The professional activity of medical staff of the surgical profile involves a large number of stress-causing factors that increases the cardiovascular diseases risk in this category.
OBJECTIVE
To study the prevalence and range of risk factors that form the total cardiovascular risk in medical staff of the surgical profile.
MATERIALS AND METHODS
As part of periodic medical examinations (PME), taking place based on the Center for Occupational Pathology, a screening examination of 290 medical workers of medical institutions was carried out. All examined were divided into 2 groups: the main group included 145 medical workers of the surgical profile; the comparison group consisted of 145 medical workers of non-surgical specialties. The survey included clinical, instrumental, functional and laboratory research methods. The level of total cardiovascular risk was determined using the SCORE scale taking into account modifiable and non-modifiable risk factors.
RESULTS
High average level of total cholesterol (6.0±0.3 mmol/l) were revealed in 58.6% of the surgical staff, an increase in LDL cholesterol — in 38.8%, an increase in triglycerides — in 60.1%. The incidence of hyperglycemia was 3.5%. Overweight were 60.1% of the surveyed in the main group. Only in 28.9% of the surgical staff, the level of blood pressure corresponded to the physiological norm. The most frequent (67.3%) in the main group was 2nd degree arterial hypertension, left ventricular hypertrophy was diagnosed in 30.5%, thickening of the intima-media complex was detected 3.9 times more often than in the comparison group (13.1%). 85.7% of surgical medical workers are take a meal irregularly. Burnout syndrome was detected in 59.5% of the study group. A very high cardiovascular risk according to the SCORE scale was identified in 44.2%, a high cardiovascular risk in 28.3%, and a moderate risk in 15.2%. The proportion of surgical medical workers with a low cardiovascular risk was 12.3%.
CONCLUSION
The high proportion of people with risk factors that form the total cardiovascular risk among medical professionals of surgical profile dictates the need to develop comprehensive programs to improve the quality of life of medical workers, contributing to the preservation of professional longevity.