尼日利亚某三级医院表面健康工作者的心血管风险概况

A. Esan, J. Adeleye, T. Azeez
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摘要

背景:尼日利亚的心血管疾病发病率正在上升。本研究旨在确定尼日利亚西南部一家三级医院医护人员的心血管危险因素并评估其10年心血管风险评分。材料与方法:本横断面研究以尼日利亚某三级医院表面健康的职工为研究对象。这项研究招募了52个人。采用标准方案测量人体测量值、血压、空腹血脂和HbA1c。同时计算QRISK3评分。结果:参与者的平均±SD年龄为44.9±8.1岁。在表面健康的医护人员中,血脂异常是最常见的危险因素,而葡萄糖耐受不良是最不常见的。此外,48.1%的受试者至少有一种心血管危险因素,15.4%的受试者有3种或更多心血管危险因素。使用QRISK3的10年心血管风险中等,为3.8%。临床与非临床医护人员10年心血管危险评分差异无统计学意义(P=0.313;t = 0.819)。然而,男性参与者的10年心血管风险评分明显高于女性(3.50比1.56;P < 0.001;t = 3.741)。结论:心血管危险因素在医务人员中普遍存在,应引起医院管理部门的重视,以减轻医务人员心血管疾病的发生。
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Cardiovascular Risk Profile of Apparently Healthy Workers in a Tertiary Hospital in Nigeria
Background: Cardiovascular disease incidence is rising in Nigeria. This study was done to identify cardiovascular risk factors and assess the 10-year cardiovascular risk score of healthcare workers of a tertiary hospital in south-western Nigeria. Materials & Methods: In this cross-sectional study, apparently healthy workers of a tertiary hospital in Nigeria were studied. Fifty-two individuals were recruited into the study. Anthropometric measures, blood pressure, fasting lipid profile and HbA1c were obtained using the standard protocols. QRISK3 score was also calculated. Results: The Mean±SD age of participants was 44.9±8.1 years. Dyslipidaemia was the most common risk factor among apparently healthy healthcare workers, while glucose intolerance was the least common. Also, 48.1% of the subjects had at least one cardiovascular risk factor and 15.4% had 3 or more cardiovascular risk factors. The 10-year cardiovascular risk using QRISK3 was moderate in 3.8%. There was no statistically significant difference in the 10-year cardiovascular risk score between the clinical and non-clinical healthcare workers (P=0.313; t=0.819). However, male participants had a significantly higher 10-year cardiovascular risk score compared with the females (3.50 vs. 1.56; P<0.001; t=3.741). Conclusion: Cardiovascular risk factors are prevalent among health workers and closer attention needs to be paid to these factors by the hospital management to mitigate cardiovascular disease among the staff.
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