Babić Zdravko, Pavlov Marin, Oštrić Mirjana, Milošević Milan, Misigoj Duraković Marjeta, Pintarić Hrvoje
Sestre Milosrdnice University Hospital Centre, Zagreb, Croatia (Cardiac Intensive Care Unit).
Zabok General Hospital, Zabok, Croatia (Department of Internal Medicine).
Int J Occup Med Environ Health. 2015;28(6):999-1010. doi: 10.13075/ijomeh.1896.00478.
To investigate the aspects of return to work, socio-economic and quality of life aspects in 145 employed patients under 60 years of age treated with primary percutaneous coronary intervention for acute ST-elevation myocardial infarction.
During hospital treatment demographic and clinical data was collected. Data about major adverse cardiovascular events, rehabilitation, sick leave, discharge from job and retirement, salary, major life events and estimation of quality of life after myocardial infarction were obtained after follow-up (mean: 836±242 days).
Average sick leave was 126±125 days. Following myocardial infarction, 3.4% of patients were discharged from their jobs while 31.7% retired. Lower salary was reported in 17.9% patients, major life events in 9.7%, while 40.7% estimated quality of life as worse following the event. Longer hospitalization was reported in patients transferred from surrounding counties, those with inferior myocardial wall and right coronary artery affected. Age, hyperlipoproteinemia and lower education degree were connected to permanent working cessation. Significant salary decrease was observed in male patients. Employer type was related to sick leave duration. Impaired quality of life was observed in patients who underwent in-hospital rehabilitation and those from surrounding counties. Longer sick leave was observed in patients with lower income before and after myocardial infarction. These patients reported lower quality of life after myocardial infarction.
Inadequate health policy and delayed cardiac rehabilitation after myocardial infarction may lead to prolonged hospitalization and sick leave as well as lower quality of life after the event, regardless of optimal treatment in acute phase of disease.
调查145例60岁以下因急性ST段抬高型心肌梗死接受直接经皮冠状动脉介入治疗的在职患者的重返工作、社会经济及生活质量方面的情况。
在住院治疗期间收集人口统计学和临床数据。随访（平均：836±242天）后获得有关主要不良心血管事件、康复、病假、离职和退休、薪资、重大生活事件以及心肌梗死后生活质量评估的数据。
平均病假为126±125天。心肌梗死后，3.4%的患者离职，31.7%的患者退休。17.9%的患者报告薪资降低，9.7%的患者经历重大生活事件，而40.7%的患者估计事件后生活质量变差。从周边县转诊的患者、心肌壁较差且右冠状动脉受累的患者住院时间较长。年龄、高脂蛋白血症和较低的教育程度与永久停止工作有关。男性患者观察到显著的薪资下降。雇主类型与病假时长有关。接受院内康复治疗的患者和来自周边县的患者生活质量受损。心肌梗死前后收入较低的患者病假较长。这些患者报告心肌梗死后生活质量较低。
健康政策不完善以及心肌梗死后心脏康复延迟可能导致住院时间和病假延长，以及事件后生活质量降低，无论疾病急性期的治疗是否最佳。
