Evidence map›Paper›PMID 28978528›Full record

Observational studyJournal of the American Heart Association2017

Return to Work and Risk of Subsequent Detachment From Employment After Myocardial Infarction: Insights From Danish Nationwide Registries.

Laerke Smedegaard, Anna-Karin Numé, Mette Charlot, Kristian Kragholm, Gunnar Gislason, Peter R Hansen

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Improving bystander CPR and AED training among college students: strategies and barriers.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  11. Article
  12. Review
  13. Article
  14. Return to work after myocardial infarction: A systematic review.Journal of cardiovascular and thoracic research · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Societal, occupational, and economic considerations for women with (M)INOCA: a narrative review.International journal of occupational medicine and environmental health · 2025
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Laerke SmedegaardDepartment of Cardiology, Copenhagen University Herlev Gentofte Hospital, Hellerup, Denmark LaerkeSmedegaard@gmail.com.
Anna-Karin NuméDepartment of Cardiology, Copenhagen University Herlev Gentofte Hospital, Hellerup, Denmark.
Mette CharlotDepartment of Cardiology, Copenhagen University Herlev Gentofte Hospital, Hellerup, Denmark.
Kristian KragholmDepartments of Cardiology and Epidemiology/Biostatistics, Aalborg University Hospital, Aalborg, Denmark.
Gunnar GislasonDepartment of Cardiology, Copenhagen University Herlev Gentofte Hospital, Hellerup, Denmark.
Peter R HansenDepartment of Cardiology, Copenhagen University Herlev Gentofte Hospital, Hellerup, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited data are available on return to work and subsequent detachment from employment after admission for myocardial infarction (MI). METHODS AND

resultsUsing individual-level linkage of data from nationwide registries, we identified patients of working age (30-65 years) discharged after first-time MI in the period 1997 to 2012, who were employed before admission. To assess the cumulative incidence of return to work and detachment from employment, the Aalen Johansen estimator was used. Incidences were compared with population controls matched on age and sex. Logistic regression was applied to estimate odds ratios for associations between detachment from employment and age, sex, comorbidities, income, and education level. Of 39 296 patients of working age discharged after first-time MI, 22 394 (56.9%) were employed before admission. Within 1 year 91.1% (95% confidence interval [CI], 90.7%-91.5%) of subjects had returned to work, but 1 year after their return 24.2% (95% CI, 23.6%-24.8%) were detached from employment and received social benefits. Detachment rates were highest in patients aged 60 to 65 and 30 to 39 years, and significantly higher in patients with MI compared with population controls. Predictors of detachment were heart failure (odds ratio 1.20 [95% CI, 1.08-1.34]), diabetes mellitus (odds ratio 1.13 [95% CI, 1.01-1.25]), and depression (odds ratio 1.77 [95% CI, 1.55-2.01]). High education level and high income favored continued employment.

conclusionsDespite that most patients returned to work after first-time MI, about 1 in 4 was detached from employment after 1 year. Several factors including age and lower socioeconomic status were associated with risk of detachment from employment.

Indexed as

AbsenteeismRetirementReturn to WorkSick LeaveUnemploymentAdultAgedDenmarkDepressionDiabetes MellitusFemaleHeart FailureHumansLogistic ModelsMaleMiddle Agedemploymentepidemiologymyocardial infarctionoutcomeprognosisquality of lifework

Identifiers

PMID28978528
PMCPMC5721858

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.