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Factors Associated With Return to Work After Acute Myocardial Infarction in China

IMPORTANCE: Return to work is an important indicator of recovery after acute myocardial infarction. Little is known, however, about the rate of returning to work within the year after an acute myocardial infarction in China, as well as the factors associated with returning to work after an acute myo...

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Autores principales: Jiang, Zihan, Dreyer, Rachel P., Spertus, John A., Masoudi, Frederick A., Li, Jing, Zheng, Xin, Li, Xi, Wu, Chaoqun, Bai, Xueke, Hu, Shuang, Wang, Yun, Krumholz, Harlan M., Chen, Hong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Medical Association 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324382/
https://www.ncbi.nlm.nih.gov/pubmed/30646375
http://dx.doi.org/10.1001/jamanetworkopen.2018.4831
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author Jiang, Zihan
Dreyer, Rachel P.
Spertus, John A.
Masoudi, Frederick A.
Li, Jing
Zheng, Xin
Li, Xi
Wu, Chaoqun
Bai, Xueke
Hu, Shuang
Wang, Yun
Krumholz, Harlan M.
Chen, Hong
author_facet Jiang, Zihan
Dreyer, Rachel P.
Spertus, John A.
Masoudi, Frederick A.
Li, Jing
Zheng, Xin
Li, Xi
Wu, Chaoqun
Bai, Xueke
Hu, Shuang
Wang, Yun
Krumholz, Harlan M.
Chen, Hong
author_sort Jiang, Zihan
collection PubMed
description IMPORTANCE: Return to work is an important indicator of recovery after acute myocardial infarction. Little is known, however, about the rate of returning to work within the year after an acute myocardial infarction in China, as well as the factors associated with returning to work after an acute myocardial infarction. OBJECTIVES: To determine the rate of return to work within 12 months after acute myocardial infarction, classify the reasons why patients did not return to work, and identify patient factors associated with returning to work. DESIGN, SETTING, AND PARTICIPANTS: This prospective cohort study, conducted in 53 hospitals across 21 provinces in China, identified 1566 patients who were employed at the time of the index acute myocardial infarction hospitalization and participating in the China Patient-centered Evaluative Assessment of Cardiac Events Prospective Study of Acute Myocardial Infarction. Data collected included patients’ baseline characteristics; employment status at 12 months after acute myocardial infarction; and, for those who were not employed at 12 months, potential reasons for not returning to work. A logistic regression model was fitted to identify factors associated with returning to work at 12 months. Data were collected from January 1, 2013, through July 17, 2014, and statistical analysis was conducted from August 9, 2016, to August 15, 2018. MAIN OUTCOMES AND MEASURES: Return to work, defined as rejoining the workforce within 12 months after discharge from hospitalization for the index acute myocardial infarction. RESULTS: Of 1566 patients (130 women and 1436 men; mean [SD] age, 52.2 [9.7] years), 875 patients (55.9%; 95% CI, 53.4%-58.3%) returned to work by 12 months after acute myocardial infarction. Among the 691 patients who did not return to work, 287 (41.5%) were unable to work and/or preferred not to work because of acute myocardial infarction and 131 (19.0%) retired early owing to the acute myocardial infarction. Female sex (relative risk, 0.65; 95% CI, 0.41-0.88), a history of smoking (relative risk, 0.82; 95% CI, 0.65-0.98), and in-hospital complications during the index acute myocardial infarction (relative risk, 0.96; 95% CI, 0.93-0.99) were associated with a lower likelihood of returning to work. CONCLUSIONS AND RELEVANCE: Almost half of the previously employed Chinese patients did not return to work within 12 months after acute myocardial infarction. Female sex, history of smoking, and in-hospital complications were associated with a lower likelihood of returning to work. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01624909
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spelling pubmed-63243822019-01-22 Factors Associated With Return to Work After Acute Myocardial Infarction in China Jiang, Zihan Dreyer, Rachel P. Spertus, John A. Masoudi, Frederick A. Li, Jing Zheng, Xin Li, Xi Wu, Chaoqun Bai, Xueke Hu, Shuang Wang, Yun Krumholz, Harlan M. Chen, Hong JAMA Netw Open Original Investigation IMPORTANCE: Return to work is an important indicator of recovery after acute myocardial infarction. Little is known, however, about the rate of returning to work within the year after an acute myocardial infarction in China, as well as the factors associated with returning to work after an acute myocardial infarction. OBJECTIVES: To determine the rate of return to work within 12 months after acute myocardial infarction, classify the reasons why patients did not return to work, and identify patient factors associated with returning to work. DESIGN, SETTING, AND PARTICIPANTS: This prospective cohort study, conducted in 53 hospitals across 21 provinces in China, identified 1566 patients who were employed at the time of the index acute myocardial infarction hospitalization and participating in the China Patient-centered Evaluative Assessment of Cardiac Events Prospective Study of Acute Myocardial Infarction. Data collected included patients’ baseline characteristics; employment status at 12 months after acute myocardial infarction; and, for those who were not employed at 12 months, potential reasons for not returning to work. A logistic regression model was fitted to identify factors associated with returning to work at 12 months. Data were collected from January 1, 2013, through July 17, 2014, and statistical analysis was conducted from August 9, 2016, to August 15, 2018. MAIN OUTCOMES AND MEASURES: Return to work, defined as rejoining the workforce within 12 months after discharge from hospitalization for the index acute myocardial infarction. RESULTS: Of 1566 patients (130 women and 1436 men; mean [SD] age, 52.2 [9.7] years), 875 patients (55.9%; 95% CI, 53.4%-58.3%) returned to work by 12 months after acute myocardial infarction. Among the 691 patients who did not return to work, 287 (41.5%) were unable to work and/or preferred not to work because of acute myocardial infarction and 131 (19.0%) retired early owing to the acute myocardial infarction. Female sex (relative risk, 0.65; 95% CI, 0.41-0.88), a history of smoking (relative risk, 0.82; 95% CI, 0.65-0.98), and in-hospital complications during the index acute myocardial infarction (relative risk, 0.96; 95% CI, 0.93-0.99) were associated with a lower likelihood of returning to work. CONCLUSIONS AND RELEVANCE: Almost half of the previously employed Chinese patients did not return to work within 12 months after acute myocardial infarction. Female sex, history of smoking, and in-hospital complications were associated with a lower likelihood of returning to work. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01624909 American Medical Association 2018-11-21 /pmc/articles/PMC6324382/ /pubmed/30646375 http://dx.doi.org/10.1001/jamanetworkopen.2018.4831 Text en Copyright 2018 Jiang Z et al. JAMA Network Open. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the CC-BY License.
spellingShingle Original Investigation
Jiang, Zihan
Dreyer, Rachel P.
Spertus, John A.
Masoudi, Frederick A.
Li, Jing
Zheng, Xin
Li, Xi
Wu, Chaoqun
Bai, Xueke
Hu, Shuang
Wang, Yun
Krumholz, Harlan M.
Chen, Hong
Factors Associated With Return to Work After Acute Myocardial Infarction in China
title Factors Associated With Return to Work After Acute Myocardial Infarction in China
title_full Factors Associated With Return to Work After Acute Myocardial Infarction in China
title_fullStr Factors Associated With Return to Work After Acute Myocardial Infarction in China
title_full_unstemmed Factors Associated With Return to Work After Acute Myocardial Infarction in China
title_short Factors Associated With Return to Work After Acute Myocardial Infarction in China
title_sort factors associated with return to work after acute myocardial infarction in china
topic Original Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324382/
https://www.ncbi.nlm.nih.gov/pubmed/30646375
http://dx.doi.org/10.1001/jamanetworkopen.2018.4831
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