Saf Health Work.  2012 Jun;3(2):117-122.

Return to Work after an Acute Coronary Syndrome: Patients' Perspective

Affiliations
  • 1Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. f.g.slebus@amc.uva.nl
  • 2Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.

Abstract

OBJECTIVES: To describe the time perspective of return to work and the factors that facilitate and hinder return to work in a group of survivors of acute coronary syndrome (ACS).
METHODS
Retrospective semi-structured telephone survey 2 to 3 years after hospitalization with 84 employed Dutch ACS-patients from one academic medical hospital.
RESULTS
Fifty-eight percent of patients returned to work within 3 months, whereas at least 88% returned to work once within 2 years. Two years after hospitalization, 12% of ACS patients had not returned to work at all, and 24% were working, but not at pre-ACS levels. For all ACS-patients, the most mentioned categories of facilitating factors to return to work were having no complaints and not having signs or symptoms of heart disease. Physical incapacity, co-morbidity, and mental incapacity were the top 3 categories of hindering factors against returning to work.
CONCLUSION
Within 2 years, 36% of the patients had not returned to work at their pre-ACS levels. Disease factors, functional capacity, environmental factors, and personal factors were listed as affecting subjects' work ability level.

Keyword

Acute coronary syndrome; Return to work; Facilitating; Hindering factors
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