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Self-Reported Cardiac Risk Factors in Emergency Department Nurses and Paramedics

Published online by Cambridge University Press:  28 June 2012

Tyler W. Barrett
Affiliation:
Vanderbilt University School of Medicine, Nashville, Tennessee
Valerie C. Norton
Affiliation:
Department of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
Matthew Busam
Affiliation:
Vanderbilt University School of Medicine, Nashville, Tennessee
Julie Boyd
Affiliation:
Vanderbilt University School of Medicine, Nashville, Tennessee
David J. Maron
Affiliation:
Department of Internal Medicine, Division of Cardiovascular Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
Corey M. Slovis*
Affiliation:
Department of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
*
*703 Oxford House, VUNC Nashville, TN 37232–4700, USA E-mail: corey.slovis@mcmail.vanderbilt.edu

Abstract

Study Objective:

Our objective was to assess the prevalence of cardiac risk factors in a sample of urban paramedics and emergency department (ED) nurses.

Methods:

We asked 175 paramedics and ED nurses working at a busy, urban ED to complete a cardiovascular risk assessment. The survey asked subjects to report smoking history, diet, exercise habits, weight, stress levels, medication use, history of hypertension or cardiac disease, family history of cardiovascular disease (CVD), and cholesterol level (if known)

Results:

129 of 175 surveys were returned (74% return rate) by 85 paramedics and 44 nurses. The percentages of paramedics and nurses at high or very high risk for cardiac disease were 48% and 41%, respectively. Forty-one percent of female respondents and 46% of male respondents were at high or very high risk. Cigarette smoking was reported in 19% of the paramedics and 14% of the nurses. The percentages of paramedics and nurses who reported hypertension were 13% and 11%, respectively. High cholesterol was reported in 31% of paramedics and 16% of nurses.

Conclusions:

Forty-eight percent of paramedics and 41% of ED nurses at this center are at high or very high risk for cardiovascular disease, by self-report. Efforts should be made to better educate and intervene in this population of health-care providers in order to reduce their cardiac risk.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2000

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References

1.American Heart Association, Heart and Stroke Facts. 1999 Heart and Stroke Statistical Update. www.amhrt.org/Heart_and_Stroke_A_Z_Guide/cvds.html.Google Scholar
2.Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Arch Intern Med 1997;157: 24132446.CrossRefGoogle Scholar
3.Eckel, RH, Krauss, RM: American Heart Association call to action: Obesity as a major risk factor for coronary heart disease. Circulation 1998;97:20992100.CrossRefGoogle Scholar
4.National Cholesterol Education Program: Second Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel II) Circulation 1994;89:13291445.Google Scholar
5.Ockene, IS, Miller, NH: Cigarette smoking, cardiovascular disease, and stroke: A statement for healthcare professionals from the American Heart Association. American Heart Association Task Force on Risk Reduction. Circulation 1997;96:32423247.CrossRefGoogle ScholarPubMed
6.Bener, A, Gomes, J, Andersen, JA, Abdullah, S: Smoking among health professionals. MedEduc 1994;28(2):151157.Google ScholarPubMed
7.Mundt, MH, Glass, LK, Michaels, C: A professional challenge: nurses and smoking. J Community Health Nurs 1995;12(3):139146.CrossRefGoogle ScholarPubMed
8.Helps, S: Experiences of stress in accident and emergency nurses. Accid Emerg Nurs 1997;5(1):4853.CrossRefGoogle ScholarPubMed
9.Grevin, F: Post-traumatic stress disorder, ego defense mechanisms, and empathy among urban paramedics. Psychol Rep 1996;79(2):483495.CrossRefGoogle ScholarPubMed
10.Boreham, CA, Gamble, RP, Wallace, WF, Cran, GW, Stephens, AB: The health status of an ambulance service. Occup Med 1994;44(3):137140.CrossRefGoogle ScholarPubMed
11.Gerace, TA, George, VA: Predictors of weight increases over 7 years in fire fighters and paramedics. Prev Med 1996;25(5):593600.CrossRefGoogle ScholarPubMed
12.HEAR2T Self-Reported Cardiac Risk Factor Survey, Stanford Center for Research in Disease Prevention, Stanford University Medical Center, Palo Alto, CA, 1999.Google Scholar
13.Bugle, LW: A study of drug and alcohol use among Missouri RNs. J Psychosoc Nurs Ment Health Serv 1996;34(7):4145.CrossRefGoogle ScholarPubMed
14.Benson, V, Marano, MA: Current estimates from the National Health Interview Survey, 1995 Vital Health Stat 10 1998;199:1428.Google Scholar
15.Burt, VL, Whelton, P, Roccella, EJ, et al: Prevalence of hypertension in the U.S. adult population: Results from the third National Health and Nutrition Examination Survey, 1988–1991. Hypertension 1995;25:305313.CrossRefGoogle ScholarPubMed
16.US Department of Health and Human Services. National Center for Health Statistics: Third National Health and Nutrition Examination Study III, 1988–1994, NHANES III Examination Data File. Public Use CD–ROM, HyattsviUe, MD: Centers for Disease Control and Prevention; 1998.Google Scholar
17.Pelletier, KR: A review and analysis of the clinical and cost-effectiveness studies of comprehensive health promotion and disease management programs at the worksite: 1995–1998 update (IV). Am J Health Promot 1999;13:333345.CrossRefGoogle ScholarPubMed