Surveying & Assessing Firefighter Fitness & Electrocardiography: The SAFFE Study

测量

• 批准号: 7572454
• 负责人: MARY G CAREY
• 金额: $ 25.3万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-29 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7572454
• 关键词: Address; Arrhythmia; Behavioral Sciences; Biological; Biological databases; Cardiac; Cardiovascular system; Caring; Cause of Death; Cessation of life; Communities; Condition; Consumption; Country; Data; Deer; Detection; Development; Disease; Electric Countershock; Electrocardiogram; Emergency Situation; Event; Exercise; Extensible Markup Language; Family; Fire - disasters; Forestry; Guidelines; Health; Heart Diseases; Heart Rate; Hour; Income; Injury; Intervention; Invasive; Kale - dietary; Lead; Left; Life; Measures; Medical; Meta-Analysis; Metabolic; Metabolism; Mission; Monitor; Morbidity - disease rate; Myocardial Infarction; Myocardial Ischemia; National Institute of Nursing Research; Oxygen; Perfusion; Physiological; Police officer; Population; Protocols documentation; Public Health; Recruitment Activity; Reporting; Research; Resolution; Rest; Resuscitation; Risk; Risk Assessment; Risk Factors; Route; Rural Community; Science; Services; Site; Sleep; Strategic Planning; Stratification; Surveys; System; Technology; Time; Training; Treadmill Tests; Wood material; cardiovascular risk factor; design; emergency service responder; fitness; insight; instrument; member; men; novel; prevent; stressor; sudden cardiac death; tool; uptake

DESCRIPTION (provided by applicant): With over a million firefighters in the country servicing metro, rural communities, and wildlife forestry, the public depends on their optimal state of health. However, firefighters have twice as many cardiovascular deaths compared to police officers and four times the proportion among emergency medical responders. To date, despite the high cardiac risk for firefighters and its societal importance, there are no available physiological recordings during firefighting activities that may reveal why firefighters are dying on duty. Thus, the primary aim of the Surveying & Assessing Firefighter Fitness & Electrocardiograms: The SAFFE Study is to develop a non-invasive risk stratification approach to better identify firefighters at risk for cardiovascular events. For this exploratory/developmental study, 118 professional firefighters will be recruited to participate in the research protocol which includes (1) baseline ECG & V02 measures, (2) maximum capacity ECG & V02 during a graded exercise treadmill test and (3) on-duty ECG & VO2 measures. Continuous 12 lead ECG will be initiated at the beginning of the shift and maintained for 24 hours during all firefighter activities including: (1) fire calls, (2) medical calls, (3) training, (4) meals, (5) exercise, and (6) rest/sleep. Intermittent V02 measures will be obtained throughout the shift during select periods including: fire calls, medical calls and training. The proportion of firefighters that demonstrate specific ECG abnormalities and nonlinear HR/V02 relationship will be reported at baseline, maximum capacity and on-duty. With cardiac events as one of the leading causes of death, the use of biological measures (ECGs & V02) to better identify at-risk first responders who service the public, would aid in assessing risk and evaluating intervention strategies that optimize health. PUBLIC HEALTH RELEVANCE With over a million firefighters in the country servicing metro, rural communities and wildlife forestry, the public depends on their state of health. However, firefighters have twice as many cardiovascular deaths compared to police officers and four times the proportion among emergency medical responders. With cardiac events as one of the leading causes of death, the use of biological measures (ECGs & V02) to better identify at-risk first responders who service the public, would aid in assessing risk and evaluating intervention strategies that optimize health.

描述（由申请人提供）：该国有超过一百万消防员为地铁、农村社区和野生动物林业提供服务，公众依赖于他们的最佳健康状态。然而，消防员的心血管死亡人数是警察的两倍，是紧急医疗响应人员的四倍。迄今为止，尽管消防员的心脏病风险很高且具有社会重要性，但在消防活动期间还没有可用的生理记录可以揭示消防员在执行任务时死亡的原因。因此，调查和评估消防员健康状况和心电图：SAFFE 研究的主要目的是开发一种非侵入性风险分层方法，以更好地识别面临心血管事件风险的消防员。对于这项探索性/发展性研究，将招募 118 名专业消防员参与研究方案，其中包括 (1) 基线心电图和摄氧量测量，(2) 分级运动跑步机测试期间的最大容量心电图和摄氧量测量，以及 (3) 值班心电图和摄氧量测量。连续 12 导联心电图将在轮班开始时启动，并在所有消防员活动期间保持 24 小时，包括：(1) 火灾呼叫、(2) 医疗呼叫、(3) 训练、(4) 膳食、(5) 锻炼和 (6) 休息/睡眠。间歇性 V02 测量将在整个轮班期间的选定时段内获得，包括：火警呼叫、医疗呼叫和培训。将在基线、最大容量和值班时报告表现出特定心电图异常和非线性 HR/V02 关系的消防员比例。由于心脏事件是死亡的主要原因之一，使用生物测量（心电图和 V02）来更好地识别为公众服务的高危急救人员，将有助于评估风险和评估优化健康的干预策略。公共卫生相关性 该国有超过一百万消防员为地铁、农村社区和野生动物林业提供服务，公众依赖于他们的健康状况。然而，消防员的心血管死亡人数是警察的两倍，是紧急医疗响应人员的四倍。由于心脏事件是死亡的主要原因之一，使用生物测量（心电图和 V02）来更好地识别为公众服务的高危急救人员，将有助于评估风险和评估优化健康的干预策略。