Return to work among patients hospitalized with acute coronary syndrome at Nopparat Rajathanee Hospital
Keywords:return to work, fitness for work, acute coronary syndrome, Occupational medicine
The objective of this study was to determine the rate of return to work among patients hospitalized with acute coronary syndrome at Nopparat Rajathanee Hospital and the factors associated with returning to work. The study design was a retrospective cohort study. The study samples were 125 patients, aged 18-60, with acute coronary syndrome and hospitalized in Nopparat Rajathanee Hospital from January 1, 2016 to December 31, 2018. The data on return to work and other factors were collected from the medical record data and telephone interviews. A survival analysis and a Cox proportional hazard model were used for data analysis. The participants consisted of 125 patients (100 male, 25 female), and the total follow-up time was 5414 person-days. The rate of return to work was 1.4 per 100 person-days (95%CI=1.20-1.86) and the median survival time of return to work was 30 days (95%CI=15-45). The rates of return to work in acute coronary syndrome in 30, 60, and 90 days were 56.8% 62.4% and 64.8%, respectively. After adjustment, the results indicated that females had a higher rate of decreased return to work (HRadj.=0.48; 95%CI= 0.24-0.96; p-value=0.04) as females were 52% less likely to return to work than males, while males were less likely to return to work at a rate of 2.1 times higher than females. In conclusion, the median survival time of return to work in patients with acute coronary syndrome and hospitalized in Nopparat Rajathanee Hospital was 30 days. Most returned to work in the same week and a small number returned to work, but modified or changed their work. Females were associated with lower likelihood of returning to work. Therefore, return to work assessment should be concerned with an early return to work suitably, safely and as soon as possible.
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