Sudden death from diseases of the circulatory system of employees of enterprises of the Republic of Bashkortostan

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Abstract

Introduction. Over the past decade, in Russia and abroad, there has been a clear trend towards an increase in cases of sudden death in the workplace from the disease of the circulatory system.

Material and methods. During the study, there were studied the databases of the State Labor Inspectorate in the Republic of Bashkortostan in 2014-2018, including accident investigation reports, information on a special assessment of working conditions, medical examinations, forensic medical examinations and other materials.

Results. Diseases of the circulatory system (DSC) were the main cause of sudden death in the workplace in more than 90% of cases. The maximum number of cases of sudden due to DSC was recorded in the age group of 56-60 years. The overwhelming majority of the deceased cases were represented by working occupations - 82.8%, drivers of transport were in 13.7% of cases. The vast majority of deaths occurred in the morning (from 6 to 12) and daytime (from 12 to 18) hours. The working conditions of deceased DCS workers in most cases (59.8%) corresponded to the permissible class (class 2); under harmful conditions (subclass 3.1 - 3.3) 24.9% cases worked. Most often, some form of acute coronary heart disease (CHD) was mentioned as the immediate cause of death (64.0%). Among acute forms of coronary heart disease in medical documents in more than 50% of cases the code I 24.8 “Other forms of acute coronary heart disease” was established. “Acute myocardial infarction” was verified in 11.1% of cases and was the main cause of death in men. In the group “Cerebrovascular Diseases”, “Intracerebral hemorrhage” was most often diagnosed.

Conclusion. The obtained results substantiate the need to develop measures to prevent sudden death in the workplace, aimed primarily at preventing the development, progression and early diagnosis of DSC.

About the authors

Lilia K. Karimova

Ufa Research Institute of Occupational Health and Human Ecology

Author for correspondence.
Email: iao_karimova@rambler.ru
ORCID iD: 0000-0002-9859-8260

MD, Ph.D., DSci., professor; Chief Researcher of the Department of Occupational Medicine, Ufa Research Institute of Occupational Health and Human Ecology, Ufa, 450106, Russian Federation.

e-mail: iao_karimova@rambler.ru

Russian Federation

Z. F. Gimaeva

Ufa Research Institute of Occupational Health and Human Ecology; Federal State Budgetary Educational Institution of Higher Education “Bashkir State Medical University” of the Ministry of Healthcare of the Russian Federation

Email: noemail@neicon.ru
ORCID iD: 0000-0001-6668-2196
Russian Federation

T. N. Astrelina

State Labor Inspectorate in the Republic of Bashkortostan

Email: noemail@neicon.ru
Russian Federation

N. A. Muldasheva

Ufa Research Institute of Occupational Health and Human Ecology

Email: noemail@neicon.ru
ORCID iD: 0000-0002-3518-3519
Russian Federation

A. B. Bakirov

Ufa Research Institute of Occupational Health and Human Ecology; Federal State Budgetary Educational Institution of Higher Education “Bashkir State Medical University” of the Ministry of Healthcare of the Russian Federation

Email: noemail@neicon.ru
ORCID iD: 0000-0001-6593-2704
Russian Federation

G. Kh. Akhmadullina

Federal State Budgetary Educational Institution of Higher Education “Bashkir State Medical University” of the Ministry of Healthcare of the Russian Federation

Email: noemail@neicon.ru
ORCID iD: 0000-0003-2592-0949
Russian Federation

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Copyright (c) 2024 Karimova L.K., Gimaeva Z.F., Astrelina T.N., Muldasheva N.A., Bakirov A.B., Akhmadullina G.K.


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