TY  - JOUR
A1  - Reibis, Rona Katharina
A1  - Salzwedel, Annett
A1  - Falk, Johannes
A1  - Völler, Heinz
T1  - Berufliche Wiedereingliederung nach akutem Herzinfarkt
T1  - Return to Work after Acute Myocardial Infarction
JF  - Deutsche medizinische Wochenschrift : DMW ; Organ der Deutschen Gesellschaft für Innere Medizin (DGIM) ; Organ der Gesellschaft Deutscher Naturforscher und Ärzte (GDNÄ)
N2  - Die berufliche Wiedereingliederung von Patienten nach akutem Herzinfarkt stellt sowohl aus gesellschaftlicher wie auch aus individueller Sicht einen entscheidenden Schritt zur vollständigen Rekonvaleszenz dar. Lediglich 10% der Patienten werden durch kardiale Probleme an der Reintegration behindert. Neben medizinischen und berufsbezogenen Faktoren determinieren insbesondere psychosoziale Parameter eine erfolgreiche Wiederaufnahme der Tätigkeit. Verschiedene Programme der Rentenversicherungsträger werden dabei unterstützend angeboten.
N2  - Vocational reintegration provides a key goal for patients after myocardial infarction both from social as well as from individual perspective. Return to work rate is determined by medical parameters such as left ventricular function, residual ischemia and rhythm stability, as well as by occupational requirement profile such as the blue or white collar work, night shifts and the way capacity. Psycho-social factors including depression, self-assessment of their own situation and pre-existing cognitive impairment to a large extent determine the reintegration. Optimally, re-employment should be performed immediately after cardiac rehabilitation in patient after uncomplicated myocardial infarction. After a long hospitalization phase a stepwise inclusion is recommended. In failed reintegration particularly in younger workers retraining should be considered.
KW  - berufliche Wiedereingliederung
KW  - Herzinfarkt
KW  - hamburger model
KW  - Prädiktoren
KW  - Rentenversicherung
KW  - return to work
KW  - myocardial infarction
KW  - predictors
KW  - pension insurance
Y1  - 2017
U6  - https://doi.org/10.1055/s-0042-124425
SN  - 0012-0472
SN  - 1439-4413
VL  - 142
SP  - 617
EP  - 624
PB  - Thieme
CY  - Stuttgart
ER  - 
TY  - JOUR
A1  - Reibis, Rona Katharina
A1  - Salzwedel, Annett
A1  - Abreu, Ana
A1  - Corra, Ugo
A1  - Davos, Constantinos
A1  - Döhner, Wolfram
A1  - Doherty, Patrick
A1  - Frederix, Ines
A1  - Hansen, Dominique
A1  - Iliou, Marie Christine
A1  - Vigorito, Carlo
A1  - Völler, Heinz
T1  - The importance of return to work
BT  - How to achieve optimal reintegration in ACS patients
JF  - European journal of preventive cardiology : the official ESC journal for primary & secondary cardiovascular prevention, rehabilitation and sports cardiology
N2  - 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 socio-professional 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.
KW  - Return to work
KW  - acute coronary syndrome
KW  - predictors
KW  - pension insurance
Y1  - 2019
U6  - https://doi.org/10.1177/2047487319839263
SN  - 2047-4873
SN  - 2047-4881
VL  - 26
IS  - 13
SP  - 1358
EP  - 1369
PB  - Sage Publ.
CY  - London
ER  -