Guzmán VZSY, Vergara GJ, Torres ACG, Ramos AA

Language: Spanish
References: 14
Page: 7-11
PDF size: 954.95 Kb.

ABSTRACT

Introduction: people who have suffered an acute myocardial infarction often experience functional limitations that hinder their return to work. This study evaluated the ability of the World Health Organization Disability Assessment Questionnaire (WHODAS 2.0) to predict return to work in adults of working age. Material and methods: this was an observational, analytical, cross-sectional study with prospective data collection in 70 military patients and their dependents ≥ 3 months post-MI (approximate range: 3 months to 1-2 years) who had completed Phase II of cardiac rehabilitation and were in Phase III (outpatient follow-up). Disability was assessed using the 36-item WHODAS 2.0, self-administered (printed format and Google Forms) and interviewed, with a total score of 0-100 and disability classification as follows: 0-24 normal function, 25-49 mild, 50-74 moderate, and ≥ 75 severe. Return to work was operationally defined as yes/no; additionally, the time to return and adaptations made were collected descriptively. Descriptive and bivariate analyses were performed. The main hypothesis (degree of disability vs. labor reintegration) was evaluated with Pearson's χ², and multivariate analyses were performed to adjust for covariates, considering p < 0.05 as statistical significance. Results: the total disability score was higher in those who did not reintegrate, with a significant difference (Student's t-test, p = 0.01). Questions in the cognition domain were associated with non-reintegration (p < 0.05). In the logistic regression, the cognition, activities of daily living, and participation in society domains were significant predictors of reintegration status. Conclusions: there is a significant association between greater disability and a lower probability of reintegration into the workforce. Functional assessment using the World Health Organization questionnaire, version 2.0, provides value in stratifying risk and guiding rehabilitation interventions aimed at a safe and sustainable return to work.

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