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

Abstract

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.