ArticleVascular health and risk management2019
Patients' expectations of returning to work, co-morbid disorders and work capacity at discharge from cardiac rehabilitation.
Article in Vascular health and risk management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Generic and Disease-Specific Themes in Occupational Reflections of Patients in Cardiac, Cancer and Orthopedic Rehabilitation: An Interview Study.Journal of occupational rehabilitation · 2026Article
- Return to Work After a Cardiovascular Event: The Central Role of Cardiac Rehabilitation.Journal of clinical medicine · 2026Review
- Current Return-to-Work Outcomes and Barriers Among Patients With Cardiovascular Disease Undergoing Cardiac Rehabilitation - A Questionnaire-Based Study.Circulation reports · 2025Article
- Barriers and Facilitators to Delivering Inpatient Cardiac Rehabilitation: A Scoping Review.Journal of multidisciplinary healthcare · 2023Article
- The Relation of Work Ability and Return to Work Among Iranian Cancer Survivors.Asian Pacific journal of cancer prevention : APJCP · 2022Article
- Facilitators and barriers to return to work in patients after heart surgery.Journal of education and health promotion · 2022Article
- Barriers That Obstruct Return to Work After Coronary Bypass Surgery: A Qualitative Study.Journal of occupational rehabilitation · 2021Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe aimed to characterize patients after an acute cardiac event regarding their negative expectations around returning to work and the impact on work capacity upon discharge from cardiac rehabilitation (CR).
methodsWe analyzed routine data of 884 patients (52±7 years, 76% men) who attended 3 weeks of inpatient CR after an acute coronary syndrome (ACS) or cardiac surgery between October 2013 and March 2015. The primary outcome was their status determining their capacity to work (fit vs unfit) at discharge from CR. Further, sociodemographic data (eg, age, sex, and education level), diagnoses, functional data (eg, exercise stress test and 6-min walking test [6MWT]), the Hospital Anxiety and Depression Scale (HADS) and self-assessment of the occupational prognosis (negative expectations and/or unemployment, Würzburger screening) at admission to CR were considered.
resultsA negative occupational prognosis was detected in 384 patients (43%). Out of these, 368 (96%) expected not to return to work after CR and/or were unemployed before CR at 29% (n=113). Affected patients showed a reduced exercise capacity (bicycle stress test: 100 W vs 118 W,
conclusionPatients with a negative occupational prognosis often revealed a reduced physical performance and suffered from a high psychosocial burden. In addition, patients' occupational expectations were a predictor of work capacity at discharge from CR. Affected patients should be identified at admission to allow for targeted psychosocial care.
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