Impacto del infarto de miocardio en la situación laboral de los pacientes

Morlote, Jesús Gutiérrez; Arlandis, Milagros Vacas; García, Ana Lobato; Díaz, Javier Llorca; Solis, J.; Delgado, Javier Domenech; Garagarza, J.M. San José

doi:10.1016/s0300-8932(99)74971-7

Cited by 8 publications

(4 citation statements)

References 25 publications

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“…Other sources like the Spanish National Social Security Institute (INSS) set the mean time for return to work after AMI at 90 days, ranging between 60 and 120 days depending on the anatomical location of the event and the diagnosis, with 30 days for both angina pectoris and old myocardial infarction [10]. Other studies of sick leave in the general population report longer periods and a wide variability, ranging from 189 days in the study by Jiménez [8] to 244 days in the study by Gutiérrez Morlote [9] and to a mean of 255 days in the Andalusia study protocol [7]. …”

Section: Discussionmentioning

confidence: 99%

“…Lastly, an important aspect to be considered is the timing of the return to work. Levine et al say that traditionally, there was a wide timeframe for return to work after an acute coronary event [9, 21, 24]; however, this recommendation is now obsolete as it does not take into account the major improvements in acute therapies, preventive treatments and cardiac rehabilitation that have been achieved in recent years. Modern guidelines, though not entirely clear, have shortened this timeframe to 1–3 months [25].…”

Section: Discussionmentioning

confidence: 99%

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Assessment of the length of sick leave in patients with ischemic heart disease

Tella

Arnáiz

Gatius

et al. 2017

BMC Cardiovasc Disord

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BackgroundThe prevalence of ischemic heart disease is high. Few recent studies have investigated the periods of sick leave of these patients. Our aim is to determine the length of sick leave after an acute coronary syndrome, its costs, associated factors and to assess the use of antidepressants and/or anxiolytics.MethodsAn observational study of a retrospective cohort of patients on sick leave due to ischemic heart disease in a health region between 2008–2011, with follow-up until the first return to work, death, or end of the study (31/12/2012). Measurements: length of sick leave, sociodemographic variables and medical prescriptions.ResultsFour hundred and ninety-seven patients (mean age 53 years, 90.7% male), diagnosed with acute myocardial infarction (60%), angina pectoris (20.7%) or chronic form of ischemic heart disease (19.1%). Thirty-seven per cent of patients took anxiolytics the year after diagnosis and 15% took antidepressants. The average duration of sick leave was 177 days (95% CI: 163–191 days). Patients diagnosed with acute myocardial infarction returned to work after a mean of 192 days, compared to 128 days in cases with angina pectoris. Patients who took antidepressants during the year after diagnosis returned to work after a mean of 240 days. The mean work productivity loss was estimated to be 9,673 euros/person.ConclusionsThe mean duration of sick leave due to ischemic heart disease was almost six months. Consumption of psychotropic medication doubled after the event. Older age, suffering an acute myocardial infarction and taking antidepressants were associated with a longer sick leave period.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessment of the length of sick leave in patients with ischemic heart disease

Tella

Arnáiz

Gatius

et al. 2017

BMC Cardiovasc Disord

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“…Studies of such patients have examined the contribution of a wide range of sociodemographic, vocational, and medical variables to these patients’ reemployment. A survey of empirical studies of the qualitative and quantitative aspects of employment after an AMI, published between 1988 and 2003, uncovered 46 investigations [3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48]. An examination of these investigations revealed the following limitations: (1) most studies involved selected samples of participants (e.g., randomized intervention studies), (2) most studies examined employment within the first year after AMI, (3) most studies did not distinguish between employment status, resumption of employment, and maintenance of employment, (4) few studies investigated long-term maintenance of employment after AMI, (5) few studies were longitudinal community cohort studies, and (6) most studies included participants who had reached an age at which employment is no longer central.…”

Section: Introductionmentioning

confidence: 99%

Resumption and Maintenance of Employment after a First Acute Myocardial Infarction: Sociodemographic, Vocational and Medical Predictors

Drory

Kravetz²,

Koren‐Morag³

et al. 2004

Cardiology

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In a community cohort of 833 women and men aged <60 years, employed at the time of a first acute myocardial infarction (AMI), the relation of sociodemographic, vocational, and medical variables to the following three aspects of employment was investigated longitudinally: resumption of employment anytime within 5 years after AMI, resumption of employment within 3 months of the AMI, and maintenance of employment 5 years after AMI. Different sets of characteristics of persons with a first AMI were related to the different criteria of employment. Only sociodemographic and vocational variables were related to early resumption of employment, whereas maintenance of employment 5 years after AMI was influenced by both medical and nonmedical variables. These results support the importance of examining different aspects of resumption and maintenance of employment after AMI. They also suggest that early resumption of employment after AMI and employment anytime 5 years after AMI are more a function of the sociodemographic and vocational characteristics of the person with the AMI than of that person’s medical condition, whereas long-term maintenance of employment after an AMI is also related to the person’s medical condition.

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“…La mayoría de estudios publicados incluyen muestras muy pequeñas y con frecuencia están circunscritos a un ámbito local (provincia, comunidad autónoma), por lo que su potencia estadística es limitada 8,9 . Además, la mayoría de los estudios publicados son de los años noventa y, por lo tanto, no recogen los importantes avances terapéuticos desarrollados en la última década en el tratamiento de la cardiopatía isquémica.…”

Section: Introductionunclassified

Evolución del impacto de la cardiopatía isquémica en la reincorporación laboral de trabajadores españoles

et al. 2015

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MEDICINA y SEGURIDAD del trabajo Julio -septiembre 2015 Med Segur Trab (Internet) 2015 61 (240) ResumenIntroducción: La cardiopatía isquémica es una de las principales causas de morbimortalidad en los países desarrollados dificultando la vuelta al trabajo de estos pacientes. Pretendemos estudiar la evolución de la incapacidad Temporal y Permanente en trabajadores españoles que causan baja por cardiopatía isquémica, así como analizar las variables que influyen en la reincorporación laboral. Material y métodos:Estudio observacional retrospectivo de cohortes con pacientes menores 65 años que sufrieron un infarto agudo de miocardio (IAM) entre Enero de 2000 y mayo de 2011. Se recogieron datos clínicos, demográficos, socioeconómicos y laborales para analizar su relación con la reincorporación laboral.Resultados: Se seleccionaron un total de 5067 pacientes, el 94% varones, y con una edad media de 54,3 años. Un total de 3.679 pacientes (72,6%) se reincorporaron a su actividad laboral tras el infarto, mientras que 1261 (24,9%) obtuvieron la incapacidad laboral permanente. La mayores tasas de incapacidad laboral se observan en los pacientes > 50 años, en los que han sufrido un mayor daño cardiaco (FEVI < 50%), en aquellos con un mayor número de arterias coronarias obstruidas y los que fueron revascularizados mediante cirugía. En cuanto a las variables socioeconómicas se reincorporan menos los trabajadores con salarios más bajos, los trabajadores por cuenta ajena y los que realizan trabajos en los que predomina la carga física y manual frente a las profesiones en que predomina el trabajo intelectual. No encontramos diferencias con respecto a la tasa de reincorporación entre hombres y mujeres o en función del diagnostico que motivó la baja (síndrome coronario agudo vs. angina).Observamos que la tasa de reincorporación laboral se ha incrementado de forma progresiva en la última década. (Desde tasas de reincorporación del 60% en el 2000-2002 a tasas superiores al 80% a partir de 2010) Este incremento se observa en todos los sectores ocupacionales como en todos los tramos etarios en los que se distribuye la muestra Conclusiones: En nuestro estudio se observa un aumento progresivo en los últimos años en el porcentaje de pacientes que se reincorporan al trabajo. Las variables que mejor predicen la reincorporación AbstractBackground: Ischemic cardiopathy is one of the main causes of morbidity and mortality in developed countries. It affects the patients quality of life and interferes with their return to work, thus generating a significant economic cost. The aim of our study is to assess labor conditions of patients who suffered an acute myocardial infarction (AMI), highlighting the factors that could have an impact on their return-to-work time.

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Impacto del infarto de miocardio en la situación laboral de los pacientes

Cited by 8 publications

References 25 publications

Assessment of the length of sick leave in patients with ischemic heart disease

Assessment of the length of sick leave in patients with ischemic heart disease

Resumption and Maintenance of Employment after a First Acute Myocardial Infarction: Sociodemographic, Vocational and Medical Predictors

Evolución del impacto de la cardiopatía isquémica en la reincorporación laboral de trabajadores españoles

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