Myocardial Infarction
Conditions
Keywords
Cardiovascular diseases, Heart diseases, Myocardial infarction, Rehabilitation, Health Economy, Randomized controlled trials, Non ST Elevation Myocardial Infarction (NSTEMI), Cost analysis, Sick-leave, Quality of Life
Brief summary
In this study the investigators aim at comparing the effect on quality of life and the cost-effectiveness of a structuralised sick-leave program compared to usual care sick leave management in patients after an acute non ST myocardial infarction(NSTEMI).The investigators hypothesize that a structuralised sick-leave program after an acute NSTEMI is cost-effective without a negative effect on quality of life compared to usual care management in this patient group.
Interventions
OTHERUsual care sick-leave management
Patients randomized to usual care. Follow up after discharge by general practitioner (GP) according to local practice.
OTHERStructuralised sick-leave program
Patients randomized to the structuralized program will get full time sick-leave for 2 weeks after discharge.Cardiologist will be responsible for individual adaption of each patient's sick-leave and follow-up.
Sponsors
Helse Sor-Ost
Oslo University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients with acute NSTEMI who are revascularized. * 65 years old or less * Self caring * Adequately literate in Norwegian * Have a regular work in at least 50% position.
Exclusion criteria
* Patients not willing to participate * Professional drivers * Patients with alcohol or drug abuse * Severe complications after the myocardial infarction such as malignant arrythmias, heart failure and major bleedings. * Patients with recent CABG ( coronary artery bypass graft operation) within the last 6 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cost effectiveness | one year | In order to evaluate resource use (costs) all patients will be asked to fill in a questionnaire at baseline and after 6 and 12 months. Total costs and mean costs will be calculated in the two different follow-up modalities. |
Secondary
| Measure | Time frame |
|---|---|
| Quality of Life measures are estimated at baseline and after 6 and 12 months using the standard Medical Outcomes Study Short form( SF-36)questionnaire and the disease-specific Utility-Based Quality of life-Heart questionnaire(UBQ-H). | one year |
Countries
Norway
Contacts
Primary ContactStefan Agewall, Professor, MD.PhD
Backup ContactLiv Mundal, MD
Outcome results
None listed