[Return to work in patients with heart disease after cardiac rehabilitation]

Rev Med Inst Mex Seguro Soc. Mar-Apr 2016;54(2):159-63.
[Article in Spanish]

Abstract
in En , Spanish

Background: Cardiac rehabilitation is a secondary prevention strategy which it includes a set of activities that would assure cardiac patients a place as normal as it could be into the society, being also essential for going back to work, by improving their quality of life and reducing costs for institutions.

Methods: A non-randomized clinical study was conducted at the "Siglo XXI" Cardiology Hospital; We included patients with the diagnosis of ischemic heart disease and/or valve disease, the response variables were: percentage of patients going back to work and disability time upon return to duty. Cardiac rehabilitation program was applied for 1 month and followed up at 2 months and 1 year.

Results: Two groups were formed, the ones who received cardiac rehabilitation, N = 40 (experimental group) against a control group, N = 25. The percentage of patients going back to work with a cardiac rehabilitation was 75 % versus 60 % of the group did not receive cardiac rehabilitation, p = 0.2, with a mean of 68 days of disability in the experimental group against 128 in the control group, p = 0.001.

Conclusions: The experimental group showed a higher percentage of patients who returned to work, working time reentry (in days) was lower compared to the control group.

Introducción: en un estudio observacional, retrospectivo evaluamos la frecuencia, presentación clínica y tratamiento de linfocele en pacientes pediátricos con trasplante renal. Métodos: de enero de 2004 a enero de 2009 se realizaron 242 trasplantes renales, 197 de donantes vivos y 45 trasplantes de donantes cadavéricos. La técnica quirúrgica utilizada fue la habitual y la de los implantes uretrales fue la técnica Ricard modificada. El tratamiento fue por punción cutánea y drenajes internos mediante una ventana peritoneal laparoscópica. Resultados: se diagnosticaron siete pacientes con linfoceles (2.9 % con un IC 95 % 0.6-5.2 %). Una paciente del sexo femenino y seis del sexo masculino, todos fueron sometidos a drenajes por punción cutánea, seis pacientes fueron recidivados y tratados exitosamente por drenaje interno mediante una ventana peritoneal laparoscópica. Conclusiones: nuestra frecuencia es igual a la reportada en otros estudios (0.6-18 %). El drenaje interno mediante la ventana peritoneal laparoscópica parece ser lo más apropiado en pacientes pediátricos.

Keywords: Heart diseases; Quality of life; Return to work.

Publication types

  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Cardiac Rehabilitation*
  • Female
  • Follow-Up Studies
  • Heart Valve Diseases / rehabilitation*
  • Humans
  • Male
  • Middle Aged
  • Myocardial Ischemia / rehabilitation*
  • Prospective Studies
  • Return to Work / statistics & numerical data*
  • Treatment Outcome