Lost productivity among military personnel with cardiovascular disease

Gharasi-Manshadi, Mahdi; Amiri, Mohammad; Mehdizadeh, Parisa

doi:10.1136/jramc-2018-000920

Cited by 7 publications

(2 citation statements)

References 26 publications

(17 reference statements)

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“…Many aspects of military service, such as the primacy of mission success and training for that purpose, are generalizable. However, recruitment policies and differing health economies coupled with cultural and racial [131][132][133] variances may impact on background levels of cardiovascular disease (CVD). 134,135 As in the general population, age is an important determinant for CVD in the military, [124][125][126] with the incidence of death in the US military secondary to CAD for those <35 years of age being 0.65 per 100 000 service years, 13.69 in those >35 years of age, and 83.5 in those >50 years.…”

Section: Military Personnelmentioning

confidence: 99%

The role of cardiovascular CT in occupational health assessment for coronary heart disease: An expert consensus document from the Society of Cardiovascular Computed Tomography (SCCT)

Slim¹,

Fentanes

Cheezum

et al. 2021

Journal of Cardiovascular Computed Tomography

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In response to the increasing application of cardiovascular computed tomography (cardiovascular CT), the Society of Cardiovascular Computed Tomography (SCCT) guidelines committee has produced this document to guide the use of cardiac CT in the risk assessment of coronary artery disease (CAD) in occupational health evaluation. The purpose of this document is to support quality care given to individuals who undergo occupational health evaluation for the diagnosis of CAD. This document reviews evidence regarding the prevalence of coronary artery disease (CAD), the incidence of major adverse cardiac events (MACE), and the recommendations for enhanced cardiovascular screening and investigation for CAD evaluation amongst safety sensitive occupations. This document examines occupation risk categories where cardiac CT may be appropriate to investigate for CAD and evaluates available testing strategies for risk assessment.

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Section: Military Personnelmentioning

confidence: 99%

The role of cardiovascular CT in occupational health assessment for coronary heart disease: An expert consensus document from the Society of Cardiovascular Computed Tomography (SCCT)

Slim¹,

Fentanes

Cheezum

et al. 2021

Journal of Cardiovascular Computed Tomography

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show abstract

“…It should be noted that the working and environmental conditions of military personnel are very different from those for ordinary people and these conditions can also affect the risk factors of CAD. [12] Considering these cases, the present study aimed to estimate the amount of the effect of each classic risk factor on CAD among the Aja personnel. The findings would pave the way for proper planning to prevent major risk factors that are more likely to cause CAD and to decrease the organization's funding on secondary risk factors, thereby improving the personnel's health status while reducing the additional costs in the organization.…”

Section: Introductionmentioning

confidence: 99%

Assessment of risk factors for coronary artery disease in military personnel: A study from Iran

Mirzaeipour

Seyedmazhari

Pishgooie

et al. 2019

J Family Med Prim Care

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Introduction: Cardiovascular diseases are the most significant cause of mortality. Although the risk factors of this disease are well known, the strength of these factors varies in different populations and needs to be investigated. Aim: The aim of this study is to estimate the amount of the effect of each classic risk factor on CAD (coronary artery disease) among Aja personnel. Materials and Methods: This matched case-control study was conducted on 1000 male Aja personnel admitted selecting Aja hospitals in Tehran in 2017. The samples were selected using purposive-graded sampling method. The 250 military patients hospitalized for CAD were considered as a case group. Each case was individually matched for age and service force with tree military patients without CAD. Data were gathered using standard demographic information and history of risk factors questionnaire and analyzed using SPSS 23 and statistical tests. Odds ratio measured trough Cochran–Mantel–Haenszel test and used to estimate the amount of the effect of each classic risk factors on CAD. Results: Data analysis indicated that the risk factors including diabetes, hyperlipidemia, smoking, hypertension, and positive family history of CAD enhance the probability of CAD as much as 79.2%, 77.3%, 67.7%, 64.1%, and 56.6%, respectively. Conclusion: Diabetes and other modifiable risk factors have the greatest impact on CAD among the concerned Aja personnel. Hence, the authorities can consider the independent amount of the effect of each risk factor and modify them in order to prevent the disease more effectively and purposefully among the personnel.

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Paid and unpaid work productivity loss associated with treated hypertension in Southern Ethiopia: a patient-level analysis

Sorato

Davari

Kebriaeezadeh

et al. 2022

Journal of Pharmaceutical Health Services Research

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Objective Hypertension-related illness increases healthcare expenditure and reduces productivity. There is inadequate information about work productivity loss associated with hypertension in Ethiopia. This study was conducted to determine the extent of paid and unpaid worker productivity loss among adult hypertensive patients in Southern Ethiopia. Facility-based descriptive cross-sectional study was conducted by using the valuation of lost productivity (VOLP) tool adapted to the Ethiopian context. The data entry and analysis were done by using Microsoft Excel 2013 and SPSS version 21.0. Key findings A total of 301 adult hypertensive patients on regular follow-up at selected public hospitals were included in this study. One hundred ninety-five patients were females with a mean age of 50.7 ± 7.3 years. Less than one in five 39 (13.0%) of patients achieved their BP control target. Fifty-three (17.7%) of patients reported that hypertension reduced their work performance by 50%. One hundred twenty-five (60.1%) patients reported that they would complete the same work in less time, if they have no health problem. After adjusting for team impact and work substitutability, 3247.4 USD and 1844.81 USD were lost per month from paid and unpaid work. Overall annual work productivity loss was 38 968.4 USD, and the percentage of lost productivity per month was 18.7%. Summary Hypertension reduced the work productivity of adults by one-fifth. Therefore, it is important to devise strategies by involving all relevant stakeholders for preventing hypertension to save this productivity loss. In addition to this, improving the blood pressure control rate could help to reduce associated productivity loss.

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Lost productivity among military personnel with cardiovascular disease

Cited by 7 publications

References 26 publications

The role of cardiovascular CT in occupational health assessment for coronary heart disease: An expert consensus document from the Society of Cardiovascular Computed Tomography (SCCT)

The role of cardiovascular CT in occupational health assessment for coronary heart disease: An expert consensus document from the Society of Cardiovascular Computed Tomography (SCCT)

Assessment of risk factors for coronary artery disease in military personnel: A study from Iran

Paid and unpaid work productivity loss associated with treated hypertension in Southern Ethiopia: a patient-level analysis

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