Key result
The mean time to return to work after myocardial infarction varied between 46 and 192 days, with about half of participants resuming work by three months, facilitated by younger age, male gender, and higher education.
Why the study?
Understanding when patients return to work after myocardial infarction and what factors are associated with this may help design person-centred treatment plans to facilitate rehabilitation and return to work.
What factors are associated with return to work following myocardial infarction?
Systematic Review
What factors are associated with return to work following myocardial infarction?
Following myocardial infarction, patients typically return to work between 46 and 192 days, with demographic and clinical factors such as younger age, male sex, and fewer comorbidities predicting successful return.
Answers are grounded in this paper and cite their sources.
Supports post-MI return-to-work counseling with demographic predictors; extends observational data but leaves causal testing to RCTs.
OBJECTIVES: To identify and critically synthesise literature on return to work of patients following a myocardial infarction and to identify factors that are associated with this. BACKGROUND: Understanding when patients return to work after myocardial infarction and what factors are associated with this may be helpful in designing person-centred treatment plans to facilitate patients' rehabilitation and return to work. DESIGN: A narrative systematic review. REVIEW METHODS: Six databases, MEDLINE, CINAHL, Academic Search Complete, EMBASE, SCOPUS and ProQuest Health and Medicine, and the search engine Google were searched to retrieve peer-reviewed articles published in English from January 2008-January 2020. In total, 22,217 papers were sourced and screened, with 18 papers retained for quality appraisal using the Joanna Briggs Institute Critical Appraisal Tools. RESULTS: The mean time to return to work varied between 46-192 days; about half the participants resumed work by 3 months. Patients who were male, younger, educated, non-manual workers or owned their own business, and those who evaluated their general and mental health highly, and had shorter hospitalisation, fewer comorbidities, complications and mental health issues were more likely to return to work after myocardial infarction. RELEVANCE TO CLINICAL PRACTICE: Findings may help nurses detect patients at increased risk of failure to return to work and provide appropriate support to facilitate this.
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Sun et al. (2020) conducted a systematic review in Myocardial Infarction. Return to work post-myocardial infarction was evaluated on Return to work (RTW) timing and associated factors. The mean time to return to work after myocardial infarction varied between 46 and 192 days, with about half of participants resuming work by three months, facilitated by younger age, male gender, and higher education.
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