Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/28013
Title: The importance of return to work – How to achieve optimal reintegration in ACS patients
Authors: Reibis, Rona
Salzwedel, Annett
Abreu, Ana
Ambrosetti, Marco
Corra, Ugo
Davos, Constantinos
Doehner, Wolfram
Doherty, Patrick
FREDERIX, Ines 
HANSEN, Dominique 
Iliou, Marie Christine
Vigorito, Carlo
Völler Heinz
Issue Date: 2019
Source: European journal of preventive cardiology, 26 (13), p. 1358-1369
Status: In Press
Abstract: The vocational reintegration of patients who have experienced an acute coronary syndrome (ACS) is a crucial step towards complete convalescence from the social as well as individual point of view. Return-to-work rates are determined by medical parameters such as left ventricular function, residual ischemia and heart rhythm stability, as well as by occupational requirement profile such as blue or white collar work, night shifts, and the ability to commute (which is, in part, determined by the physical fitness). Psychosocial factors including depression, self-perceived health situation, and pre-existing cognitive impairment determine the reintegration rate to a significant extent. Patients at risk of poor vocational outcomes should be identified in the early period of rehabilitation to avoid a reintegration failure and to prevent socio-professional exclusion with adverse psychological and financial consequences. Comprehensive health care pathway of ACS patients should be initiated by cardiac rehabilitation, which includes specific algorithms and assessment tools for risk stratification and occupational restitution. As the first in its kind, this review addresses determinants and legal aspects of reintegration of patients suffering an ACS and offers practical advice on reintegration strategies particularly for vulnerable patients. It presents different approaches and scientific findings in the European countries and serves as a recommendation for action initiated by the Working Group of Secondary Prevention and Rehabilitation of the European Association of Preventive Cardiology (EAPC).
Notes: Reibis, R (reprint author), Univ Potsdam, Ctr Rehabil Res, Neuen Palais 10,Haus 12, D-14469 Potsdam, Germany. rona.reibis@hotmail.de
Keywords: return to work; acute coronary syndrome; predictors; pension insurance
Document URI: http://hdl.handle.net/1942/28013
ISSN: 2047-4873
e-ISSN: 2047-4881
DOI: 10.1177/2047487319839263
ISI #: 000481500600003
Category: A1
Type: Journal Contribution
Validations: ecoom 2020
Appears in Collections:Research publications

Files in This Item:
File Description SizeFormat 
31794.pdf
  Restricted Access
Peer-reviewed author version544.45 kBAdobe PDFView/Open    Request a copy
Show full item record

SCOPUSTM   
Citations

8
checked on Sep 3, 2020

WEB OF SCIENCETM
Citations

22
checked on Mar 21, 2024

Page view(s)

100
checked on Jul 15, 2022

Download(s)

78
checked on Jul 15, 2022

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.