Goeminne H M, Faes K, Poelemans K M, Van der Mersch C, Brutsaert D L
Arch Belg. 1989;47(1-4):70-2.
Return to work (RW) of patients (pts) after AMI or CABG was compared between a center with (I) and one without (II) Cardiac Rehabilitation (CR) (outpatient; accelerated over 2-3 months; with ECG-monitored dynamic exercises 3 x 1 h/week; multidisciplinary). Over a 6 (I) and 4 (II) year period, 554 (I) and 555 (II) pts were examined; only pts who were active prior to the event, i.e. 61% in I and 21% in II, were considered for this study. Of the active subgroup, 79% returned to work in I compared to only 62% in II. Major differences were found depending on profession, i.e. selfemployers (I) 89% -- (II) 75% professionals (I) 82% -- (II) 71% and blue collars (I) 67% -- (II) 52%. From correlations between time to return to work (TRW) and professional reclassification (PR) with the type of cardiovascular disease (CVD), occupation (O) and age (A) the following conclusions could be made: --TRW vs O: blue collars returned later; there was also a high % in this group who did not return: 36% (I) and 48% (II). --TRW vs A: in I the majority returned to work within 6 months, regardless of A. In II a higher % of younger pts (-50 y) returned within 6 months. In case of no return, the higher the age of the pts, the lower the % of RW. --TRW vs CVD: in I return to work was later after CABG than after AMI.(ABSTRACT TRUNCATED AT 250 WORDS)
对急性心肌梗死（AMI）或冠状动脉旁路移植术（CABG）后患者的重返工作情况进行了比较，研究对象为一家设有心脏康复（CR）中心（I组）和一家未设心脏康复中心（II组）的患者。心脏康复为门诊形式，为期2至3个月，每周进行3次、每次1小时的动态运动并进行心电图监测，具有多学科性质。在6年（I组）和4年（II组）的时间里，分别对554例（I组）和555例（II组）患者进行了检查；本研究仅纳入事件发生前有工作的患者，即I组中的61%和II组中的21%。在活跃亚组中，I组79%的患者重返工作，而II组仅为62%。根据职业发现了显著差异，即个体经营者（I组89%，II组75%）、专业人员（I组82%，II组71%）和蓝领（I组67%，II组52%）。从重返工作时间（TRW）和职业重新分类（PR）与心血管疾病类型（CVD）、职业（O）和年龄（A）之间的相关性可得出以下结论：——TRW与O：蓝领返回工作的时间较晚；该组中未返回工作的比例也较高，I组为36%，II组为48%。——TRW与A：在I组中，大多数患者无论年龄大小均在6个月内重返工作。在II组中，年龄较小（-50岁）的患者中有更高比例在6个月内返回工作。若未返回工作，患者年龄越大，重返工作的比例越低。——TRW与CVD：在I组中，CABG后返回工作的时间比AMI后晚。（摘要截选至250字）
