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Predicting return to work after acute myocardial infarction: Socio-occupational factors overcome clinical conditions

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Listed:
  • Mariarita Stendardo
  • Melissa Bonci
  • Valeria Casillo
  • Rossella Miglio
  • Giulia Giovannini
  • Marco Nardini
  • Gianluca Campo
  • Alessandro Fucili
  • Piera Boschetto

Abstract

Objectives: Return to work after acute myocardial infarction (AMI), a leading cause of death globally, is a multidimensional process influenced by clinical, psychological, social and occupational factors, the single impact of which, however, is still not well defined. The objective of this study was to investigate these 4 factors on return to work (RTW) within 365 days after AMI in a homogeneous cohort of patients who had undergone an urgent coronary angioplasty. Participants: We studied 102 patients, in employment at the time of AMI (88.24% of men), admitted to the Department of Cardiology of the University-Hospital of Ferrara between March 2015 to December 2016. Demographical and clinical characteristics were obtained from the cardiological records. After completing an interview on social and occupational variables and the Hospital Anxiety and Depression (HADS) questionnaire, patients underwent exercise capacity measurement and spirometry. Results: Of the 102 patients, only 12 (12.76%) held a university degree, 68.63% were employees and 31.37% self-employed. The median number of sick-leave days was 44 (IQR 33–88). At day 30, 78.5% of all subjects had not returned to work, at day 60, 40.8% and at day 365 only 7.3% had not resumed working. At univariate analyses, educational degree (p = 0.026), self-employment status (p = 0.0005), white collar professional category (p = 0.020) and HADS depression score were significant for earlier return to work. The multivariate analysis confirms that having a university degree, being self-employed and presenting a lower value of HADS depression score increase the probability of a quicker return to work. Conclusions: These findings suggest that the strongest predictors of returning to work within 1 year after discharge for an acute myocardial infarction are related more to socio-occupational than to clinical parameters.

Suggested Citation

  • Mariarita Stendardo & Melissa Bonci & Valeria Casillo & Rossella Miglio & Giulia Giovannini & Marco Nardini & Gianluca Campo & Alessandro Fucili & Piera Boschetto, 2018. "Predicting return to work after acute myocardial infarction: Socio-occupational factors overcome clinical conditions," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-11, December.
    • Handle: RePEc:plo:pone00:0208842
    DOI: 10.1371/journal.pone.0208842
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    References listed on IDEAS

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    1. Merete Osler & Solvej Mårtensson & Eva Prescott & Kathrine Carlsen, 2014. "Impact of Gender, Co-Morbidity and Social Factors on Labour Market Affiliation after First Admission for Acute Coronary Syndrome. A Cohort Study of Danish Patients 2001–2009," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-9, January.
    2. Karin Biering & Torsten Toftegaard Nielsen & Kurt Rasmussen & Troels Niemann & Niels Henrik Hjollund, 2012. "Return to Work after Percutaneous Coronary Intervention: The Predictive Value of Self-Reported Health Compared to Clinical Measures," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-7, November.
    3. Mittag, O. & Kolenda, K. -D. & Nordmann, K. -J. & Bernien, J. & Maurischat, C., 2001. "Return to work after myocardial infarction/coronary artery bypass grafting: patients' and physicians' initial viewpoints and outcome 12 months later," Social Science & Medicine, Elsevier, vol. 52(9), pages 1441-1450, May.
    4. Söderman, Eva & Lisspers, Jan & Sundin, Örjan, 2003. "Depression as a predictor of return to work in patients with coronary artery disease," Social Science & Medicine, Elsevier, vol. 56(1), pages 193-202, January.
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    1. Weizhe Sun & Leila Gholizadeh & Lin Perry & Kyoungrim Kang & Mehrdad Heydari, 2021. "Factors associated with return to work following myocardial infarction: A systematic review of observational studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(3-4), pages 323-340, February.
    2. Weizhe Sun & Leila Gholizadeh & Lin Perry & Kyoungrim Kang, 2022. "Predicting Return to Work Following Myocardial Infarction: A Prospective Longitudinal Cohort Study," IJERPH, MDPI, vol. 19(13), pages 1-18, June.

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