Affiliations:
The School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China
Correspondence:
[*]
Address for correspondence: Xi Cao, PhD, School of nursing, Sun Yat-Sen University, No. 74 Zhongshan 2nd Road, Guangzhou, Guangdong, 510080, China. E-mail: caox29@mail.sysu.edu.cn.
Abstract: BACKGROUND:The incidence of young acute myocardial infarction (AMI) is increasing. Return-to-work is an important indicator for patients’ psycho-social recovery. However, factors influencing return-to-work after AMI are yet to be determined. OBJECTIVE:
To summary available evidence on rate and factors associated with return-to-work among AMI patients. METHODS:
The Cochrane Library, PubMed, Embase, Web of Science, Scopes and two Chinese databases (CNKI and VIP) were searched from inception to October 3, 2023. Pooled rate of return-to-work (%) and odds ratio (OR) were calculated with Stata 17 software. RESULTS:
Of 2403 records screened, 19 studies were included. Pooled rate of return-to-work at 3, 6, 12, and 24 and above months after AMI was 74%, 87%, 87%, 80% respectively. Factors associated with lower rate of return-to-work were comorbidity of diabetes (OR = 0.65; 95% CI, 0.46–0.93), history of heart failure (OR = 0.43; 95% CI, 0.23–0.80), manual labor (OR = 0.51; 95% CI, 0.35–0.76) and depression (OR = 0.59; 95% CI, 0.37–0.93). Male (OR = 1.42; 95% CI, 1.09–1.85) and higher education level (OR = 1.45; 95% CI, 1.25-1.69) were protective factors. Age, marital status and smoking were not significantly associated with return-to-work. CONCLUSIONS:
More than half of patients could return to work at 3-month post-AMI, return-to-work rate was increased during one-year post-AMI followed by a decrease. Comorbidity of diabetes, history of heart failure, manual labor and depression were negative predictors of return-to-work, while male and higher education level were protective factors. This would assist the professionals to identify the patient who was risk for unable to return-to-work and provide support for AMI patents.
Keywords: Myocardial infarction, return to work, prognosis, rehabilitation, social participation, employment
DOI: 10.3233/WOR-230301
Journal: Work, vol. 79, no. 3, pp. 1011-1025, 2024
