Clinical and Economic Efficacy of Primary Prediction Organisational Model for Cardiovascular Diseases in Railway System Workers

Пырикова, Н. В.; Осипова, И. В.; Концевая, А. В.; Zaltsman, A. G.; Курбатова, И. И.; Антропова, О. Н.

doi:10.15829/1560-4071-2014-6-12-18

Cited by 8 publications

(1 citation statement)

References 5 publications

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“…Немногочисленные отечественные исследования, посвящённые изучению внезапной смерти, касались в основном работников опасных профессий: водителей транспорта, работников локомотивных бригад, авиапилотов, моряков, горнорабочих угольных шахт [19][20][21][22][23].…”

Section: Introductionunclassified

Sudden death from diseases of the system of the blood circulation in workers of enterprises of various industries of the economy of the Republic of Bashkortostan

Каримова

Гимаева

Astrelina³

et al. 2021

Hygiene and Sanitation

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Introduction. In Russia and abroad, there has been a clear trend towards an increase in cases of sudden death in the workplace from circulatory system diseases over the past decade. Materials and methods. During the study, the databases of the State Labor Inspectorate in the Republic of Bashkortostan for 2014-2018 were studied, including accident investigation reports, information on a special assessment of working conditions, medical examinations, forensic medical examinations, and other materials. Results. The leading cause of sudden death in the workplace in more than 90% of cases were circulatory system diseases (CSD). The maximum number of cases of sudden death from CSD was recorded in the age group of 56-60 years. Working condit ions represented the overwhelming majority of the deceased - 82.8%. In 13.7% of cases, they were drivers of transport. The vast majority of deaths occurred in the morning (from 6 to 12) and daytime (from 12 to 18). The working conditions of workers from deceased CSD in most cases (59.8%) corresponded to the permissible class (class 2); under harmful conditions (subclass 3.1-3.3), 24.9% worked. Most often, some form of acute coronary heart disease (CHD) was mentioned as the immediate cause of death (64.0%). Among acute forms of coronary heart disease in medical documents, in more than 50% of cases, code I 24.8 “Other forms of acute coronary heart disease” was established. “Acute myocardial infarction” was verified in 11.1% of patients and was the leading cause of death in men. In the group “Cerebrovascular Diseases,” “Intracerebral hemorrhage” was most often diagnosed. Conclusion. The obtained results substantiate the need to develop measures to prevent sudden death in the workplace, aimed primarily at preventing the development, progression, and early diagnosis of diseases of the circulatory system.

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Section: Introductionunclassified

Sudden death from diseases of the system of the blood circulation in workers of enterprises of various industries of the economy of the Republic of Bashkortostan

Каримова

Гимаева

Astrelina³

et al. 2021

Hygiene and Sanitation

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The potential of cardioscreening in oil and gas refinery

Simonyan

Gerasimov²,

Bulanov³

et al. 2020

Cardio-IT

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Aim: to compare the results of examination conducted among oil and gas refinery employees, obtained during yearly periodic medical examination with the results obtained during cardioscreening. Material and Methods – 47 employees (64% - men, mean age 52 ± 8 yrs) of large oil and gas refinery were examined by cardiologist in 2018. Six months before the cardioscreening all employees underwent yearly periodic medical examination. The data of anamnesis, laboratory and instrumental findings (blood glucose, lipids, ECG) of examinees were analyzed. Revealed risk factors, the levels of risk SCORE, diagnosis and recommendations made during periodic medical examination and during cardioscreening were compared. Results – In the studied group dyslipidemia was observed in 39 employees (83%). Elevated blood glucose was revealed in 30 examinees (64%). Left ventricle hypertrophy on ECG was determined in 6 patients (13%). Hypertension was diagnosed in 35 subjects (75%) by cardiologist vs 26 subjects (55%) by therapeutist, diabetes mellitus was diagnosed in 8 (15%) vs 4 (8,5%) subjects by cardiologist and therapeutist correspondingly, smoking – in 20 (43%) and 16 (34%) of employees correspondingly (p < 0,001). Mean systolic BP was 152±20 mm Hg during cardioscreening versus 133±24 mm Hg during periodic medical examination (p < 0,001). High and very high risk SCORE have had 26 subjects (55%) according the data of cardiologist and 15 subjects (32%) according the data of therapeutist (p < 0,001). Conclusion – In the companies with abusive working conditions it is necessary to distinguish high and very high cardiovascular risk groups by means of cardioscreening.

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Economics of the prevention of chronic non-communicable diseases

Kontsevaya¹,

Drapkina²

2018

Profil. med.

Self Cite

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Около 2 / 3 случаев смерти в мире обусловлены четырьмя группами хронических неинфекционных заболеваний (ХНИЗ): сердечно-сосудистыми заболеваниями (ССЗ), злокачественными новообразованиями (ЗНО), сахарным диабетом (СД), болезнями органов дыхания [1]. ХНИЗ и их факторы риска (ФР) ассоциированы не только с преждевременной смертностью и инвалидностью, но и со значительным экономическим ущербом. Показано, что от состояния здоровья популяции в определенной степени зависит экономический рост или рецессия в стране [2]. Социальный и экономический ущерб ХНИЗ будет расти, если не будут приняты эффективные меры по их контролю. По прогнозам Организации экономического сотрудничества и развития (ОЭСР), затраты систем здравоохранения вследствие роста бремени ХНИЗ могут удвоиться к

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Clinical and Economic Efficacy of Primary Prediction Organisational Model for Cardiovascular Diseases in Railway System Workers

Cited by 8 publications

References 5 publications

Sudden death from diseases of the system of the blood circulation in workers of enterprises of various industries of the economy of the Republic of Bashkortostan

Sudden death from diseases of the system of the blood circulation in workers of enterprises of various industries of the economy of the Republic of Bashkortostan

The potential of cardioscreening in oil and gas refinery

Economics of the prevention of chronic non-communicable diseases

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