Toronto – Canadian & # 39; average age who have had a heart attack, stroke or cardiac arrest are less likely to work three years later, and to continue working often experience a significant reduction in income, researchers report.
In a 2005-2013 study published Monday in the Journal of the Canadian Medical Association, researchers evaluated the long-term effects of cardiovascular events such as stroke on the ability of people to work and any changes in annual earnings them.
A third & # 39; of heart attacks, quarter & # 39; strokes and 40 percent & # 39; cardiac arrest – where the heart stops beating in & # 39; blow – occur in & # 39; under-age population under 65 years of age and can result in & # 39 , physical and / or cognitive disabilities.
"For people & # 39; working age, one of the most important things is the ability to work and earn & # 39 ;," said main author Dr. Allan Garland, internal medicine specialist at the University a & # 39; Manitoba. "So it's relevant long-term outcome."
The study made data on hospital & # 39; Statistics Canada tax returns and anonymized to compare more than 24,500 of Canada & # 39; between 40 and 61 years who had suffered a heart attack, stroke or cardiac arrest compared against peers age have not experienced one of those events & # 39; threatening.
Researchers looked at annual earnings of every person to work for two years prior cardiovascular event, then compared those with three years of earnings after.
The figures were then compared with & # 39; for those people who were affected by a heart attack, stroke or cardiac arrest to determine the relative loss of income of the affected group.
"Three years after hospitalization for any of these health events, people who survived were less likely than comparison participants who were working and had higher losses in annual revenue," said Garland.
"The loss in earnings was substantial, with reductions ranging from eight percent to 31 percent. Even if people were able to work, their income in the third year after the event was between 5 and 20 percent less than before. "
The financial consequences of suffering & # 39; stroke were more significant, with a reduction of & # 39; 31 percent in earnings versus 23 percent for cardiac arrest and eight percent for heart attack.
"And if they looked at the effect on the average annual earnings, was $ 14,000 and change – which was 31 percent of their basic salary. So patients with stroke were losing about a third of their income. "
This is because strokes, harmful to the brain cells, potentially leaving people with & # 39; disability, including weakness on one side of the body, impaired speech or cognitive difficulties.
Such imbalances may mean that workers in left factory b & # 39; weak bottom can & # 39; no longer be able to perform physical tasks such as lifting or office worker with & # 39; the affected and arm can not & # 39 ; operate a computer, Garland explained from Winnipeg.
For Carole Laurin, a series of strokes at the age of 42 years meant that had to leave the employment of its Manitoba tuition because of cognitive deficits and residual weakness on her left hand still affecting her mobility .
Now 57 and living in & # 39; Ottawa, Laurin said she favored because long-term disability pension of its teachers covered physico therapy, occupational and neurophysiological.
"I think lucky because many stroke survivors encountered m & # 39; & # 39 they own, pension plan from their employer, and therefore live outside their CPP disability," she said. "They are struggling more than I do."
However, even with her pension, Laurin experienced approximately 40 percent reduction in income when she ceases his career. And there was also a psychological blow.
"Hadn two years to convince losses never able to get I & # 39; work. That was a big loss, I still nħossha. "
Patrice Lindsay, director of switching systems and stroke for the Heart and Stroke Foundation, said that not only the individual who has cardiovascular event can & # 39; suffer financially.
There is also a family person – 'spouses who can not return to work because they have to provide more intensive care or children & # 39; older people have an economic impact if they take time off -Working to go help their parents or to bring them to medical appointments, "she said.
Lindsay said she is excited about the study of the University of Manitoba to provide evidence that can be measured on the financial consequences of heart disease and stroke could be presented to the provinces to promote change.
"Person & # 39; 40 years or 45 years is not ready to retire, but what we are missing in our system is now widespread availability & # 39; specific vocational rehabilitation aimed … to help restore & # 39 ; back to work, "she said.
"We have heard many, many times about people who have a burning of their retirement savings to pay their rehabilitation so they can return to work and have a higher functional level."
Garland said that the unemployment and loss of earning power due to common cardiovascular events have broad relevance to society, b & # 39; consequences as health worsened for patients, potential failure and loss of & # 39; tax revenues for governments.
"I think the goal here is to understand the magnitude of & # 39; these problems … and then nistitwixxi policies to try to help these people get back to work."