cardiotomskСибирский журнал клинической и экспериментальной медициныSiberian Journal of Clinical and Experimental Medicine2713-29272713-265XTSU publishing10.29001/2073-8552-2020-35-2-44-49cardiotomsk-973Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESИнвалидность и возврат к труду среди пациентов, перенесших хирургическую реваскуляризацию миокардаDisability and return to work among patients undergoing surgical myocardial revascularizationhttps://orcid.org/0000-0002-5587-3947КузьмичкинаМ. А.KuzmichkinaM. A.

канд. мед. наук, научный сотрудник, лаборатория регистров сердечно-сосудистых заболеваний, высокотехнологичных вмешательств и телемедицины,

634012, Томск, ул. Киевская, 111а

M.D., Cand. Sci. (Med.), Research Scientist, Laboratory of Registries of Cardiovascular Diseases, High-Tech Interventions and Telemedicine, 

111a, Kievskaya str., Tomsk, 634012

kuzmariakuz@gmail.comhttps://orcid.org/0000-0002-9265-708XСеребряковаВ. Н.SerebryakovaV. N.

канд. мед. наук, заведующий лабораторией регистров сердечно-сосудистых заболеваний, высокотехнологичных вмешательств и телемедицины,

634012, Томск, ул. Киевская, 111а 

M.D., Cand. Sci. (Med.), Head of the Laboratory of Registries of Cardiovascular Diseases, High-Tech Interventions and Telemedicine,

111a, Kievskaya str., Tomsk, 634012

vsk75@yandex.ruНаучно-исследовательский институт кардиологии, Томский национальный исследовательский медицинский центр Российской академии наукРоссияCardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of SciencesRussian FederationНаучно-исследовательский институт кардиологии, Томский национальный исследовательский медицинский центр Российской академии наукРоссияCardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences,Russian Federation2020060720203524449Copyright © Кузьмичкина М.А., Серебрякова В.Н., 20202020Кузьмичкина М.А., Серебрякова В.Н.Kuzmichkina M.A., Serebryakova V.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibjcem.ru/jour/article/view/973

В структуре смертности болезни сердечно-сосудистой системы продолжают занимать лидирующую позицию. Для эффективной борьбы с высоким уровнем распространенности сердечно-сосудистых заболеваний (ССЗ) разрабатываются высокотехнологичные методы лечения. На сегодняшний день несомненны достижения в хирургических методах лечения ишемической болезни сердца (ИБС). Важная социально-экономическая задача оперативного лечения ИБС – восстановление трудового статуса пациента. Оперируемые пациенты, по данным различных отечественных публикаций, являются лицами трудоспособного возраста. В других странах больше доля пожилых пациентов, которым выполняется коронарное шунтирование (КШ). Несмотря на то, что в России оперируются лица трудоспособного возраста, возвращаемость к труду ниже, а процент инвалидизации выше. Экономический ущерб в связи с этими фактами высок. Причин этому несколько, одна их них – это отсутствие единых критериев направления пациентов на медико-социальную экспертизу (МСЭ) после хирургической реваскуляризации миокарда.

Cardiovascular diseases (CVD) remain the leading cause of death in the structure of mortality. The methods of high-technology medical care have been developed to eff ectively fi ght the high prevalence of CVD. The achievements in surgical methods of treatment for coronary artery disease (CAD) are currently undeniable. An important social and economic objective of surgical treatment for CAD is to restore the occupational status of patients. According to various national sources, patients undergoing surgery are estimated to have working age. The proportion of elderly patients undergoing coronary artery bypass grafting (CABG) in other countries is higher. Despite the fact that people receiving surgical treatments in Russia are primarily of working age, the rate of return to work and the percentage of disability are higher. Economic damage due to these factors is signifi cant. There are several causes of this situation including the lack of uniform criteria of referring patients for medical and social examination after surgical myocardial revascularization.

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The authors declare that there are no conflicts of interest present.