Work‐Related Outcomes After a Myocardial Infarction

McBurney, Christopher R.; Eagle, Kim A.; Kline–Rogers, Eva; Cooper, Jeanna V.; Smith, Dean E.; Erickson, Steven R.

doi:10.1592/phco.24.16.1515.50946

Cited by 20 publications

(19 citation statements)

References 44 publications

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“…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%

Changes in Employment Status after Myocardial Infarction among Men

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Changes in Employment Status after Myocardial Infarction among Men

et al. 2016

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“…To determine work status before and after myocardial infarction (MI), work-related outcomes (absenteeism and perceived work performance) were assessed with the Work Performance Scale (WPS) of the Functional Status Questionnaire [20][21]. The WPS score is calculated as the mean of the 6 responses ranging 1-4, with 4 being the highest level of work performance.…”

Section: Work Performance Status and Indicators Of Work-related Outcomesmentioning

confidence: 99%

“…On this 14-item scale, 7 relate to anxiety and 7 to depression, with responses scored 0-3 (3 indicating higher symptom frequencies). The score for each subscale (anxiety and depression) ranged 0-21, with scores categorized as follows: normal (0-7), mild (8-10), moderate (11)(12)(13)(14), and severe (15)(16)(17)(18)(19)(20)(21).…”

Section: Anxiety and Depressionmentioning

confidence: 99%

Work-related outcome after acute coronary syndrome: Implications of complex cardiac rehabilitation in occupational medicine

Lamberti

Ratti

Gerardi

et al. 2016

Int J Occup Med Environ Health

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Objectives: Coronary heart disease is frequent in the working-age population. Traditional outcomes, such as mortality and hospital readmission, are useful for evaluating prognosis. Fit-for-work is an emerging outcome with clinical as well as socioeconomic significance. We describe the possible benefit of a cardiac rehabilitation (CR) program for return to work (RTW) after acute coronary syndrome (ACS). Material and Methods: We evaluated 204 patients with recent ACS. They were divided into 4 groups on the basis of their occupational work load: very light (VL), light (L), moderate (M), and heavy (H). Work-related outcomes were assessed with the Work Performance Scale (WPS) of the Functional Status Questionnaire and as "days missed from work" (DMW) in the previous 4 weeks. The variables considered for outcomes were percent ejection fraction, functional capacity expressed in metabolic equivalents (METs), and participation or non-participation in the CR program (CR+ and CR-). Results: One hundred thirty (66%) patients took part in the CR program. Total WPS scores for CR+ and CR-subgroups were VL group: 18±4 vs. 14±4 (p < 0.001), L group: 18±3 vs. 14±3 (p < 0.0001), M group: 19±3 vs. 16±3 (p < 0.003), and H group: 20±4 vs. 17±3 (p < 0.006). Fewer DMW were reported by the CR+ group. Conclusions: Non-participation in CR was a consistent cause of poorer work-related outcomes. Our findings indicate that CR and occupational counseling play a very important role in worker recovery and subsequent reintegration in the workplace, in particular among clerical workers. resistance training, and aerobic exercise. The education and counseling session (four 50-min counseling sessions for 1 month) consisted of advice on healthy nutrition, physical activity, maintaining a healthy body weight, and issues related to quitting smoking and alcohol consumption. Exclusion criteria were age > 65 years, severe concomitant non-cardiac diseases such as cancer, renal dysfunction (serum creatinine > 3 mg/dl), liver dysfunction (alanine aminotransferase/aspartate aminotransferase > 1.5 times the upper normal limit), and dementia, any systemic disease limiting exercise, and inability to participate in a prospective study for logistical reasons. The average energy requirement for the patients' work activities was estimated with the aid of pre-existing, specific tables [13] that classify the various tasks on the basis of metabolic equivalents (METs): < 3 METs -very INTRODUCTIONCoronary heart disease (CHD) is the main cause of death worldwide, accounting for 31% of mortality [1]. In fact, in the working population (aged < 65), CHD is the single most important cause of death in men, and in women it is preceded only by breast cancer [2][3]. It is both a medical and a socio-economic problem. Returning to work after a coronary event produces economic benefits for the community and patients alike, improving the quality of life of their families too [4][5]. It is generally recognized that the return to work is not a simple function of clinical status...

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“…In a study conducted in Iran [9] as well as in another study [10], CABG has been identified as one of the most important predictor factors of failure in returning to work after the first myocardial infarction. This could be due to the existing correlation of RTW with factors other than the surgery success.…”

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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Work‐Related Outcomes After a Myocardial Infarction

Cited by 20 publications

References 44 publications

Changes in Employment Status after Myocardial Infarction among Men

Changes in Employment Status after Myocardial Infarction among Men

Work-related outcome after acute coronary syndrome: Implications of complex cardiac rehabilitation in occupational medicine

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

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