Key result
Among patients attending cardiac rehabilitation after a major cardiac event, single-vessel disease was strongly associated with returning to work compared to three-vessel disease.
Cross-Sectional (n=112)
Mental health status and angiographic disease severity are significant predictors of returning to work after a major cardiac event, suggesting that cardiac rehabilitation programs should emphasize mental health support.
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Angiographic severity may aid return-to-work risk stratification after cardiac events; leaves open whether targeted interventions improve employment in multivessel disease.
BACKGROUND: Return to work is an important aspect for cardiac rehabilitation following a major cardiac event. OBJECTIVE: The aim was to understand the local prevalence and factors associated with returning to work in Malaysia after a cardiac event. METHODS: A cross sectional design was used. All patients attending the cardiac rehabilitation program after major cardiac event during an 11-months period (2011-2012) were included. Data relating to socio-demographic, work-related, risk factors and acute myocardial infarction were collected. The SF-36 questionnaire was used to assess quality of life. Regression analysis was used to determine the predicting factors to return to work. RESULTS: A total of 398 files were screened, 112 respondents agreed to participate giving a response rate of 47.3%. The prevalence of returned to work (RTW) was 66.1% [95% CI: 57.2-75.0]. Factors associated with work resumption were age (Adj. OR: 0.92 (95% CI: 0.84-0.99), diabetes mellitus (Adj. OR: 3.70, 95% CI: 1.35-10.12), Mental Component Summary (MCS) score (Adj. OR: 1.05 (95% CI: 1.01-1.09) and baseline angiography findings. Patients with single vessel and two vessel disease were 8.9 times and 3.78 times more likely to return to work compared to those with 3 vessels (Adj. OR: 8.90 (95% CI: 2.29-34.64) and Adj. OR: 3.78, (95% CI: 1.12, 12.74). CONCLUSIONS: We proposed a cardiac rehabilitation program to emphasize mental health as it may improve successful return to work after cardiac event.
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Mustafah et al. (2017) conducted a cross-sectional in Major cardiac event (n=112). Single vessel disease vs. 3 vessel disease was evaluated on Return to work (Adj. OR 8.90, 95% CI 2.29-34.64). Among patients attending cardiac rehabilitation after a major cardiac event, single-vessel disease was strongly associated with returning to work compared to three-vessel disease.
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