Key result
Following acute myocardial infarction treated with primary PCI, employed patients under 60 experienced an average sick leave of 126 days, with 31.7% retiring and 40.7% reporting a worse quality of life.
Observational (n=145)
Open-label
No
A significant proportion of young, employed STEMI patients experience prolonged sick leave, early retirement, and reduced quality of life, highlighting the need for improved rehabilitation and health policies.
OBJECTIVES: To investigate the aspects of return to work, socio-economic and quality of life aspects in 145 employed patients under 60 years of age treated with primary percutaneous coronary intervention for acute ST-elevation myocardial infarction. MATERIAL AND METHODS: During hospital treatment demographic and clinical data was collected. Data about major adverse cardiovascular events, rehabilitation, sick leave, discharge from job and retirement, salary, major life events and estimation of quality of life after myocardial infarction were obtained after follow-up (mean: 836±242 days). RESULTS: Average sick leave was 126±125 days. Following myocardial infarction, 3.4% of patients were discharged from their jobs while 31.7% retired. Lower salary was reported in 17.9% patients, major life events in 9.7%, while 40.7% estimated quality of life as worse following the event. Longer hospitalization was reported in patients transferred from surrounding counties, those with inferior myocardial wall and right coronary artery affected. Age, hyperlipoproteinemia and lower education degree were connected to permanent working cessation. Significant salary decrease was observed in male patients. Employer type was related to sick leave duration. Impaired quality of life was observed in patients who underwent in-hospital rehabilitation and those from surrounding counties. Longer sick leave was observed in patients with lower income before and after myocardial infarction. These patients reported lower quality of life after myocardial infarction. CONCLUSIONS: Inadequate health policy and delayed cardiac rehabilitation after myocardial infarction may lead to prolonged hospitalization and sick leave as well as lower quality of life after the event, regardless of optimal treatment in acute phase of disease.
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Babić et al. (2015) conducted an observational in Acute ST-elevation myocardial infarction (STEMI) (n=145). Acute STEMI treated with primary PCI was evaluated on Return to work, socio-economic status, and quality of life. Following acute myocardial infarction treated with primary PCI, employed patients under 60 experienced an average sick leave of 126 days, with 31.7% retiring and 40.7% reporting a worse quality of life.
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