Reibis, Rona, Salzwedel, Annett, Abreu, Ana et al. (9 more authors) (2019) The importance of return to work: How to achieve optimal reintegration in ACS patients. European journal of preventive cardiology. pp. 1-12. ISSN 2047-4881
Abstract
The vocational reintegration of patients after an acute coronary syndrome is a crucial step towards complete convalescence from the social as well as the individual point of view. Return to work rates are determined by medical parameters such as left ventricular function, residual ischaemia 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 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 socioprofessional exclusion with adverse psychological and financial consequences. A comprehensive healthcare pathway of acute coronary syndrome patients is 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 experiencing an acute coronary syndrome, 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.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © The European Society ofCardiology 2019. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details. |
Dates: |
|
Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Depositing User: | Pure (York) |
Date Deposited: | 15 Apr 2019 15:50 |
Last Modified: | 16 Oct 2024 15:36 |
Published Version: | https://doi.org/10.1177/2047487319839263 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1177/2047487319839263 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:145019 |
Download
Filename: FINAL_RTW_Europe_12.04.2019_Manuscript.pdf
Description: FINAL_RTW_Europe_12.04.2019_Manuscript