Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/127392
Citations
Scopus Web of Science® Altmetric
?
?
Type: Journal article
Title: Factors associated with return to work after acute myocardial infarction in China
Author: Jiang, Z.
Dreyer, R.P.
Spertus, J.A.
Masoudi, F.A.
Li, J.
Zheng, X.
Li, X.
Wu, C.
Bai, X.
Hu, S.
Wang, Y.
Krumholz, H.M.
Chen, H.
Citation: JAMA Network Open, 2018; 1(7):e184831-1-e184831-14
Publisher: American Medical Association
Issue Date: 2018
ISSN: 2574-3805
2574-3805
Statement of
Responsibility: 
Zihan Jiang, Rachel P. Dreyer, John A. Spertus, Frederick A. Masoudi, Jing Li, Xin Zheng, Xi Li, Chaoqun Wu, Xueke Bai, Shuang Hu, Yun Wang, Harlan M. Krumholz, Hong Chen [for the China Patient-centered Evaluative Assessment of Cardiac Events (PEACE) Collaborative Group]
Abstract: 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.
Keywords: China Patient-centered Evaluative Assessment of Cardiac Events (PEACE) Collaborative Group
Rights: Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2018 Jiang Z et al. JAMA Network Open.
RMID: 0030108588
DOI: 10.1001/jamanetworkopen.2018.4831
Appears in Collections:Medicine publications

Files in This Item:
File Description SizeFormat 
hdl_127392.pdfPublished Version1.03 MBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.