectively maintained database and included any patient who suffered an acute Type-A aortic dissection (TAAD) that was treated operatively. We then analyzed those who survived beyond thirty days. We then contacted each of these patients to enroll them in a voluntary survey to assess their pre-operative and post-operative occupation and associated salary and loss there-of from their operation and perioperative period. Statistical analysis was then performed.
Results
173 patients who underwent urgent or emergent repair of TAAD from 2012 to 2023 were attempted to be contacted. Out of 173 patients surveyed, 39 were willing to participate in the survey. Incomplete surveys due to requests for patient privacy were further excluded. The mean amount of missed days was 103 days and the average amount of direct missed income was $14,662.67 per patient. Additionally, only 40.7% (11 out of 27) of patients returned to full- or part-time work after aortic surgery. Our lower income patients (annual income less than $20,000 per annum) were noted to have a trend towards significance of not returning to work as compared to higher income earners (.333 vs .714, [p= 0.0883]).
Conclusions
Aortic surgery is a major undertaking that affects multiple aspects of our patient's life – including their ability to return to work. Many patients do not return to work after aortic surgery, and our lower income patients are potentially more vulnerable to this phenomenon. This negative impact to our patients, and our community should be better addressed with a multi-disciplinary approach to help patients return to work.
Ascending aortic dissection is a highly morbid condition that requires prompt surgical intervention. It frequently affects patients in their working years. The aim of this study is to quantify the socioeconomic impact of aortic surgery on our patient population by their ability to participate and return to work in this multi-center, single institution review.
Methods
After IRB approval, we conducted a retrospective review of a prospectively maintained database and included any patient who suffered an acute Type-A aortic dissection (TAAD) that was treated operatively. We then analyzed those who survived beyond thirty days. We then contacted each of these patients to enroll them in a voluntary survey to assess their pre-operative and post-operative occupation and associated salary and loss there-of from their operation and perioperative period. Statistical analysis was then performed.
Results
173 patients who underwent urgent or emergent repair of TAAD from 2012 to 2023 were attempted to be contacted. Out of 173 patients surveyed, 39 were willing to participate in the survey. Incomplete surveys due to requests for patient privacy were further excluded. The mean amount of missed days was 103 days and the average amount of direct missed income was $14,662.67 per patient. Additionally, only 40.7% (11 out of 27) of patients returned to full- or part-time work after aortic surgery. Our lower income patients (annual income less than $20,000 per annum) were noted to have a trend towards significance of not returning to work as compared to higher income earners (.333 vs .714, [p= 0.0883]).
Conclusions
Aortic surgery is a major undertaking that affects multiple aspects of our patient's life – including their ability to return to work. Many patients do not return to work after aortic surgery, and our lower income patients are potentially more vulnerable to this phenomenon. This negative impact to our patients, and our community should be better addressed with a multi-disciplinary approach to help patients return to work.
Aortic Symposium:
Aortic Surgery Forum (Basic Aortic Research, Venue for Residents, Fellows, Junior Attendings)
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