Cardiovascular Risk Assessment Among Healthcare Workers in District Mardan Using the QRISK2 Calculator: A Multicenter Cross-Sectional Study
Abstract
Objectives: This study aimed to evaluate the cardiovascular disease risk among healthcare workers in Mardan, Pakistan, utilizing the QRISK2 calculator.
Methodology: A multicenter cross-sectional study was conducted in four major hospitals of Mardan from August to October 2023. The study employed proportionate stratified sampling, with sample size determination through openepi.com. Data collection utilized a self-prepared proforma, and laboratory investigations were conducted at Mardan Medical Complex. IBM-SPSS 22 and Microsoft Excel 365 were used for data analysis, employing mean, standard deviation, frequency, percentage, chi-square test, and independent sample T-test for different variables.
Results: The study included 246 participants (153 males, 93 females), comprising 63 doctors, 98 nurses, and 85 paramedics, with a mean age of 36 ± 9.1 years. The overall cardiovascular disease risk among healthcare workers was 3.94 ± 6.3%. DHQ Mardan healthcare workers exhibited the highest cardiovascular risk at 4.8%, followed by THQ Takhtabhai (3.7%), Mardan Medical Complex (0.8%), and Type-D Hospital Katlang (0%). Paramedics had the highest CVD risk at 5.9%, followed by doctors with 1.6%, and nurses showed no cases of high CVD risk. Gender-based analysis indicated a statistically significant higher CVD risk in male healthcare workers compared to females (p-value = 0.001).
Conclusion: Healthcare workers in district Mardan have a lower risk of developing cardiovascular disease overall. However, CVD risk is higher in DHQ Hospital compared to other hospitals. Paramedics have a higher risk than doctors and nurses. Male healthcare workers are at a higher risk compared to females.
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