Frequency of returning to work one and six months following percutaneous coronary intervention for acute myocardial
Amr E Abbas1, Bruce Brodie, Gregg Stone
1William Beaumont Hospital, Royal Oak, Michigan 48073, USA.
Insights
Most patients return to work after acute myocardial infarction treated with percutaneous coronary intervention. Predictors for early return include US employment, no smoking history, and single-vessel disease.
Area of Science:
- Cardiology
- Interventional Cardiology
- Public Health
Background:
- Acute myocardial infarction (AMI) significantly impacts patients' lives, including their ability to return to work.
- Percutaneous coronary intervention (PCI) is a common treatment for AMI, but its effect on return-to-work timelines is crucial for patient recovery and economic well-being.
Purpose of the Study:
- To determine the frequency of early (≤1 month) and late (≤6 months) return to work after PCI for AMI.
- To identify variables associated with early and late return to work in patients post-PCI for AMI.
Main Methods:
- Analysis of patients randomized in the Stent Primary Angioplasty in Myocardial Infarction trial.
- Multivariate analysis to identify predictors of return to work at 1 month and 6 months post-PCI.
- Comparison of event rates between patients who returned to work and those who did not.
Main Results:
- 51% of employed patients returned to work within 1 month after PCI for AMI.
- Predictors for early return included US employment, no smoking history, and single-vessel coronary disease.
- By 6 months, 78% of patients had returned to work, with US employment and absence of angina being significant predictors.
Conclusions:
- A majority of patients return to work within 6 months following PCI for AMI.
- Factors such as employment location, smoking status, coronary artery disease extent, and angina presence influence return-to-work timelines.
- Early return to work was not associated with increased adverse event rates.
Abstract:
We conducted an analysis of the frequency and variables associated with early (after 1 month) and late (after 6 months) return to work after percutaneous coronary intervention for acute myocardial infarction in patients who had been randomized in the Stent Primary Angioplasty in Myocardial Infarction trial. Of 450 patients who were employed before the acute myocardial infarction, 230 (51%) returned to work within 1 month with no increases in in-hospital and 1- or 6-month event rates compared with those who did not return to work. Multivariate analysis showed that predictors of early return to work were employment in the United States, no history of smoking, and single-vessel coronary disease. At 6 months, 353 of 435 patients (78%) had returned to work, and multivariate analysis showed that predictors of late return to work were employment in the United States and absence of angina.
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