title: Perceived work performance of patients who experienced an acute coronary syndrome event.
abstract: The objectives of this study were to describe the perceived work performance of patients previously diagnosed with acute coronary syndrome (ACS) and to determine the relationship between patient-specific variables and perceived work performance. This cross-sectional study utilized a mailed survey to all patients discharged from a university affiliated hospital with the diagnosis of ACS during a 3-year period. Perceived work performance was measured using the Work Performance Scale (WPS). Independent variables included health status (SF-8, PCS-8, MCS-8 and EQ-5D visual analog scale), cardiac functional status (Duke activity status index), symptom count, comorbidity index, patient-perceived cardiac disease severity, medication count and compliance, job satisfaction, current employment duration, patient demographics and ACS type. Step-wise multivariate linear regression models determined the independent variables with significant association (p < 0.05) to WPS. Of 1,217 patients surveyed, 490 (40%) responded, including 158 currently working (study sample). The regression model with the highest explanatory ability (r(2) = 0.29) included number of symptoms, age, perceived cardiac severity and PCS-8, with more symptoms, higher perceived severity, higher age and lower PCS-8 scores associated with lower WPS. Currently employed ACS patients report a high level of work performance. Symptom burden, perceived disease severity, age and physical function appear to be associated with perceived work performance.
authors.affiliation: Department of Pharmacy, Lincoln Surgical Hospital, Lincoln, Nebr., USA.
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Ellis
authors.forename: Kim A
authors.initials: KA
authors.lastname: Eagle
authors.forename: Eva M
authors.initials: EM
authors.lastname: Kline-Rogers
authors.forename: Steven R
authors.initials: SR
authors.lastname: Erickson
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D003327:Coronary Disease / Q000503:physiopathology* / Q000523:psychology; D003430:Cross-Sectional Studies; D004651:Employment; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009203:Myocardial Infarction / Q000503:physiopathology* / Q000523:psychology; D010465:Perception; D011597:Psychomotor Performance / Q000502:physiology*; D018434:Sickness Impact Profile; D013223:Statistics as Topic; D013577:Syndrome; D014937:Work / Q000502:physiology*; D014938:Work Capacity Evaluation