Return to work after acute ST-segment elevation myocardial infarction in the modern era of reperfusion by direct percutaneous coronary intervention

Isaaz, Karl; Coudrot, M.; Sabry, Mohamed Hassan; Cerisier, Alexis; Lamaud, M; Robin, Christophe; Richard, L.; Costa, Antoine Da; Khamis, Hazem; Abd-Alaziz, Ahmed; Gerenton, Claude

doi:10.1016/j.acvd.2010.04.007

Cited by 43 publications

(61 citation statements)

References 18 publications

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“…higher educational level, self-related health and quality of life [20], non-manual labor and lower physical job demands, married status [19,21]. The same was found in this study.…”

Section: O R I G I N a L P A P E Rsupporting

confidence: 88%

“…No other clinical parameter proved to be important in predicting return to work in this study. Rate of return to work found in this study (64.9%) is near lower values found in other studies in Europe and USA (60-95%) [8,21,22]. Explanation could be current socio-economic situation in Croatia (low average income, high unemployment rate, health and pension insurance benefits).…”

Section: O R I G I N a L P A P E Rcontrasting

confidence: 48%

“…On the other hand, importance of medical factors on predicting return to work after AMI is controversial. There are studies that found them important [19], while others [8,18,21,22] found little or no relevance of medical variables for re-employment, including the type of AMI or revascularization strategy used and its success. Among investigated medical parameters, authors found myocardial wall, affected coronary artery and lipid status important for hospitalization and sick leave duration.…”

Section: O R I G I N a L P A P E Rmentioning

confidence: 99%

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Re-initiating professional working activity after myocardial infarction in primary percutaneous coronary intervention networks era

Babić¹,

Pavlov²,

Ostrić³

et al. 2015

Int J Occup Med Environ Health

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Objectives: To investigate the aspects of return to work, socio-economic and quality of life aspects in 145 employed patients under 60 years of age treated with primary percutaneous coronary intervention for acute ST-elevation myocardial infarction. Material and Methods: During hospital treatment demographic and clinical data was collected. Data about major adverse cardiovascular events, rehabilitation, sick leave, discharge from job and retirement, salary, major life events and estimation of quality of life after myocardial infarction were obtained after follow-up (mean: 836±242 days). Results: Average sick leave was 126±125 days. Following myocardial infarction, 3.4% of patients were discharged from their jobs while 31.7% retired. Lower salary was reported in 17.9% patients, major life events in 9.7%, while 40.7% estimated quality of life as worse following the event. Longer hospitalization was reported in patients transferred from surrounding counties, those with inferior myocardial wall and right coronary artery affected. Age, hyperlipoproteinemia and lower education degree were connected to permanent working cessation. Significant salary decrease was observed in male patients. Employer type was related to sick leave duration. Impaired quality of life was observed in patients who underwent in-hospital rehabilitation and those from surrounding counties. Longer sick leave was observed in patients with lower income before and after myocardial infarction. These patients reported lower quality of life after myocardial infarction. Conclusions: Inadequate health policy and delayed cardiac rehabilitation after myocardial infarction may lead to prolonged hospitalization and sick leave as well as lower quality of life after the event, regardless of optimal treatment in acute phase of disease.

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“…higher educational level, self-related health and quality of life [20], non-manual labor and lower physical job demands, married status [19,21]. The same was found in this study.…”

Section: O R I G I N a L P A P E Rsupporting

confidence: 88%

Section: O R I G I N a L P A P E Rcontrasting

confidence: 48%

Section: O R I G I N a L P A P E Rmentioning

confidence: 99%

See 1 more Smart Citation

Re-initiating professional working activity after myocardial infarction in primary percutaneous coronary intervention networks era

Babić¹,

Pavlov²,

Ostrić³

et al. 2015

Int J Occup Med Environ Health

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show abstract

“…The reemployment rate in our study is consistent with the previous report by Isaaz et al [20] who showed that a greater number of men than women returned to work after CR (78% vs. 50%, p = 0.02). Moreover, similarly to previous study, patients who did not return to work were older and performed hard physical work before MI [19].…”

Section: Discussionsupporting

confidence: 83%

Hybrid model of cardiac rehabilitation in men and women after myocardial infarction

Korzeniowska−Kubacka

Bilińska²,

Dobraszkiewicz-Wasilewska³

et al. 2015

Cardiol J

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“…New invasive techniques and medical treatments have improved the chance of surviving the acute phase of a myocardial infarction; consequently, awareness has increased regarding the importance of improving the long‐term outcome as well. Return to work can be a desirable goal of cardiac rehabilitation2, 3, 4, 5.…”

mentioning

confidence: 99%

Helicopter vs. ground transportation of patients bound for primary percutaneous coronary intervention

Funder

Rasmussen

Siersma

et al. 2018

Acta Anaesthesiol Scand

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BackgroundImplementation of the first Danish helicopter emergency medical service (HEMS) was associated with reduced time from first medical contact to treatment at a specialized centre for patients with suspected ST elevation myocardial infarction (STEMI). We aimed to investigate effects of HEMS on mortality and labour market affiliation in patients admitted for primary percutaneous coronary intervention (PCI).MethodsIn this prospective observational study, we included patients with suspected STEMI within the region covered by the HEMS from January 1, 2010, to April 30, 2013, transported by either HEMS or ground emergency medical services (GEMS) to the regional PCI centre. The primary outcome was 30‐day mortality.ResultsAmong the 384 HEMS and 1220 GEMS patients, time from diagnostic ECG to PCI centre arrival was lower with HEMS (median 71 min vs. 78 min with GEMS; P = 0.004). Thirty‐day mortality was 5.0% and 6.2%, respectively (adjusted OR = 0.82, 95% CI 0.44–1.51, P = 0.52. Involuntary early retirement rates were 0.62 (HEMS) and 0.94 (GEMS) per 100 PYR (adjusted IRR = 0.68, 0.15–3.23, P = 0.63). The proportion of patients on social transfer payments longer than half of the follow‐up time was 22.1% (HEMS) vs. 21.2% (adjusted OR = 1.10, 0.64–1.90, P = 0.73).ConclusionIn an observational study of patients with suspected STEMI in eastern Denmark, no significant beneficial effect of helicopter transport could be detected on mortality, premature labour market exit or work ability. Only a study with random allocation to one system vs. another, along with a large sample size, will allow determination of superiority of helicopter transport.

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Return to work after acute ST-segment elevation myocardial infarction in the modern era of reperfusion by direct percutaneous coronary intervention

Abstract: Age, sociopsychological and occupational factors appear to be the strongest predictors of return to work after STEMI treated by direct PCI. Clinical and procedural factors as well as cardiac rehabilitation appear to have no impact on return to work in this subset of patients.

Cited by 43 publications

References 18 publications

Re-initiating professional working activity after myocardial infarction in primary percutaneous coronary intervention networks era

Re-initiating professional working activity after myocardial infarction in primary percutaneous coronary intervention networks era

Hybrid model of cardiac rehabilitation in men and women after myocardial infarction

Helicopter vs. ground transportation of patients bound for primary percutaneous coronary intervention

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