Salute e lavoro dopo procedure invasive cardiache, riabilitazione e valutazione occupazionale

Translated title of the contribution: {Health and work after invasive heart procedures, rehabilitation and occupational evaluation]

Fabrizio Scafa, Giuseppe Calsamiglia, Paola Cadei, Emanuela Pettenuzzo, Giovanni Forni, Stefano Massimo Candura

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Our previous experience with the "CardioWork" protocol (activated in 2005) demonstrated the usefulness of the interaction between occupational physician and cardiologist to facilitate work resumption after invasive heart procedures and subsequent rehabilitation, adapting the work tasks of the patients to the changed physical capabilities.

OBJECTIVES: We surveyed the health conditions and employment status of the subjects previously studied, years after their completion of the protocol in order to verify its effectiveness over a long period of time.

METHODS: We contacted 125 patients included in the protocol from 2005 to 2011: 4 were deceased; 101 (94 males and 7 females; mean age: 49.2 years) participated in the study. We collected clinical data (from the hospital computer archive), as well as information on prescriptions compliance and occupation (by interview). Respondents were also asked to give a subjective judgment on their health, their re-employment, and the usefulness of the indications regarding job fitness.

RESULTS: In addition to the high survival rate, the survey showed maintenance of satisfactory clinical conditions (good left ventricular function, exercise tolerance, rare cardiological relapses, few sick-leave days), adherence to prescriptions, high employment rate, high level of subjective satisfaction.

CONCLUSIONS: The study confirms the importance of appropriate rehabilitation after acute cardiac event, and the need for an interdisciplinary approach involving the occupational physician. By following this strategy, patients not only can return to work early, satisfactorily and with minimal risks, but they also tend to keep their work and to reach retirement age in good health.

Original languageItalian
Pages (from-to)219-24
Number of pages6
JournalMedicina del Lavoro
Volume109
Issue number3
DOIs
Publication statusPublished - Feb 28 2018

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Sick Leave
Rehabilitation
Prescriptions
Health
Physicians
Return to Work
Exercise Tolerance
Retirement
Left Ventricular Function
Occupations
Health Status
Compliance
Survival Rate
Maintenance
Interviews
Recurrence
Surveys and Questionnaires
Cardiologists

Cite this

Salute e lavoro dopo procedure invasive cardiache, riabilitazione e valutazione occupazionale. / Scafa, Fabrizio; Calsamiglia, Giuseppe; Cadei, Paola; Pettenuzzo, Emanuela; Forni, Giovanni; Candura, Stefano Massimo.

In: Medicina del Lavoro, Vol. 109, No. 3, 28.02.2018, p. 219-24.

Research output: Contribution to journalArticle

Scafa, Fabrizio ; Calsamiglia, Giuseppe ; Cadei, Paola ; Pettenuzzo, Emanuela ; Forni, Giovanni ; Candura, Stefano Massimo. / Salute e lavoro dopo procedure invasive cardiache, riabilitazione e valutazione occupazionale. In: Medicina del Lavoro. 2018 ; Vol. 109, No. 3. pp. 219-24.
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AU - Scafa, Fabrizio

AU - Calsamiglia, Giuseppe

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AU - Forni, Giovanni

AU - Candura, Stefano Massimo

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AB - BACKGROUND: Our previous experience with the "CardioWork" protocol (activated in 2005) demonstrated the usefulness of the interaction between occupational physician and cardiologist to facilitate work resumption after invasive heart procedures and subsequent rehabilitation, adapting the work tasks of the patients to the changed physical capabilities.OBJECTIVES: We surveyed the health conditions and employment status of the subjects previously studied, years after their completion of the protocol in order to verify its effectiveness over a long period of time.METHODS: We contacted 125 patients included in the protocol from 2005 to 2011: 4 were deceased; 101 (94 males and 7 females; mean age: 49.2 years) participated in the study. We collected clinical data (from the hospital computer archive), as well as information on prescriptions compliance and occupation (by interview). Respondents were also asked to give a subjective judgment on their health, their re-employment, and the usefulness of the indications regarding job fitness.RESULTS: In addition to the high survival rate, the survey showed maintenance of satisfactory clinical conditions (good left ventricular function, exercise tolerance, rare cardiological relapses, few sick-leave days), adherence to prescriptions, high employment rate, high level of subjective satisfaction.CONCLUSIONS: The study confirms the importance of appropriate rehabilitation after acute cardiac event, and the need for an interdisciplinary approach involving the occupational physician. By following this strategy, patients not only can return to work early, satisfactorily and with minimal risks, but they also tend to keep their work and to reach retirement age in good health.

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