Return to Work After Acute Myocardial Infarction

Dreyer, Rachel P.; Xu, Xiao; Zhang, Weiwei; Du, Xue; Strait, Kelly M.; Bierlein, Maggie; Bucholz, Emily M.; Geda, Mary; Fox, James J.; D’Onofrio, Gail; Lichtman, Judith H.; Bueno, Héctor; Spertus, John A.; Krumholz, Harlan M.

doi:10.1161/circoutcomes.115.002611

Cited by 65 publications

(50 citation statements)

References 46 publications

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“…We found that women were less likely to return to work compared with men, which is in accordance with very recent findings from the United States, where this result, however, was not sustained after adjustments . Another US report from 1992 found that single living was a risk factor for poorer outcomes after MI, but this was only found in our unadjusted analyses, indicating that these patients may have a higher burden of comorbidities and lower socioeconomic status.…”

Section: Discussionsupporting

confidence: 91%

“…In previous studies of return to work after MI, return to work rates varied from 57% to 90% . In ST‐segment elevation MI patients, rates varied between 76% and 93% .…”

Section: Discussionmentioning

confidence: 97%

“…For example, evidence has indicated that quality of life is poorer in unemployed subjects and the risk of depression is greater among these individuals . While previous studies have focused on return to work after MI, with return rates from 57% to 90% within 1 year, continuation of employment following return to work remains unclear . Also, a single study of patients who underwent percutaneous coronary intervention (PCI) suggested that return to work is an insufficient measure of the actual employment status, because a considerable number of subjects become detached from employment relatively quickly (ie, 76% of patients returned to work after PCI, but only 60% had no recurrent sick‐leave during 1 year of follow‐up) …”

Section: Introductionmentioning

confidence: 99%

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Return to Work and Risk of Subsequent Detachment From Employment After Myocardial Infarction: Insights From Danish Nationwide Registries

Smedegaard

Numé

Charlot

et al. 2017

JAHA

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BackgroundLimited data are available on return to work and subsequent detachment from employment after admission for myocardial infarction (MI).Methods and ResultsUsing individual‐level linkage of data from nationwide registries, we identified patients of working age (30–65 years) discharged after first‐time MI in the period 1997 to 2012, who were employed before admission. To assess the cumulative incidence of return to work and detachment from employment, the Aalen Johansen estimator was used. Incidences were compared with population controls matched on age and sex. Logistic regression was applied to estimate odds ratios for associations between detachment from employment and age, sex, comorbidities, income, and education level. Of 39 296 patients of working age discharged after first‐time MI, 22 394 (56.9%) were employed before admission. Within 1 year 91.1% (95% confidence interval [CI], 90.7%–91.5%) of subjects had returned to work, but 1 year after their return 24.2% (95% CI, 23.6%–24.8%) were detached from employment and received social benefits. Detachment rates were highest in patients aged 60 to 65 and 30 to 39 years, and significantly higher in patients with MI compared with population controls. Predictors of detachment were heart failure (odds ratio 1.20 [95% CI, 1.08–1.34]), diabetes mellitus (odds ratio 1.13 [95% CI, 1.01–1.25]), and depression (odds ratio 1.77 [95% CI, 1.55–2.01]). High education level and high income favored continued employment.ConclusionsDespite that most patients returned to work after first‐time MI, about 1 in 4 was detached from employment after 1 year. Several factors including age and lower socioeconomic status were associated with risk of detachment from employment.

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Section: Discussionsupporting

confidence: 91%

“…In previous studies of return to work after MI, return to work rates varied from 57% to 90% . In ST‐segment elevation MI patients, rates varied between 76% and 93% .…”

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Return to Work and Risk of Subsequent Detachment From Employment After Myocardial Infarction: Insights From Danish Nationwide Registries

Smedegaard

Numé

Charlot

et al. 2017

JAHA

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“…58 This study extended the field by showing that gender related factors such as femininity scores (described above) and housework responsibilities were more likely to be predictors of HRQOL than sex. 58 In addition to having poorer functioning young women are less likely to return to work over a period of 12-months, 59 and experience a higher risk of depression and stress in the year following AMI. 43, 60, 61 …”

Section: Long-term Health Outcomesmentioning

confidence: 99%

Young Women With Acute Myocardial Infarction

Dreyer¹,

Sciria

Spatz

et al. 2017

Circ: Cardiovascular Quality and Outcomes

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In recent years there is growing public awareness and increasing attention to young women with acute myocardial infarction (AMI), who represent an extreme phenotype. Young women presenting with AMI may develop coronary disease by different mechanisms and often have worse recoveries, with higher risk for morbidity and mortality compared with similarly aged men. The purpose of this cardiovascular perspective piece is to review recent studies of AMI in young women. More specifically, we emphasize differences in the epidemiology, diagnosis and management of AMI in young women (as compared with men) across the continuum of care, including their the pre-AMI, in-hospital and post-AMI periods, and highlight gaps in knowledge and outcomes that can inform the next generation of research.

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“…Those selected this year range from a focus on how lifestyle factors can predict heart disease far into the future, 5 to return to work after acute myocardial infarction for young women, 6 to sex differences in the diagnosis and incidence of peripheral artery disease, 7,8 to the long-term implications of hypertensive pregnancy disorders, 9 to the role of sex in prediction models, 10 to the role of sex and age in percutaneous coronary intervention, 11 and to the relationship of parity to metabolic syndrome. 12 Some of the investigations are comparisons by sex and others, such as those focusing on pregnancy, address issues that are particular to women.…”

mentioning

confidence: 99%