1.191
IF5
0.947
IF
15
MNiSW
149.8
ICV
ORIGINAL PAPER
 
CC BY-NC 3.0 Polska
 
 

Work-related outcome after acute coronary syndrome: Implications of complex cardiac rehabilitation in occupational medicine

Monica Lamberti 1  ,  
Gennaro Ratti 2,  
Paolo Tammaro 2,  
Albert Nienhaus 4, 5,  
 
1
Second University of Naples, Naples, Italy (Department of Experimental Medicine, Section of Hygiene, Occupational Medicine and Forensic Medicine, School of Medicine)
2
S. Giovanni Bosco Hospital, Naples 1 Local Health Unit, Naples, Italy (Cardiology/Intensive Care Unit)
3
S. Gennaro Hospital, Naples 1 Local Health Unit, Naples, Italy (Cardiology/Cardiac Rehabilitation)
4
University Medical Center Hamburg-Eppendorf, Hamburg, Germany (Institute for Health Services Research in Dermatology and Nursing)
5
Institution for Statutory Accident Insurance and Welfare Services, Hamburg, Germany (Department of Occupational Health Research)
Int J Occup Med Environ Health 2016;29(4):649–657
KEYWORDS:
TOPICS:
ABSTRACT:
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.
CORRESPONDING AUTHOR:
Monica Lamberti   
Second University of Naples, Department of Experimental Medicine, Section of Hygiene, Occupational Medicine and Forensic Medicine, School of Medicine, De Crecchio 13, 80100 Naples, Italy
eISSN:1896-494X
ISSN:1232-1087