TY  - JOUR
A1  - Salzwedel, Annett
A1  - Wegscheider, Karl
A1  - Schulz-Behrendt, Claudia
A1  - Dörr, Gesine
A1  - Reibis, Rona Katharina
A1  - Völler, Heinz
T1  - No impact of an extensive social intervention program on return to work and quality of life after acute cardiac event: a cluster-randomized trial in patients with negative occupational prognosis
JF  - International archives of occupational and environmental health
N2  - Objectives To examine the effectiveness of extensive social therapy intervention during inpatient multi-component cardiac rehabilitation (CR) on return to work and quality of life in patients with low probability of work resumption after an acute cardiac event. Methods Patients after acute cardiac event with negative subjective expectations about return to work or unemployment (n = 354) were included and randomized in clusters of 3-6 study participants. Clusters were randomized for social counseling and therapy led by a social worker, six sessions of 60 min each in 3 weeks, or control group (usual care: individual counseling meeting by request). The return to work (RTW) status and change in quality of life (QoL, short form 12: Physical and Mental Component Summary PCS and MCS) 12 months after discharge from inpatient CR were outcome measures. Results The regression model for RTW showed no impact of the intervention (OR 1.1, 95% CI 0.6-2.1, P = 0.79; n = 263). Predictors were unemployment prior to CR as well as higher anxiety values at discharge from CR. Likewise, QoL was not improved by social therapy (linear mixed model: Delta PCS 0.3, 95% CI - 1.9 to 2.5; P = 0.77; n = 177; Delta MCS 0.7, 95% CI - 1.9 to 3.3; P = 0.58; n = 215). Conclusions In comparison to usual care, an intensive program of social support for patients during inpatient cardiac rehabilitation after an acute cardiac event had no additional impact on either the rate of resuming work or quality of life.
KW  - Social work
KW  - Cardiac rehabilitation
KW  - Return to work
KW  - Quality of life
KW  - Acute coronary syndrome
KW  - RCT
Y1  - 2019
U6  - https://doi.org/10.1007/s00420-019-01450-3
SN  - 0340-0131
SN  - 1432-1246
VL  - 92
IS  - 8
SP  - 1109
EP  - 1120
PB  - Springer
CY  - New York
ER  - 
TY  - JOUR
A1  - Salzwedel, Annett
A1  - Reibis, Rona Katharina
A1  - Heidler, Maria-Dorothea
A1  - Wegscheider, Karl
A1  - Völler, Heinz
T1  - Determinants of Return to Work After Multicomponent Cardiac Rehabilitation
JF  - Archives of Physical Medicine and Rehabilitation
N2  - Objectives: To explore predictors of return to work in patients after acute coronary syndrome and coronary artery bypass grafting, taking into account cognitive performance, depression, physical capacity, and self-assessment of the occupational prognosis. Design: Observational, prospective, bicentric. Setting: Postacute 3-week inpatient cardiac rehabilitation (CR). Participants: Patients (N=401) <65 years of age (mean 54.5 +/- 6.3y), 80% men. Interventions: Not applicable. Main Outcome Measures: Status of return to work (RTW) 6 months after discharge from CR. Results: The regression model for RTW showed negative associations for depression (odds ratio 0.52 per SD, 95% confidence interval 0.36-0.76, P=.001), age (odds ratio 0.72, 95% confidence interval 0.52-1.00, P=.047), and in particular for a negative subjective occupational prognosis (expected incapacity for work odds ratio 0.19, 95% confidence interval 0.06-0.59, P=.004; unemployment odds ratio 0.08, 95% confidence interval 0.01-0.72, P=.024; retirement odds ratio 0.07, 95% confidence interval 0.01-0.067, P=.021). Positive predictors were employment before the cardiac event (odds ratio 9.66, 95% confidence interval 3.10-30.12, P<.001), capacity to work (fit vs unfit) at discharge from CR (odds ratio 3.15, 95% confidence interval 1.35-7.35, P=.008), and maximum exercise capacity (odds ratio 1.49, 95% confidence interval 1.06-2.11, P=.022). Cognitive performance had no effect.
KW  - Acute coronary syndrome
KW  - Cardiac rehabilitation
KW  - Coronary artery bypass grafting
KW  - Motivation
KW  - Rehabilitation
KW  - Return to work
Y1  - 2019
U6  - https://doi.org/10.1016/j.apmr.2019.04.003
SN  - 0003-9993
SN  - 1532-821X
VL  - 100
IS  - 12
SP  - 2399
EP  - 2402
PB  - Elsevier
CY  - Philadelphia
ER  - 
TY  - GEN
A1  - Polzin, Amin
A1  - Rassaf, Tienush
A1  - Boehm, Andreas
A1  - Lueth, Anja
A1  - Kleuser, Burkhard
A1  - Zeus, Tobias
A1  - Kelm, Malte
A1  - Kroemer, Heyo K.
A1  - Schroer, Karsten
A1  - Rauch, Bernhard H.
T1  - Aspirin inhibits release of platelet-derived sphingosine-1-phosphate in
 acute myocardial infarction
T2  - INTERNATIONAL JOURNAL OF CARDIOLOGY
KW  - Sphingosine-1-phosphate
KW  - Acute coronary syndrome
KW  - Platelets
KW  - Aspirin
Y1  - 2013
U6  - https://doi.org/10.1016/j.ijcard.2013.10.050
SN  - 0167-5273
SN  - 1874-1754
VL  - 170
IS  - 2
SP  - E23
EP  - E24
PB  - ELSEVIER IRELAND LTD
CY  - CLARE
ER  -