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  -