Background There is mounting global evidence that Emergency Medical Service (EMS) staff are at significant risk of poor health outcomes due to the complex interaction between occupational risk factors and unhealthy lifestyle behaviours. Shift workers are known to have an increased risk of cardiovascular disease and are more likely to have a cardiovascular event. Specifically, EMS staff are prone to hypertension, dyslipidemia and being overweight or obese. UK ambulance trusts do not routinely monitor the physical health of their staff and there is no UK data to quantify the cardiovascular risk to staff. This study aims to measure cardiovascular risk in UK EMS staff and to explore any association between cardiovascular risk and occupational risk factors specific to this unique workforce. Methods This will be a cross-sectional study using frontline staff from a UK ambulance trust. A sample of 400 participants will be recruited to have their 10yr cardiovascular disease risk calculated using a validated tool (QRISK2) using clinical history, BMI and biochemistry. In addition, participants’ occupational risk factors such as role, shift type and length of service, as well as their independent cardiovascular risk factors such as physical activity and dietary intake will be captured. Data from participants who have had a cardiovascular event(s) will also be measured. Results QRISK2 score will be analysed as the primary outcome. Secondary outcomes include incidence of self-reported cardiovascular events, individual cardiovascular risk factors and the association between cardiovascular and occupational risk factors. Participants will receive feedback on their results should they opt for this. Conclusions It is hoped that the results of this study could be used to enable the development of national health initiatives for EMS staff with future recommendations for effective targeted health interventions to promote a healthy workforce.

中文翻译：

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06 心血管疾病一线：999名员工面临风险？

背景 越来越多的全球证据表明，由于职业风险因素和不健康的生活方式行为之间存在复杂的相互作用，紧急医疗服务 (EMS) 工作人员面临着健康状况不佳的重大风险。众所周知，轮班工人患心血管疾病的风险增加，并且更有可能发生心血管事件。具体来说，EMS人员容易患高血压、血脂异常和超重或肥胖。英国救护车信托不会定期监测员工的身体健康状况，也没有英国数据可以量化员工的心血管风险。本研究旨在衡量英国 EMS 工作人员的心血管风险，并探讨心血管风险与这一独特劳动力特有的职业风险因素之间的任何关联。方法 这将是一项横断面研究，使用来自英国救护车信托的一线工作人员。将招募 400 名参与者的样本，使用经过验证的工具 (QRISK2) 使用临床病史、BMI 和生物化学计算他们 10 年的心血管疾病风险。此外，还将捕获参与者的职业风险因素，如角色、轮班类型和服务年限，以及他们的独立心血管风险因素，如身体活动和饮食摄入量。还将测量来自发生过心血管事件的参与者的数据。结果 QRISK2 评分将作为主要结果进行分析。次要结局包括自我报告的心血管事件的发生率、个体心血管危险因素以及心血管和职业危险因素之间的关联。如果参与者选择这样做，他们将收到有关其结果的反馈。结论 希望这项研究的结果可用于为 EMS 工作人员制定国家健康计划，并为未来有效的有针对性的健康干预提出建议，以促进健康的劳动力。