Cardiovascular Risk Assessment Among Petrochemical Workers and Development of a Prevention Program for Cardiovascular Diseases

Aim. To develop a prognostic model of incidence of temporary (short-term) disability due to cardiovascular diseases in a housing and communal services employees using the example of the State Unitary Enterprise (SUE) Vodokanal of St. Petersburg. Methods. The study included 4634 people, observed in the departmental outpatient clinic of SUE Vodokanal of St. Petersburg, between 2015 and 2017 years. We calculated extensive indicators determining the disease patterns and intensive indicators characterizing the prevalence of the pathological process in the study of morbidity by the findings of periodic health examinations and incidence of short-term disability. The incidence of short-term disability was predicted by using the method of sequential analysis A. Wald modified by E.V. Gubler and the neural network. Results. We found that based on the operational and statistical data of the medical and sanitary unit, using a neural network, relying on linear and nonlinear dependence of comorbidity, in particular, respiratory diseases, it is possible to predict (in 92.4% of cases) the incidence of temporary disability due to cardiovascular diseases in employees of the housing and communal services SUE Vodokanal of St. Petersburg. The high sensitivity (97.7%) and specificity (90.7%) of the method allows it to predict the need for treatment and prophylaxis measures in the contingent attached to the medical and sanitary unit. Conclusion. The developed model allows to determine the main directions of preventive work to reduce the incidence of circulatory system diseases with temporary disability: prevention of high blood pressure and respiratory diseases.

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Prediction of temporary disability due to of circulatory system diseases in housing and communal services employees

Bendyuk¹,

Яковлевич²,

Grishina

et al. 2020

Kazan Med J

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Assessment of the functional state of the cardiovascular system in workers of metallurgical enterprises

Akhmetzyanova¹,

Bakirov²,

Abdrakhmanova³

et al. 2022

Sanitary Doctor

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In the structure of factors that form the health of the working-age population, the conditions of its production activity occupy an important place. Today, the products of metallurgical industries are used in almost all industries. The study of the state of the cardiovascular systems of workers of a steel wire shop at a large metallurgical enterprise was carried out. An in-depth examination using modern methods of instrumental diagnostics was carried out by 302 employees of the enterprise. Of these — 275 men and 27 women, aged 23 to 59 years. A feature of the working conditions of workers in metallurgical production is the complex effect of the heating microclimate, the severity of the labor process, dust and complex aerosols of metals, which can be risk factors for the development of arterial hypertension at the earliest stages of exposure. A survey of the nature of nutrition and eating behavior showed that 41.2 % of the surveyed showed a high, excessive frequency of consumption of animal fat in persons with arterial hypertension. Examination of workers, aged from 23 to 59 years, revealed arterial hypertension in 19.4 %, signs of arterial hypotension were observed in 7.4 % of the examined workers of the metallurgical plant. In 46.2 % of workers, an increase in blood pressure was revealed, which can be characterized as mild arterial hypertension, in 45.1 % — moderate, and in 8.7 % of the surveyed, an increase in blood pressure can be characterized as a severe degree of arterial hypertension. Metallurgical workers were found to have such risk factors for the development of arterial hypertension as an imbalance in the consumption of plant and animal food, alcohol consumption and psychosocial factors. The state of the cardiovascular system of the workers of the metallurgical plant is characterized by maladaptive somatic changes.

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Personalized prediction of the probability of developing arterial hypertension and coronary heart disease in miners with anthracosilicosis using an automated system

Panev,

Filimonov,

Panev

et al. 2023

Hygiene and Sanitation

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Introduction. The remaining high level of production-related cardiovascular morbidity necessitates timely preventive measures. The development of an automated forecasting technique will make it possible to implement personalized and differentiated approaches in the prevention of cardiovascular pathology in persons in contact with harmful production factors. Materials and methods. The object of the study were workers employed in underground coal mining: One hundred sixty eight miners with previously diagnosed anthracosilicosis and 151 miners of the control group without lung pathology (a total of 319 people). Identification of diseases of the circulatory system and risk factors was carried out using clinical, laboratory, instrumental methods. The Bayes method was used to develop a forecasting system. The forecasting software as developed in the Lazarus environment using object-oriented programming methods. Results. The most informative markers associated with a high probability of developing arterial hypertension and coronary heart disease in workers with anthracosilicosis have been identified. A software “Automated system for personalized prediction of the probability of developing arterial hypertension and coronary heart disease in miners with anthracosilicosis” has been developed. An automated forecasting system determines the degree of risk of diseases based on the results of the sum of prognostic coefficients. Limitations. The limitation of the study was related to the sample of coal mine workers examined in the clinic of the Institute, namely: age from 40 to 54 years, long-term (more than 15 years) work experience in harmful working conditions. The study did not include miners who had other occupational diseases besides anthracosilicosis. Conclusions. An automated system of personalized forecasting ensures the formation of high cardiovascular risk groups with minimal time costs, which allows starting primary prevention of cardiological pathology in a timely manner.

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Cardiovascular Risk Assessment Among Petrochemical Workers and Development of a Prevention Program for Cardiovascular Diseases

Cited by 3 publications

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Prediction of temporary disability due to of circulatory system diseases in housing and communal services employees

Prediction of temporary disability due to of circulatory system diseases in housing and communal services employees

Assessment of the functional state of the cardiovascular system in workers of metallurgical enterprises

Personalized prediction of the probability of developing arterial hypertension and coronary heart disease in miners with anthracosilicosis using an automated system

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