Cardiac Rehabilitation And Quality Of Life Scores

Return-to-Work Prognostic Score (post-MI or CABG) Calculator

Clinical calculation support · Verify results before clinical use

Clinical factors for return-to-work planning

Enter the patient’s characteristics to display the source-code’s provisional factor score. This is not a validated prediction model.

0Points

Age (years)

Use the patient’s current age.

Sex

The original code assigns one provisional point to female sex; this weighting is not validated.

Physical demand of usual job

Choose the closest description of the patient’s usual work.

Left ventricular ejection fraction (%)

Enter a value from 0 to 100.

Relevant comorbidity

Consider clinically important coexisting conditions.

Complete all fields to calculate the provisional score.

—Points

Provisional factor score

Awaiting patient data

The score will appear after all fields are completed and submitted.

Clinical interpretation Do not interpret this score as a probability of returning to work. Use individualized clinical assessment and occupational rehabilitation planning.

The numerical weights below reproduce the submitted code’s simplified rule only. The cited literature could not be verified as supporting this exact score or its logistic probability equation.

About return-to-work assessment

Return to work after myocardial infarction or coronary artery bypass grafting is multifactorial. Cardiac status matters, but work demands, pre-event employment, patient expectations, perceived disability, psychological health, job security, and workplace circumstances can also influence work resumption.

Important limitation: the supplied code attributes a five-factor point score and a logistic probability equation to McKee et al. (2001). The exact publication and equation could not be verified as the source of those coefficients. Therefore, this implementation does not display a predicted probability or validated risk category.

Provisional scoring rules retained from the supplied code

Factor	Rule in supplied code	Points
Age	Older than 60 years	+1
Sex	Female	+1
Job physical demand	Low / moderate / high	0 / 1 / 2
LVEF	Above 50% / 40–50% / below 40%	0 / 1 / 2
Comorbidity	None / one or more	0 / 1

The total is a descriptive sum of these unvalidated weights. A higher score must not be interpreted as a quantified likelihood of failure to return to work.

Practical clinical review

Assess symptoms, functional capacity, residual ischemia, arrhythmias, ventricular function, and recovery from the index event.
Match functional capacity to actual job demands; consider exercise testing or occupational assessment when clinically indicated.
Discuss phased return, modified duties, psychological wellbeing, patient preference, and workplace support.
Make clearance and timing decisions individually, using applicable local rules and current clinical guidance.

References and evidence notes

Mittag O, Kolenda KD, Nordmann KJ, Bernien J, Maurischat C. Return to work after myocardial infarction/coronary artery bypass grafting: patients’ and physicians’ initial viewpoints and outcome 12 months later. Social Science & Medicine. 2001;52(9):1441–1450. doi:10.1016/S0277-9536(00)00250-1. This study reports the importance of patient and physician perceptions of disability and age; it is not verified as the source of the submitted five-factor score.

American College of Cardiology Foundation / American Heart Association. 2011 focused update incorporated into the ACC/AHA guidelines for the management of patients with unstable angina/non-ST-elevation myocardial infarction. Discussion of return to work notes the influence of job satisfaction, financial stability, company policies, and psychosocial factors. JACC guideline publication.

Evidence limitation The citation “McKee D, et al. J Am Coll Cardiol. 2001;38(5):1386–1391. doi:10.1016/S0735-1097(01)01554-1” supplied with the original code was not verified in the available search as supporting this score. Its attribution, coefficients, thresholds, and logistic equation remain unverified and should not be represented as validated.

Clinical disclaimer: This page is an educational aid, not a validated prognostic instrument and not a substitute for clinical judgment, formal functional assessment, occupational medicine review, or shared decision-making. It must not be used alone to clear or deny return to work. Do not use the provisional score to estimate an individual patient’s probability of returning to work.