Return to Work after Percutaneous Coronary Intervention in Employee with Metabolic Comorbidities: An Evidence-Based Case Report

Authors

• Bramantyo Eko Wahyudi Mr, Universitas IndonesiaFollow
• Levina Khoe, Universitas Indonesia, IndonesiaFollow

Abstract

Background This evidence-based case report examines whether metabolic comorbidities independently predict return to work (RTW) after percutaneous coronary intervention (PCI) for myocardial infarction. A 52-year-old male senior manager with type 2 diabetes, hypertension, dyslipidaemia, and central obesity underwent PCI and required structured occupational assessment.

Methods A systematic literature search identified five eligible studies—one national registry cohort, three prospective cohort studies, and one narrative systematic review—critically appraised using Oxford Centre for Evidence-Based Medicine criteria.

Results Metabolic comorbidities showed consistent directional associations with reduced RTW probability in bivariate analyses and independently predicted longterm labour-market exit. However, in multivariate models across three of the five studies, sociooccupational factors and mental health status were the dominant predictors of short-term RTW timing, with metabolic factors losing significance after adjustment.

Conclusion A graded three-month return, with metabolic optimisation framed as a longitudinal workforce sustainability measure, is supported by the evidence.

References

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Recommended Citation

Wahyudi, Bramantyo Eko Mr and Khoe, Levina (2026) "Return to Work after Percutaneous Coronary Intervention in Employee with Metabolic Comorbidities: An Evidence-Based Case Report," Occupational and Environmental Medicine Journal of Indonesia: Vol. 3: No. 2, Article 6.
DOI: 10.7454/oemji.v3i2.1119
Available at: https://scholarhub.ui.ac.id/oemji/vol3/iss2/6