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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