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

Abstract：

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.

journal_name

Int J Occup Med Environ Health

journal_title

International journal of occupational medicine and environmental health

authors

Lamberti M,Ratti G,Gerardi D,Capogrosso C,Ricciardi G,Fulgione C,Latte S,Tammaro P,Covino G,Nienhaus A,Grazillo EM,Mallardo M,Capogrosso P

doi

10.13075/ijomeh.1896.00643

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

649-57

issue

eissn

1232-1087

issn

1896-494X

pii

58985

journal_volume

pub_type

杂志文章

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