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Determinants of Return to Work After Multicomponent Cardiac Rehabilitation

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Determinants of Return to Work After Multicomponent Cardiac Rehabilitation. / Salzwedel, Annett; Reibis, Rona; Heidler, Maria-Dorothea; Wegscheider, Karl; Völler, Heinz.

In: ARCH PHYS MED REHAB, Vol. 100, No. 12, 12.2019, p. 2399-2402.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Salzwedel, A, Reibis, R, Heidler, M-D, Wegscheider, K & Völler, H 2019, 'Determinants of Return to Work After Multicomponent Cardiac Rehabilitation', ARCH PHYS MED REHAB, vol. 100, no. 12, pp. 2399-2402. https://doi.org/10.1016/j.apmr.2019.04.003

APA

Salzwedel, A., Reibis, R., Heidler, M-D., Wegscheider, K., & Völler, H. (2019). Determinants of Return to Work After Multicomponent Cardiac Rehabilitation. ARCH PHYS MED REHAB, 100(12), 2399-2402. https://doi.org/10.1016/j.apmr.2019.04.003

Vancouver

Salzwedel A, Reibis R, Heidler M-D, Wegscheider K, Völler H. Determinants of Return to Work After Multicomponent Cardiac Rehabilitation. ARCH PHYS MED REHAB. 2019 Dec;100(12):2399-2402. https://doi.org/10.1016/j.apmr.2019.04.003

Bibtex

@article{0689d8c24691406d9af7048bc86194f9,
title = "Determinants of Return to Work After Multicomponent Cardiac Rehabilitation",
abstract = "OBJECTIVES: To explore predictors of return to work in patients after acute coronary syndrome and coronary artery bypass grafting, taking into account cognitive performance, depression, physical capacity, and self-assessment of the occupational prognosis.DESIGN: Observational, prospective, bicentric.SETTING: Postacute 3-week inpatient cardiac rehabilitation (CR).PARTICIPANTS: Patients (N=401) <65 years of age (mean 54.5±6.3y), 80% men.INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURES: Status of return to work (RTW) 6 months after discharge from CR.RESULTS: The regression model for RTW showed negative associations for depression (odds ratio 0.52 per SD, 95% confidence interval 0.36-0.76, P=.001), age (odds ratio 0.72, 95% confidence interval 0.52-1.00, P=.047), and in particular for a negative subjective occupational prognosis (expected incapacity for work odds ratio 0.19, 95% confidence interval 0.06-0.59, P=.004; unemployment odds ratio 0.08, 95% confidence interval 0.01-0.72, P=.024; retirement odds ratio 0.07, 95% confidence interval 0.01-0.067, P=.021). Positive predictors were employment before the cardiac event (odds ratio 9.66, 95% confidence interval 3.10-30.12, P<.001), capacity to work (fit vs unfit) at discharge from CR (odds ratio 3.15, 95% confidence interval 1.35-7.35, P=.008), and maximum exercise capacity (odds ratio 1.49, 95% confidence interval 1.06-2.11, P=.022). Cognitive performance had no effect.CONCLUSIONS: The patient's perception and expectation regarding the occupational prognosis play a crucial role in predicting return to work 6 months after an acute cardiac event and CR. These findings highlight the importance of the multimodal approach, in particular psychosocial components, of CR.",
author = "Annett Salzwedel and Rona Reibis and Maria-Dorothea Heidler and Karl Wegscheider and Heinz V{\"o}ller",
note = "Copyright {\textcopyright} 2019 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.",
year = "2019",
month = dec,
doi = "10.1016/j.apmr.2019.04.003",
language = "English",
volume = "100",
pages = "2399--2402",
journal = "ARCH PHYS MED REHAB",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "12",

}

RIS

TY - JOUR

T1 - Determinants of Return to Work After Multicomponent Cardiac Rehabilitation

AU - Salzwedel, Annett

AU - Reibis, Rona

AU - Heidler, Maria-Dorothea

AU - Wegscheider, Karl

AU - Völler, Heinz

N1 - Copyright © 2019 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

PY - 2019/12

Y1 - 2019/12

N2 - OBJECTIVES: To explore predictors of return to work in patients after acute coronary syndrome and coronary artery bypass grafting, taking into account cognitive performance, depression, physical capacity, and self-assessment of the occupational prognosis.DESIGN: Observational, prospective, bicentric.SETTING: Postacute 3-week inpatient cardiac rehabilitation (CR).PARTICIPANTS: Patients (N=401) <65 years of age (mean 54.5±6.3y), 80% men.INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURES: Status of return to work (RTW) 6 months after discharge from CR.RESULTS: The regression model for RTW showed negative associations for depression (odds ratio 0.52 per SD, 95% confidence interval 0.36-0.76, P=.001), age (odds ratio 0.72, 95% confidence interval 0.52-1.00, P=.047), and in particular for a negative subjective occupational prognosis (expected incapacity for work odds ratio 0.19, 95% confidence interval 0.06-0.59, P=.004; unemployment odds ratio 0.08, 95% confidence interval 0.01-0.72, P=.024; retirement odds ratio 0.07, 95% confidence interval 0.01-0.067, P=.021). Positive predictors were employment before the cardiac event (odds ratio 9.66, 95% confidence interval 3.10-30.12, P<.001), capacity to work (fit vs unfit) at discharge from CR (odds ratio 3.15, 95% confidence interval 1.35-7.35, P=.008), and maximum exercise capacity (odds ratio 1.49, 95% confidence interval 1.06-2.11, P=.022). Cognitive performance had no effect.CONCLUSIONS: The patient's perception and expectation regarding the occupational prognosis play a crucial role in predicting return to work 6 months after an acute cardiac event and CR. These findings highlight the importance of the multimodal approach, in particular psychosocial components, of CR.

AB - OBJECTIVES: To explore predictors of return to work in patients after acute coronary syndrome and coronary artery bypass grafting, taking into account cognitive performance, depression, physical capacity, and self-assessment of the occupational prognosis.DESIGN: Observational, prospective, bicentric.SETTING: Postacute 3-week inpatient cardiac rehabilitation (CR).PARTICIPANTS: Patients (N=401) <65 years of age (mean 54.5±6.3y), 80% men.INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURES: Status of return to work (RTW) 6 months after discharge from CR.RESULTS: The regression model for RTW showed negative associations for depression (odds ratio 0.52 per SD, 95% confidence interval 0.36-0.76, P=.001), age (odds ratio 0.72, 95% confidence interval 0.52-1.00, P=.047), and in particular for a negative subjective occupational prognosis (expected incapacity for work odds ratio 0.19, 95% confidence interval 0.06-0.59, P=.004; unemployment odds ratio 0.08, 95% confidence interval 0.01-0.72, P=.024; retirement odds ratio 0.07, 95% confidence interval 0.01-0.067, P=.021). Positive predictors were employment before the cardiac event (odds ratio 9.66, 95% confidence interval 3.10-30.12, P<.001), capacity to work (fit vs unfit) at discharge from CR (odds ratio 3.15, 95% confidence interval 1.35-7.35, P=.008), and maximum exercise capacity (odds ratio 1.49, 95% confidence interval 1.06-2.11, P=.022). Cognitive performance had no effect.CONCLUSIONS: The patient's perception and expectation regarding the occupational prognosis play a crucial role in predicting return to work 6 months after an acute cardiac event and CR. These findings highlight the importance of the multimodal approach, in particular psychosocial components, of CR.

U2 - 10.1016/j.apmr.2019.04.003

DO - 10.1016/j.apmr.2019.04.003

M3 - SCORING: Journal article

C2 - 31054294

VL - 100

SP - 2399

EP - 2402

JO - ARCH PHYS MED REHAB

JF - ARCH PHYS MED REHAB

SN - 0003-9993

IS - 12

ER -