- NEWS . 02 Sep 2019
New regional guidelines needed to support optimal reintegration of patients with acute coronary syndrome
After completion of post-infarction rehabilitation, reintegration of patients is a crucial step towards complete convalescence but reintegration strategies, and hence optimization rates, vary from country to country. Therefore, there is an important need for action from the national cardiological societies to build the evidence base across countries to address further evidence-based decision-making on a regional level for this issue.
Rehabilitation specialists of the European Association of Preventive Cardiology from 16 centres across seven European countries reviewed the return to work (RTW) rates of patients with acute coronary syndrome (ACS) and noted there are limited definitive recommendations. Currently, vocational reintegration (or RTW) of patients after ACS is mainly determined by psychosocial, financial, cultural and intrafamilial parameters and less so by the underlying cardiac disease.
The review found that throughout European countries, there is considerable inconsistency regarding the cardiac rehabilitation process, RTW rate, length of sick leave and psychosocial support. In 2010, RTW efforts were analysed in 13 European countries, but no recent data and no validated models are yet available to which RTW probability can be controlled or predicted from the European Union.
Reibis R, et al. The importance of return to work: How to achieve optimal reintegration in ACS patients. Eur J Prev Cardiol 2019;26:1358-1369.