[ReTurn To work of coronary patient: RTT French multicentre study]

Area of Science:

• Cardiology
• Occupational Health
• Public Health

Background:

• Coronary heart disease (CHD) significantly impacts morbidity, mortality, and societal costs.
• Resuming work is crucial for patients with CHD.
• Limited and outdated French data necessitate updated research on return-to-work rates.

Purpose of the Study:

• To update data on work resumption after acute coronary syndrome (ACS) in France.
• To identify factors influencing return-to-work rates and timing.
• To inform strategies for improving work reintegration for cardiac patients.

Main Methods:

• A multicentre study involving patients who experienced ACS and were working.
• Data collected via questionnaires on pathology, occupation, and work plans.
• Clinical and professional situations analyzed at a 6-month follow-up interview.

Main Results:

• An 81% return-to-work rate was observed, with 93% returning to their previous positions.
• Key factors for non-return included reduced left ventricular ejection fraction, angina, heart failure, and demanding occupational conditions (shift work, cold exposure, imposed work rates).
• Delayed rehabilitation access, heavy loads, poor postures, and lack of patient/physician project planning extended return-to-work times.

Conclusions:

• Return-to-work rates post-ACS remain stable, but the time to return is considerable.
• Enhanced access to cardiac rehabilitation, including tele-rehabilitation, is recommended.
• Optimizing rehabilitation can improve patient outcomes and economic benefits.