Cardiovascular multimorbidity and temporary disability among health professionals of the multidisciplinary city hospital

Abstract


Relevance. The article highlights the topical issues of cardiovascular mulimorbidity (CVM) and temporary disability (TD) among medical workers of a large multi-profile city clinical hospital. Aim. To assess the incidence of chronic noncommunicable diseases, CVM and TD in medical workers of the city clinical hospital. Materials and methods. 527 physicians (207 men and 320 women) aged 25 to 79 (42±9.8) years and 857 nurses (32 men and 825 women) aged 19 to 79 (41±9) years were included in a retrospective, open-label study. The medical documentations analysis was performed. Results. Hypercholesterolemia was diagnosed in 38%, overweight - in 26%, obesity - in 4.8%, smoking - in 27,2%, hypertension - in 9.1%, coronary artery disease - in 3%, diabetes mellitus - in 3.2%, CVM - in 2.3% of health care workers. Over the 3-year period, 42.3% of cases of TD were recorded. TD was associated with the female sex (OR 2.4, 95% CI 1.7-3.4; p<0.001), working in the outpatient department (OR 2.0, 95% CI 1.3-3.0; p<0.001), hypertension (OR 31.4, 95% CI 12.1-82.0; p<0.001), as well as age both in men (OR 1.03, 95% CI 1.0-1.1; p=0.045) and in women (OR 1.02, 95% CI 1.0-1.03; p=0.001). The relationship between age and CVM was confirmed (OR 1.08, 95% CI 1.05-1.12; p<0.001). Conclusion. Among medical workers of city clinical hospital there was a high incidence of smoking, overweight and hypercho-lesterolemia. Coronary heart disease, diabetes and hypertension were prevailed among the diseases. CVM was revealed among 2.3% of health workers, with an average age of 41 years. Persons with CVM were older than those without CVM and among them women were prevailed. Over the 3-year period, 42.3% of cases of TD were recorded, which associated with age, working in the outpatient department and hypertension, the most important component of multimorbidity.

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About the authors

Vera N. Larina

Pirogov Russian National Research Medical University

Moscow, Russia
D. Sci. (Med.), Prof.

Kirill V. Glibko

Pirogov Russian National Research Medical University; State Healthcare Institution №13

Moscow, Russia
Аssistant

Diana A. Kasaeva

State Healthcare Institution №13

Moscow, Russia
deputy head physician

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