Key result
Comprehensive cardiological rehabilitation positively impacts the restoration of labor potential and return to work in patients after coronary artery bypass grafting, despite having no significant effect on disability levels in Russia.
Why the study?
Patients after CABG in the Russian Federation resume professional work less often than in Europe and the USA, highlighting the need to evaluate the impact of comprehensive cardiac rehabilitation on labor potential.
Does comprehensive cardiological rehabilitation improve return to work and reduce disability in patients after coronary artery bypass grafting?
Does comprehensive cardiological rehabilitation improve return to work and reduce disability in patients after coronary artery bypass grafting?
Comprehensive cardiac rehabilitation, particularly the outpatient phase, is crucial for restoring labor potential and returning patients to work after CABG, highlighting the need for improved rehabilitation infrastructure in Russia.
May support rehabilitation to improve post-CABG return to work; leaves open disability effects and needs prospective trials.
A review of available domestic and foreign literature on the impact of comprehensive cardiological rehabilitation on the ability to work of people and the level of disability after coronary artery bypass grafting (CABG) has been performed. In the Russian Federation (RF), the incidence and mortality from coronary heart disease (CHD) among the working population is several times higher than in other European countries. One of the important social tasks of the surgical treatment of coronary heart disease is to return the patient to work. According to the results of domestic work in our country, patients resume professional work much less often than in Europe and the USA. The low share of labor recovery dictates the urgent need for an active program for the rehabilitation of patients after CABG in order to restore labor potential. Both domestic and foreign authors have shown a positive impact on the labor potential of full-f edged comprehensive cardiological rehabilitation. A large number of works have been accumulated that demonstrate the positive impact of cardiorehabilitation on the quality of life, and the return to work of patients after surgical treatment of coronary artery disease. Particular importance is attached to the third rehabilitation phase, which is carried out at the level of outpatient care. Currently, only in the framework of scientific work is the introduction of the outpatient rehabilitation phase noted, and despite the small scale of these works, an undoubted positive effect is shown in the issues of recovery and return to work. Russian researchers have not established a significant effect of cardiac rehabilitation on the level of disability of people who underwent surgical revascularization.
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Kuzmichkina et al. (2020) conducted a review in Coronary heart disease after coronary artery bypass grafting (CABG). Comprehensive cardiological rehabilitation vs. No rehabilitation or standard care was evaluated on Return to work and restoration of labor potential. Comprehensive cardiological rehabilitation positively impacts the restoration of labor potential and return to work in patients after coronary artery bypass grafting, despite having no significant effect on disability levels in Russia.
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