Recent fidings on return to work after an acute myocardial infarction or coronary artery bypass grafting

Abstract

Return to work remains one of the main issues in cardiac rehabilitation after AMI or CABG. If resumption is sufficiently emphasized, a high success rate can be achieved. This approach should include a psychosocial strategy starting already during hospitalisation.

Common prognostic factors of work disability among employees with a chronic somatic disease: a systematic review of cohort studies

“…Chung et al (25) described two cohort studies (Nashville/Jyväs-kylä) in one article, but we presented the results as two studies. Also the results of the two cohorts of Boudrez et al (19) are described separately (IHD with and without (IHD with and without surgery). .…”

“…Six studies found a positive relation (30,(45)(46)(47)(48)(49) and one article found no relation (49) between depression and work disability. The level of somatic complaints was found to have a positive relation with work disability in three articles (19,28,50), while two articles found no effect (19,46). For employees with IHD, Q wave in cases with acute myocardial infarction (yes versus no) (34,51) and chest pain (yes versus no) (32,52,53) were found to be moderate positive prognostic factors for work disability.…”

“…On the basis of this finding, we decided to use one category (ie, IHD). The only exception was the article of Boudrez (2007) (19), in which a difference was made in the analyses between patients with and without an operation. These two groups are described as two different cohorts.…”

“…For PTCA, one article found a negative relation (34); one found no effect (33). For a complete revascularization, one study found a positive relation (19); one study found no effect (33). Impairments in body function or body structure.…”

“…For employees with IHD, Q wave in cases with acute myocardial infarction (yes versus no) (34,51) and chest pain (yes versus no) (32,52,53) were found to be moderate positive prognostic factors for work disability. The presence of dyspnea (no versus yes) (33,53) and left ventricular function (normal versus abnormal) (19,31) have been shown to be moderate negative prognostic factors for work disability. Weak negative factors that have been found include peak/final workflow (33,49) and a sum score of psychological problems (19,32).…”