Author/Editor		Farkaš, Jerneja; Černe, Katja
Title		Delazmožnost po akutnem koronarnem sindromu in miokardni revaskularizaciji
Type		monografija
Place		Ljubljana
Publisher		Univerza v Ljubljani, Medicinska fakulteta
Publication year		2004
Volume		str. 37
Language		slo
Abstract		Background. In Slovenia there is a lack of data regarding the resumption of work for patients after acute coronary syndrome (ACS) for last two decades. In this period with the development of early revascularisation therapeutic strategy the management of ACS has changed considerably. Aim. We evaluated how working ability is affected by early revascularisation therapy of ACS and by several between physical, sociodemographic and psychical factors. Hypothesis. Return to work after ACS and myocardial revascularisation depends more upon psychosocial than physical factors and can be affected by the different treatment of ACS. Methods. In retrospective cohort study we screened 174 patients, who participated in outpatient rehabilitation programme in reconvalescence after ACS at Department of Angiology in University Medical Center. The patients were younger than 60 years and were employed before the disease. The data on clinical characteristics, the mode of treatment of ACS and exercise capacity were obtained from medical charts. The psychosocial factors and the data about working ability were gathered by structured questionnaire. Results. Eighty-two patients returned complete questionnaire and 58 of them returned to work. fhe patients who returned to work had less diabetes (9% vs. 29%, p=0,02), were more frequently treated with acetylsalicylic acid in acute phase (79% vs. 50%, p=0,01), had higher exercise capacity after the rehabilitation (8,6±2,4 MET vs. 7,4±1,9 MET, p=0,03), and in everyday life (carrying bags 95% vs. 75%, p=0,01; heavy activities 60% vs. 25%, p=0,004), were more frequently supported by their friends (88% vs. 67% , p=0,02) and co-workers (67% vs. 38%, p=0,01), had greater desire to return to work (50% vs. 25%, p=0,04) and were more often advised to return to work by the doctor (72% vs. 8%, p<0,001). In multivariate analysis return to work was positively associated with doctors advice (OR 63,9, 95% CI 5.4
Descriptors		DISABILITY EVALUATION MYOCARDIAL INFARCTION ANGINA, UNSTABLE EXERCISE TEST SOCIOECONOMIC FACTORS QUESTIONNAIRES RETROSPECTIVE STUDIES COHORT STUDIES