ArticleInternational journal of general medicine2026
Return to Work Status and Influencing Factors Among Young and Middle-Aged Patients with Stanford Type A Aortic Dissection After Cardiac Surgery: A Random Forest Model Analysis.
Article in International journal of general medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: To investigate the current status of return to work (RTW) and its influencing factors among young and middle-aged patients with Stanford Type A aortic dissection (STAAD) after cardiac surgery. Methods: A cross-sectional study was conducted, encompassing a sample of 208 participants who underwent cardiac surgery for STAAD in Guangdong Provincial People's Hospital from July 2024 to August 2025. All participants completed a general information questionnaire, Return-to-Work Self-Efficacy Questionnaire, Hospital Anxiety and Depression Scale, Brief Illness Perception Questionnaire, and Social Support Rating Scale. Univariate analyses, binary logistic regression analyses, and a random forest model (RFM) were used to identify independent factors influencing RTW. Results: A total of 208 participants completed the assessment, with only 82 (39.4%) returning to work. Binary logistic regression analysis revealed that being the primary household breadwinner (OR = 4.79, 95% CI: 1.70-13.51), performing non-manual work (OR = 3.96, 95% CI: 1.34-11.73), objective support (OR = 1.48, 95% CI: 1.03-2.11), subjective support (OR = 1.54, 95% CI: 1.04-2.30), return-to-work self-efficacy (OR = 10.68, 95% CI: 4.21-27.13) and NYHA functional class III (OR = 0.155, 95% CI: 0.03-0.77) were independent factors influencing RTW in young and middle-aged STAAD patients after cardiac surgery (all Conclusion: RTW rate among young and middle-aged STAAD patients following cardiac surgery remains low. Early identification of high-risk individuals is crucial for clinical care and rehabilitation planning. These findings provide a basis for developing targeted multidisciplinary rehabilitation strategies aimed at improving outcomes for vocational reintegration.
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