Why the study?
Does a guideline-based intervention including treadmill testing, counseling, and a consultation letter hasten return to work in patients with uncomplicated acute myocardial infarction?
Population
187 patients with uncomplicated acute myocardial infarction
Comparison
Treadmill test, counseling session based on test… vs Usual care
Design
RCT, Randomly assigned
Authors
Loading...
Guideline intervention does not hasten return to work after uncomplicated MI; confirms limited impact of structured programs on this outcome in community practice.
RCT (n=187)
Randomly assigned
Does a guideline-based intervention including treadmill testing, counseling, and a consultation letter hasten return to work in patients with uncomplicated acute myocardial infarction?
Absolute Event Rate: 54% vs 67%
p-value: p=>0.2
A guideline-based intervention did not significantly hasten return to work overall after uncomplicated myocardial infarction in a community practice setting, though it was effective for patients without myocardial ischemia.
Pilote et al. (1992) conducted an RCT in Uncomplicated acute myocardial infarction (n=187). Practice guidelines (treadmill test, counseling, consultation letter) vs. Usual care was evaluated on Median interval between acute myocardial infarction and return to work (p=>0.2). A practice guideline intervention did not significantly hasten return to work compared to usual care after uncomplicated myocardial infarction (median 54 vs 67 days; P>0.2).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: