1997 - 2004年马萨诸塞州消防员因心脏疾病推定退休情况

Firefighter heart presumption retirements in Massachusetts 1997-2004.

作者信息

Holder Jonathan D, Stallings Leonard A, Peeples Lynne, Burress John W, Kales Stefanos N

机构信息

The Cambridge Health Alliance, Harvard Medical School, Cambridge, Massachusetts, USA.

出版信息

J Occup Environ Med. 2006 Oct;48(10):1047-53. doi: 10.1097/01.jom.0000235909.31632.46.

DOI:10.1097/01.jom.0000235909.31632.46

PMID:17033504

Abstract

OBJECTIVE

"Heart Presumption" legislation is common throughout North America. We sought to study Massachusetts firefighters retiring with heart disability awards.

METHODS

The authors conducted a retrospective review of Massachusetts firefighters: 362 receiving Heart Presumption pensions (1997-2004) and a comparison group of 310 professionally active firefighters.

RESULTS

Of retirements, 77% were due to coronary heart disease and 23% for other cardiovascular conditions. Only 42% of the retirements were related to discrete on-duty events. Fire suppression (odds ratio = 51, 95% confidence interval = 12-223) and alarm response (odds ratio = 6.4, 95% confidence interval = 2.5-17) were associated with markedly higher risks of duty-related heart retirement events than nonemergency activities. Cardiovascular risk factor prevalence was high among all retiree subgroups and significantly greater than among control firefighters in almost all cases.

CONCLUSIONS

Our study supports calls for improved cardiovascular prevention and risk reduction strategies among firefighters.

摘要

目的

“心脏推定”立法在北美很常见。我们试图研究因心脏残疾获得奖励而退休的马萨诸塞州消防员。

方法

作者对马萨诸塞州消防员进行了回顾性研究：362名领取心脏推定养老金的消防员（1997 - 2004年）以及310名在职专业消防员组成的对照组。

结果

在退休人员中，77% 是由于冠心病，23% 是由于其他心血管疾病。只有42% 的退休与特定的执勤事件有关。与非紧急活动相比，灭火（优势比 = 51，95% 置信区间 = 12 - 223）和警报响应（优势比 = 6.4，95% 置信区间 = 2.5 - 17）与与执勤相关的心脏退休事件的风险显著更高有关。所有退休亚组的心血管危险因素患病率都很高，几乎在所有情况下都显著高于对照消防员。