Related Experiment Video
Updated: Jun 2, 2025
Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
The ten-year cardiovascular disease risk prediction among primary healthcare workers using the office-based globorisk
Z Zakiman1, A N Mat Ruzlin2, X W Chen1
1Universiti Teknologi MARA, Faculty of Medicine, Department of Public Health Medicine, Selangor, Malaysia.
Insights
Cardiovascular disease (CVD) risk is prevalent among Malaysian healthcare workers (HCWs), with non-clinical roles, elevated blood glucose, and anxiety being significant risk factors. The KOSPEN WOW platform effectively screens HCWs for CVD risk.
Area of Science:
- Public Health
- Occupational Health
- Cardiology
Background:
- Cardiovascular diseases (CVDs) are a leading cause of global premature mortality.
- Healthcare workers (HCWs) face potential risks for developing CVDs.
- The Globorisk model estimates 10-year CVD risk.
Purpose of the Study:
- To determine the prevalence of CVD risk among primary HCWs in Selangor, Malaysia.
- To identify risk factors associated with moderate-high CVD risk in this population.
Main Methods:
- A cross-sectional study involving 543 HCWs from the KOSPEN WOW database.
- Data collected included age, sex, smoking status, systolic blood pressure, and BMI.
- Statistical analyses included chi-square tests, t-tests, and binary logistic regression.
Main Results:
- The prevalence of moderate-high CVD risk was 5.5%.
- Factors associated with moderate-high CVD risk included non-clinical job category, elevated blood glucose, and anxiety symptoms.
- The majority of participants with moderate-high risk were male, Malay, and in non-clinical roles.
Conclusions:
- The KOSPEN WOW platform is effective for screening HCWs for CVD risk.
- The platform can guide the implementation of targeted intervention programs to prevent CVDs.
Introduction:
Cardiovascular diseases (CVDs) remain to be the leading cause of premature mortality worldwide, and healthcare workers (HCWs) are potentially at risk for developing CVDs. Office-based Globorisk is a ten-year risk prediction tool for CVDs risk scores. This present study aims to determine the prevalence of CVDs risk and risk factors associated with moderate-high CVDs risk among primary HCWs in government health clinics in Selangor.
Materials And Methods:
A cross-sectional study was conducted on 543 HCWs from the KOSPEN WOW ("Komuniti Sihat Pembina Negara" or "Healthy Community Builds the Nation-Wellness of Workers") database in three district health offices (DHOs) under the Selangor State Health Department in Malaysia. To estimate the office-based Globorisk model, factors such as age, sex, current smoking status, systolic blood pressure (SBP), and body mass index (BMI) were included. Data analysis employed were Pearson chi-square test, Fisher's exact test, Welch's t-test and binary logistic regression.
Results:
Among 543 participants, 453 (83.4%) were female, 439 (80.8%) were Malay with mean (SD) age of 44.4 (4.38). Majority of moderate-high CVDs risk identified among primary HCWs was male with 26 (86.7%), Malay with 25 (83.3%), and non-clinical group with 17 (56.7%). The prevalence of low CVDs risk was 94.5% (95% CI: 92.2-96.2) and 5.5% (95% CI: 3.8-7.8) for the moderate-high risk category. Factors associated with moderate-high CVDs risk were job category with non-clinical group (95% CI: 1.43, 6.85), elevated blood glucose (95% CI: 3.25, 19.41) and anxiety symptom (95% CI: 1.46, 13.86).
Conclusion:
The KOSPEN WOW platform is effective for screening and guiding implementation of intervention programmes to prevent CVDs.
Related Concept Videos
01:12Relative Risk
01:12Hazard Ratio
For example, in a clinical trial...
01:20Blood Studies for Cardiovascular System I: Cardiac Biomarkers
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
01:23Assessment of blood pressure in brachial artery(two-step method)
01:25Blood Studies for Cardiovascular System III: Serum Lipid Profile
Serum lipids are fats and fatty substances in the blood and are crucial for various bodily functions, including energy storage, cellular structure, and hormone production. Serum lipids consist of cholesterol, triglycerides, and phospholipids.
Cholesterol is a soft, fat-like substance found in all body cells. It is crucial for producing hormones, vitamin D, and substances that aid...
01:10Pre-Procedural Guidelines for Assessing Blood Pressure