Determinants of Return to Work After Multicomponent Cardiac Rehabilitation

Salzwedel, Annett; Reibis, Rona; Heidler, Maria-Dorothea; Wegscheider, Karl; Völler, Heinz

doi:10.1016/j.apmr.2019.04.003

Cited by 19 publications

(30 citation statements)

References 9 publications

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“…Thus, this parameter may implicate aspects of non-captured occupation-related factors, such as non-motivation to return to work, occupational self-efficacy, job satisfaction, job control or expectations of retirement, as they are identified to predict occupational resumption in other publications. [13,43] However, patients with pension desire and negative self-assessed occupational prognoses in CR suffer from a high burden of predominantly social and mental disease consequences. On the other hand, applied coping strategies and support services are mainly focussed on physical aspects of the cardiovascular disease.…”

Section: Plos Onementioning

confidence: 99%

“…Nevertheless, in accordance with previous studies and official data, return to work rates after a cardiac event were only 69% in our study. [8,13,45] An original randomised clinical trial evaluating an extended social therapy counseling and training program during CR still had no effect on return to work and HRQL in patients at risk of occupational reintegration. [16] This finding suggests that the regular therapy density in the standardised German intensive short-term CR program as described in the methods section is at maximum volume.…”

Section: Plos Onementioning

confidence: 99%

“…[10,11] In general, return to work of patients with cardiovascular disease depends on several clinical and contextual factors, such as the patient's physical performance, depression, anxiety, expectations of professional reintegration and perceived health, with psychosocial parameters appearing more influential than classical cardiovascular risk factors. [12][13][14][15][16] Even for HRQL in patients living with heart disease, influencing factors such as exercise, coronary artery bypass surgery, socioeconomic parameters and a poor physician-patient relationship have been investigated. [17][18][19] Since return to work and HRQL after a cardiac event are closely associated, [15] several common predictors can be assumed.…”

Section: Introductionmentioning

confidence: 99%

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Patient-reported outcomes predict return to work and health-related quality of life six months after cardiac rehabilitation: Results from a German multi-centre registry (OutCaRe)

Salzwedel

Koran²,

Langheim

et al. 2020

PLoS ONE

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Background Multi-component cardiac rehabilitation (CR) is performed to achieve an improved prognosis, superior health-related quality of life (HRQL) and occupational resumption through the management of cardiovascular risk factors, as well as improvement of physical performance and patients' subjective health. Out of a multitude of variables gathered at CR admission and discharge, we aimed to identify predictors of returning to work (RTW) and HRQL 6 months after CR. Design Prospective observational multi-centre study, enrolment in CR between 05/2017 and 05/ 2018. Method Besides general data (e.g. age, sex, diagnoses), parameters of risk factor management (e.g. smoking, hypertension), physical performance (e.g. maximum exercise capacity, endurance training load, 6-min walking distance) and patient-reported outcome measures (e.g. depression, anxiety, HRQL, subjective well-being, somatic and mental health, pain, lifestyle change motivation, general self-efficacy, pension desire and self-assessment of the occupational prognosis using several questionnaires) were documented at CR admission

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Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patient-reported outcomes predict return to work and health-related quality of life six months after cardiac rehabilitation: Results from a German multi-centre registry (OutCaRe)

Salzwedel

Koran²,

Langheim

et al. 2020

PLoS ONE

Self Cite

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“…Because CR-participants after CABG deviate from other CR-participants in general, further research may possibly lead to adapted guidelines for patients after cardiac surgery. The previously mentioned guidelines suggest RTW within six weeks but based on recent studies [5][6][7] and on the findings in our study, this may not be feasible for patients after coronary bypass.…”

Section: Discussionmentioning

confidence: 73%

Barriers That Obstruct Return to Work After Coronary Bypass Surgery: A Qualitative Study

et al. 2020

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Purpose Coronary artery bypass grafting is the most frequently performed cardiac surgical procedure. Despite its benefits on survival and quality of life, it is associated with a considerable financial burden on society including sick leave. Our study aimed to explore the barriers that obstruct return to work after coronary artery bypass grafting. Methods We performed a qualitative study with in-depth interviewing of patients 6 months after their surgery. We included ten working patients and interviewed them and their spouses at home. The interviews were transcribed and two investigators independently searched the transcriptions for barriers that had obstructed return to work. Results Based on the interviews we were able to distinguish four main groups of barriers: 'personal', 'healthcare', 'work' and 'law & regulation.' The personal barriers were subgrouped in affective, physical, cognitive, social and individually determined factors. Conclusion In a qualitative study we showed that personal barriers as well as barriers regarding healthcare, work and law & regulation, were perceived by patients as important factors obstructing return to work after coronary artery bypass grafting. To overcome the identified barriers, the process of return to work could preferably be initiated during the hospital phase, started during cardiac rehabilitation, and coordinated by a case-managing professional.

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“…[2][3][4] While depression and a negative subjective occupational prognosis serve as important barriers of RTW, physical fitness acts as facilitator for reintegration. 5 A comprehensive review including determinants of vocational reintegration has been recently published. 6 Numerous determinants are interacting on diverse levels and must be considered multi-dimensionally.…”

mentioning

confidence: 99%

Vocational reintegration in coronary heart disease patients – the holistic approach of the WHO biopsychosocial concept

Salzwedel

Völler

Reibis³

2019

Eur J Prev Cardiolog

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Determinants of Return to Work After Multicomponent Cardiac Rehabilitation

Cited by 19 publications

References 9 publications

Patient-reported outcomes predict return to work and health-related quality of life six months after cardiac rehabilitation: Results from a German multi-centre registry (OutCaRe)

Patient-reported outcomes predict return to work and health-related quality of life six months after cardiac rehabilitation: Results from a German multi-centre registry (OutCaRe)

Barriers That Obstruct Return to Work After Coronary Bypass Surgery: A Qualitative Study

Vocational reintegration in coronary heart disease patients – the holistic approach of the WHO biopsychosocial concept

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