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

• Authors: Monica Lamberti , Gennaro Ratti , Donato Gerardi , Cristina Capogrosso , Gianfranco Ricciardi , Cosimo Fulgione , Salvatore Latte , Paolo Tammaro , Gregorio Covino , Albert Nienhaus , Elpidio Maria Garzillo , Mario Mallardo , Paolo Capogrosso

Abstracts

EN

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.

Keywords

EN

depression; rehabilitation; workers; acute coronary syndrome; counseling; anxiety

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2016
• Volume: 29
• Issue: 4
• Pages: 649-657

Dates

published

2016

Contributors

author

Monica Lamberti

• Second University of Naples, Naples, Italy (Department of Experimental Medicine, Section of Hygiene, Occupational Medicine and Forensic Medicine, School of Medicine)

author

Gennaro Ratti

• S. Giovanni Bosco Hospital, Naples 1 Local Health Unit, Naples, Italy (Cardiology/Intensive Care Unit)

author

Donato Gerardi

• Second University of Naples, Naples, Italy (Department of Experimental Medicine, Section of Hygiene, Occupational Medicine and Forensic Medicine, School of Medicine)

author

Cristina Capogrosso

• S. Giovanni Bosco Hospital, Naples 1 Local Health Unit, Naples, Italy (Cardiology/Intensive Care Unit)

author

Gianfranco Ricciardi

• S. Gennaro Hospital, Naples 1 Local Health Unit, Naples, Italy (Cardiology/Cardiac Rehabilitation)

author

Cosimo Fulgione

• S. Gennaro Hospital, Naples 1 Local Health Unit, Naples, Italy (Cardiology/Cardiac Rehabilitation)

author

Salvatore Latte

• S. Gennaro Hospital, Naples 1 Local Health Unit, Naples, Italy (Cardiology/Cardiac Rehabilitation)

author

Paolo Tammaro

• S. Giovanni Bosco Hospital, Naples 1 Local Health Unit, Naples, Italy (Cardiology/Intensive Care Unit)

author

Gregorio Covino

• S. Giovanni Bosco Hospital, Naples 1 Local Health Unit, Naples, Italy (Cardiology/Intensive Care Unit)

author

Albert Nienhaus

• University Medical Center Hamburg-Eppendorf, Hamburg, Germany (Institute for Health Services Research in Dermatology and Nursing)
• Institution for Statutory Accident Insurance and Welfare Services, Hamburg, Germany (Department of Occupational Health Research)

author

Elpidio Maria Garzillo

• Second University of Naples, Naples, Italy (Department of Experimental Medicine, Section of Hygiene, Occupational Medicine and Forensic Medicine, School of Medicine)

author

Mario Mallardo

• S. Gennaro Hospital, Naples 1 Local Health Unit, Naples, Italy (Cardiology/Cardiac Rehabilitation)

author

Paolo Capogrosso

• S. Giovanni Bosco Hospital, Naples 1 Local Health Unit, Naples, Italy (Cardiology/Intensive Care Unit)

Identifiers

DOI

10.13075/ijomeh.1896.00643

Biblioteka Nauki

2177418