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November 2, 1988European Heart Journal

Return to work after rehabilitation in coronary bypass patients. Role of the occupational medicine specialist during rehabilitation

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Key result

Early occupational medicine intervention is linked to ~53% greater return to work post-CABG.

  • P<0.05
  • n=57

Why the study?

The role of the occupational medicine specialist in improving return to work after coronary bypass graft surgery with early rehabilitation intervention was assessed.

Does early intervention by an occupational medicine specialist improve return to work in patients undergoing rehabilitation after CABG surgery?

Population

57 patients (56 male, 1 female, mean age 50.7 years) after CABG surgery

Comparison

Early occupational medicine specialist intervention vs non-systematic vocational counselling in historical control

Design

Cohort study

Follow-up

7 months

Authors

CMC MonpèreCentre hospitalier Robert-BallangerGFG FrançoisCentre Hospitalier Universitaire de ToursCNC. R. Du NoyerMinistère du travail, de l'emploi et de l'insertion

Discussion

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Implication

May support specialist vocational counselling in post-CABG rehab; hypothesis-generating and requires randomized confirmation before practice change.

Study Design

Type

Cohort (n=57)

Structured PICO

Does early intervention by an occupational medicine specialist improve return to work in patients undergoing rehabilitation after CABG surgery?

P
Population
57 post-CABG patients (mean age 50.7 years, 1.8% female) undergoing rehabilitation with early occupational medicine intervention, followed for 7 months.
E
Exposure
Early intervention by an occupational medicine specialist (individual vocational counselling) integrated into the rehabilitation programme.
C
Comparator
Historical control of 45 rehabilitation patients from 1984 who received non-systematic vocational counselling.
O
Outcome
Return to work at 7 months follow-up.patient reported

Main Result

Absolute Event Rate: 78% vs 51%

p-value: p=<0.05

Early intervention by an occupational medicine specialist providing individual vocational counselling during cardiac rehabilitation significantly improves return to work rates in post-CABG patients.

Cite This Study

Monpère et al. (1988) conducted a cohort in Coronary bypass graft (CABG) surgery (n=57). Early intervention by an occupational medicine specialist (vocational counselling) vs. Historical cohort with non-systematic vocational counselling was evaluated on Return to work (p=<0.05). Early intervention by an occupational medicine specialist during rehabilitation increased return to work in post-CABG patients to 78%, compared to 51% with non-systematic counselling (P<0.05).

synapsesocial.com/papers/6aa81de8ac18924c76575041https://doi.org/10.1093/eurheartj/9.suppl_l.48
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