Sick-leave Program after Myocardial Infarction

Abstract

Aim: This study aims to compare the cost-effectiveness of a structured sick-leave program to usual care sick leave management in patients after an uncomplicated myocardial infarction. Methods: One hundred and forty-three patients admitted to Oslo University Hospital with an acute uncomplicated myocardial infarction were included in the study and randomized into either the intervention group or the conventional care group. The intervention group received a structured program with full-time sick leave for two weeks after discharge, followed by an individualized return-to-work plan. The conventional group received no special follow-up regarding sick leave. The study assessed sick-leave duration, quality of life using the UBQ-H and SF-36 questionnaires and calculated the incremental cost per quality-adjusted life year (QALY) saved. Results: The structuralized sick-leave program led to significantly fewer days absent from work compared to conventional care. There were no significant differences in quality of life between the study groups. The incremental net savings of -$797 per patient in the intervention group were significantly higher (p<0.001), suggesting a potential impact on overall health costs. Conclusion: The study highlights the potential benefits of implementing a structured sick-leave program in reducing healthcare costs without negatively affecting patients’ quality of life and 1-year outcome. However, the study’s limitations, including a small sample size and short follow-up period, call for further investigation with larger cohorts and longer-term assessment. Implementing structured sick leave programs could have a substantial economic impact and improve outcomes for patients after myocardial infarction.