Factors influencing the return to the professional activity in patients hospitalized for myocardial infarction: a
Katarzyna Paluch1, Maciej Janiszewski2, Michalina Ciurla1
1Medical University of Warsaw, Warsaw, Poland (Department of Cardiology, Hypertension and Internal Medicine).
Insights
Most patients after myocardial infarction (MI) in the comprehensive care after myocardial infarction (CCMI) program return to work. Older age and female sex predict longer sick leave, while male sex predicts return to work.
Area of Science:
- Cardiology
- Occupational Health
- Rehabilitation Medicine
Background:
- Cardiovascular diseases, particularly myocardial infarction (MI), represent a significant healthcare challenge.
- Understanding factors influencing return to professional activity post-MI is crucial.
- The comprehensive care after myocardial infarction (CCMI) model's impact on return to work is understudied.
Purpose of the Study:
- To evaluate factors influencing return to work after MI.
- To assess the duration of sick leave in patients undergoing the CCMI program.
- To identify predictors of professional reintegration post-MI in a Polish cardiology center.
Main Methods:
- Retrospective analysis of 105 patients included in the CCMI program.
- All patients received percutaneous coronary intervention and cardiac rehabilitation.
- Data collected from medical records and insurer information.
Main Results:
- 88.6% of patients returned to work.
- Male sex was a positive predictor for returning to work.
- Older age and female sex were predictors of prolonged sick leave.
- Rehabilitation completion, anthropometric, biochemical, and echocardiographic factors did not influence return to work.
Conclusions:
- A high proportion of MI patients in the CCMI program successfully return to work.
- Older age and female sex are key factors associated with extended sick leave post-MI.
- Further research may explore targeted interventions for specific patient groups to optimize return to work.
Background:
Cardiovascular diseases, with myocardial infarction (MI) on the leading position, remain a serious health care issue and socio-economic burden. Nevertheless, factors influencing the return of patients to the professional activity are not fully understood. Cardiac rehabilitation may have a positive impact on the return to professional activity after MI. However, no study among participants in the comprehensive care after myocardial infarction (CCMI) model (in Polish: "KOS-zawał") evaluated this issue so far. The aim of the study was to evaluate factors influencing the return to work and duration of the sick leave after MI among patients who participated in the CCMI in a single reference cardiology centre in Poland.
Material And Methods:
In total, 144 patients were screened retrospectively. Out of them, 105 were included in the analysis. All patients were treated with direct percutaneous coronary intervention according to current European Society of Cardiology guidelines and participated in cardiac rehabilitation within the CCMI program, therefore had been provided optimal and modern therapeutic approach. Data was collected based on patients' medical records and information furnished by the insurer.
Results:
Out of 105 patients analysed, 93 (88,6%) returned to work. A positive predictor of returning to work was male sex. Predictors of a prolonged return to work were older age and female sex. Completing rehabilitation, anthropometric factors, biochemical factors or results of post-MI echocardiographic examination did not influence the return to professional activity.
Conclusions:
A relatively large percentage of patients after MI and in the CCMI program returns to professional activity. Main factors of prolonged sick leave are older age and female sex. Med Pr Work Health Saf. 2024;75(6):501-510.
Related Concept Videos
01:20Exercise and Cardiovascular Response
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
01:20Blood Studies for Cardiovascular System I: Cardiac Biomarkers
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...