Return to Work after an Acute Coronary Syndrome: Patients’ Perspective

Slebus, Frans G.; Jørstad, Harald T; Peters, Ron J.G.; Kuijer, Paul; Willems, J. H. B. M.; Sluiter, Judith K.; Frings‐Dresen, Monique H. W.

doi:10.5491/shaw.2012.3.2.117

Cited by 25 publications

(37 citation statements)

References 19 publications

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“…Although it is known that doctors' advice about patients' working status facilitates their return to their jobs, most of the patients stated that they were unable to obtain such advice similar to our study findings (12). According to a study, after adjusting for age, sex, and type of intervention, only doctor's advice remained strongly associated with return to work (HR: 47.6, 95% CI 4.7-500).…”

Section: Discussionsupporting

confidence: 75%

“…A study on patients who suffer from chronic back pain found that they still continue to work in spite of their pain since they fear losing their job and economic wellbeing (11). Similarly, Slebus et al (12) claimed that economic problems also contribute to making people return to their jobs after AMI. Furthermore, after the diagnosis, spending increases due to current illness expenditures and earnings decrease since patients are unable to work at all or work for fewer hours.…”

Section: Discussionmentioning

confidence: 99%

“…They may also feel physically incompetent. Some other studies suggest that depressed moods, heart failure, arrhythmia, comorbidity or physical incompetence after AMI reduce the percentage of people who return their jobs (7,12,(18)(19)(20). Returning to work mostly depends on the decision of the patient (7).…”

Section: Discussionmentioning

confidence: 99%

“…If the patient does not have complaints about their illness, feels good, gets support from their colleagues and is provided with customized modifications at the workplace, it makes returning to the job easy. However, poor motivation and the job's negative effects dissuade people from returning to their jobs (12).…”

Section: Discussionmentioning

confidence: 99%

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Changes in Employment Status after Myocardial Infarction among Men

et al. 2016

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Changes in Employment Status after Myocardial Infarction among Men

et al. 2016

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“…This could be due to the existing correlation of RTW with factors other than the surgery success. According to some other studies [11][12][13][14][15][16][17][18][19], psychologic and socioeconomic factors play a more potent role in returning to work after coronary events and CABG than medical factors themselves. Some of these prognostic factors can be also modified.…”

Section: Introductionmentioning

confidence: 99%

Predictors of early return to work after a coronary artery bypass graft surgery (CABG)

Mehrdad¹,

Asli²,

Pouryaghoub³

et al. 2016

Int J Occup Med Environ Health

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International Journal of Occupational Medicine and Environmental CABG). Material and Methods:Two hundred twenty-six working patients who volunteered and underwent a primary coronary artery bypass surgery between September 2013 and May 2014 were selected for the study and followed up for 6 months. Predictors of early return to work (RTW) (within 2 months) were analyzed from variables in a prospectively collected database and the 36-Item Short Form Health Survey (SF-36) questionnaire carried out in the hospital and rehabilitation center as well as from the follow-up performed via the phone. Results: One hundred and two (45.1%) and 155 (68.9%) patients returned to work within 2 and 3 months after the surgery, respectively. Furthermore, 196 patients (87.1%) returned to work within 6 months after the surgery. In the univariate analysis, demographic or socioeconomic factors (such as age, level of education, income), occupational factors (such as occupation type, working hours per week, duration of the preoperative absence from work), psychological factors (such as a patient's concern about adverse health effects of RTW, feeling depressed, a patient's attitude towards his/her ability to RTW and a patient's perception of his/her job stress level) and medical factors (such as serum troponin T and creatine kinase MB (CKMB) level, pump time in surgery, co-surgery and dyslipidemia history) had a statistically significant correlation with early return to work. The patients who early returned to work had significantly higher scores in 3 domains on the SF-36 questionnaire (used for assessing the patients' quality of life), compared to those who did not return to work early (including physical functioning, role limitations due to physical health and pain). Conclusions:In the present study we identified 4 new medical factors that could be used as predictors of early return to work after CABG. These factors are: normal serum troponin T level, shorter pump time in surgery, normal mean arterial pressure (MAP) before the surgery and higher serum magnesium (Mg) levels. Int J Occup Med Environ Health 2016;29(6):947-957

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Factors Associated With Return to Work After Acute Myocardial Infarction in China

et al. 2018

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Importance Return to work is an important indicator of recovery after acute myocardial infarction. Little is known, however, about the rate of returning to work within the year after an acute myocardial infarction in China, as well as the factors associated with returning to work after an acute myocardial infarction. Objectives To determine the rate of return to work within 12 months after acute myocardial infarction, classify the reasons why patients did not return to work, and identify patient factors associated with returning to work. Design, Setting, and Participants This prospective cohort study, conducted in 53 hospitals across 21 provinces in China, identified 1566 patients who were employed at the time of the index acute myocardial infarction hospitalization and participating in the China Patient-centered Evaluative Assessment of Cardiac Events Prospective Study of Acute Myocardial Infarction. Data collected included patients’ baseline characteristics; employment status at 12 months after acute myocardial infarction; and, for those who were not employed at 12 months, potential reasons for not returning to work. A logistic regression model was fitted to identify factors associated with returning to work at 12 months. Data were collected from January 1, 2013, through July 17, 2014, and statistical analysis was conducted from August 9, 2016, to August 15, 2018. Main Outcomes and Measures Return to work, defined as rejoining the workforce within 12 months after discharge from hospitalization for the index acute myocardial infarction. Results Of 1566 patients (130 women and 1436 men; mean [SD] age, 52.2 [9.7] years), 875 patients (55.9%; 95% CI, 53.4%-58.3%) returned to work by 12 months after acute myocardial infarction. Among the 691 patients who did not return to work, 287 (41.5%) were unable to work and/or preferred not to work because of acute myocardial infarction and 131 (19.0%) retired early owing to the acute myocardial infarction. Female sex (relative risk, 0.65; 95% CI, 0.41-0.88), a history of smoking (relative risk, 0.82; 95% CI, 0.65-0.98), and in-hospital complications during the index acute myocardial infarction (relative risk, 0.96; 95% CI, 0.93-0.99) were associated with a lower likelihood of returning to work. Conclusions and Relevance Almost half of the previously employed Chinese patients did not return to work within 12 months after acute myocardial infarction. Female sex, history of smoking, and in-hospital complications were associated with a lower likelihood of returning to work. Trial Registration ClinicalTrials.gov Identifier: NCT01624909

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Return to Work after an Acute Coronary Syndrome: Patients’ Perspective

Cited by 25 publications

References 19 publications

Changes in Employment Status after Myocardial Infarction among Men

Changes in Employment Status after Myocardial Infarction among Men

Predictors of early return to work after a coronary artery bypass graft surgery (CABG)

Factors Associated With Return to Work After Acute Myocardial Infarction in China

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