- Tytuł:
- Work-related outcome after acute coronary syndrome: Implications of complex cardiac rehabilitation in occupational medicine
- Autorzy:
-
Lamberti, Monica
Ratti, Gennaro
Gerardi, Donato
Capogrosso, Cristina
Ricciardi, Gianfranco
Fulgione, Cosimo
Latte, Salvatore
Tammaro, Paolo
Covino, Gregorio
Nienhaus, Albert
Garzillo, Elpidio Maria
Mallardo, Mario
Capogrosso, Paolo - Powiązania:
- https://bibliotekanauki.pl/articles/2177418.pdf
- Data publikacji:
- 2016-06-03
- Wydawca:
- Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
- Tematy:
-
depression
rehabilitation
workers
acute coronary syndrome
counseling
anxiety - Opis:
- 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.
- Źródło:
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International Journal of Occupational Medicine and Environmental Health; 2016, 29, 4; 649-657
1232-1087
1896-494X - Pojawia się w:
- International Journal of Occupational Medicine and Environmental Health
- Dostawca treści:
- Biblioteka Nauki
Artykuł