Factors influencing the return to the professional activity in patients hospitalized for myocardial infarction: a single centre experience – pilot study

Background Cardiovascular diseases, with myocardial infarction (MI) on the leading position, remain a serious health care issue and socio-economic burden. Nevertheless, factors influencing the return of patients to the professional activity are not fully understood. Cardiac rehabilitation may have a...

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Main Authors: Katarzyna Paluch, Maciej Janiszewski, Michalina Ciurla, Agata Antoniak, Julia Haponiuk-Skwarlińska, Karolina Domosud, Gabriela Makulec, Agnieszka Jakubiak, Małgorzata Barańska, Marek Kuch, Dominika Klimczak-Tomaniak
Format: Article
Language:English
Published: Nofer Institute of Occupational Medicine 2024-12-01
Series:Medycyna Pracy
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Online Access:https://medpr.imp.lodz.pl/Factors-influencing-the-return-to-the-professional-activity-in-patients-hospitalized,195910,0,2.html
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author Katarzyna Paluch
Maciej Janiszewski
Michalina Ciurla
Agata Antoniak
Julia Haponiuk-Skwarlińska
Karolina Domosud
Gabriela Makulec
Agnieszka Jakubiak
Małgorzata Barańska
Marek Kuch
Dominika Klimczak-Tomaniak
author_facet Katarzyna Paluch
Maciej Janiszewski
Michalina Ciurla
Agata Antoniak
Julia Haponiuk-Skwarlińska
Karolina Domosud
Gabriela Makulec
Agnieszka Jakubiak
Małgorzata Barańska
Marek Kuch
Dominika Klimczak-Tomaniak
author_sort Katarzyna Paluch
collection DOAJ
description Background Cardiovascular diseases, with myocardial infarction (MI) on the leading position, remain a serious health care issue and socio-economic burden. Nevertheless, factors influencing the return of patients to the professional activity are not fully understood. Cardiac rehabilitation may have a positive impact on the return to professional activity after MI. However, no study among participants in the comprehensive care after myocardial infarction (CCMI) model (in Polish: “KOS-zawał”) evaluated this issue so far. The aim of the study was to evaluate factors influencing the return to work and duration of the sick leave after MI among patients who participated in the CCMI in a single reference cardiology centre in Poland. Material and Methods In total, 144 patients were screened retrospectively. Out of them, 105 were included in the analysis. All patients were treated with direct percutaneous coronary intervention according to current European Society of Cardiology guidelines and participated in cardiac rehabilitation within the CCMI program, therefore had been provided optimal and modern therapeutic approach. Data was collected based on patients’ medical records and information furnished by the insurer. Results Out of 105 patients analysed, 93 (88,6%) returned to work. A positive predictor of returning to work was male sex. Predictors of a prolonged return to work were older age and female sex. Completing rehabilitation, anthropometric factors, biochemical factors or results of post-MI echocardiographic examination did not influence the return to professional activity. Conclusions A relatively large percentage of patients after MI and in the CCMI program returns to professional activity. Main factors of prolonged sick leave are older age and female sex. Med Pr Work Health Saf. 2024;75(6):501–510
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spelling doaj-art-96d095cc7bad4933853a01e8a93a136f2025-08-20T02:31:37ZengNofer Institute of Occupational MedicineMedycyna Pracy0465-58932353-13392024-12-0175650151010.13075/mp.5893.01533195910Factors influencing the return to the professional activity in patients hospitalized for myocardial infarction: a single centre experience – pilot studyKatarzyna Paluch0Maciej Janiszewski1Michalina Ciurla2Agata Antoniak3Julia Haponiuk-Skwarlińska4Karolina Domosud5Gabriela Makulec6Agnieszka Jakubiak7Małgorzata Barańska8Marek Kuch9Dominika Klimczak-Tomaniak10Medical University of Warsaw, Warsaw, Poland (Department of Cardiology, Hypertension and Internal Medicine)Medical University of Warsaw, Warsaw, Poland (Department of Heart Failure and Cardiac Rehabilitation)Medical University of Warsaw, Warsaw, Poland (Department of Cardiology, Hypertension and Internal Medicine)Medical University of Warsaw, Warsaw, Poland (Department of Cardiology, Hypertension and Internal Medicine)Medical University of Warsaw, Warsaw, Poland (Department of Cardiology, Hypertension and Internal Medicine)Medical University of Warsaw, Warsaw, Poland (Department of Cardiology, Hypertension and Internal Medicine)Medical University of Warsaw, Warsaw, Poland (Department of Cardiology, Hypertension and Internal Medicine)Medical University of Warsaw, Warsaw, Poland (Department of Heart Failure and Cardiac Rehabilitation)Medical University of Warsaw, Warsaw, Poland (Department of Internal Medicine, Cardiology and Hypertension, Mazowiecki Szpital Bródnowski)Medical University of Warsaw, Warsaw, Poland (Department of Cardiology, Hypertension and Internal Medicine)Medical University of Warsaw, Warsaw, Poland (Department of Cardiology, Hypertension and Internal Medicine)Background Cardiovascular diseases, with myocardial infarction (MI) on the leading position, remain a serious health care issue and socio-economic burden. Nevertheless, factors influencing the return of patients to the professional activity are not fully understood. Cardiac rehabilitation may have a positive impact on the return to professional activity after MI. However, no study among participants in the comprehensive care after myocardial infarction (CCMI) model (in Polish: “KOS-zawał”) evaluated this issue so far. The aim of the study was to evaluate factors influencing the return to work and duration of the sick leave after MI among patients who participated in the CCMI in a single reference cardiology centre in Poland. Material and Methods In total, 144 patients were screened retrospectively. Out of them, 105 were included in the analysis. All patients were treated with direct percutaneous coronary intervention according to current European Society of Cardiology guidelines and participated in cardiac rehabilitation within the CCMI program, therefore had been provided optimal and modern therapeutic approach. Data was collected based on patients’ medical records and information furnished by the insurer. Results Out of 105 patients analysed, 93 (88,6%) returned to work. A positive predictor of returning to work was male sex. Predictors of a prolonged return to work were older age and female sex. Completing rehabilitation, anthropometric factors, biochemical factors or results of post-MI echocardiographic examination did not influence the return to professional activity. Conclusions A relatively large percentage of patients after MI and in the CCMI program returns to professional activity. Main factors of prolonged sick leave are older age and female sex. Med Pr Work Health Saf. 2024;75(6):501–510https://medpr.imp.lodz.pl/Factors-influencing-the-return-to-the-professional-activity-in-patients-hospitalized,195910,0,2.htmlrehabilitationprofessional activityreturn to workmyocardial infarctionsick leavecardiac rehabilitation
spellingShingle Katarzyna Paluch
Maciej Janiszewski
Michalina Ciurla
Agata Antoniak
Julia Haponiuk-Skwarlińska
Karolina Domosud
Gabriela Makulec
Agnieszka Jakubiak
Małgorzata Barańska
Marek Kuch
Dominika Klimczak-Tomaniak
Factors influencing the return to the professional activity in patients hospitalized for myocardial infarction: a single centre experience – pilot study
Medycyna Pracy
rehabilitation
professional activity
return to work
myocardial infarction
sick leave
cardiac rehabilitation
title Factors influencing the return to the professional activity in patients hospitalized for myocardial infarction: a single centre experience – pilot study
title_full Factors influencing the return to the professional activity in patients hospitalized for myocardial infarction: a single centre experience – pilot study
title_fullStr Factors influencing the return to the professional activity in patients hospitalized for myocardial infarction: a single centre experience – pilot study
title_full_unstemmed Factors influencing the return to the professional activity in patients hospitalized for myocardial infarction: a single centre experience – pilot study
title_short Factors influencing the return to the professional activity in patients hospitalized for myocardial infarction: a single centre experience – pilot study
title_sort factors influencing the return to the professional activity in patients hospitalized for myocardial infarction a single centre experience pilot study
topic rehabilitation
professional activity
return to work
myocardial infarction
sick leave
cardiac rehabilitation
url https://medpr.imp.lodz.pl/Factors-influencing-the-return-to-the-professional-activity-in-patients-hospitalized,195910,0,2.html
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