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Incidence of cardiovascular disease in a historical cohort of Danish firefighters

机译：丹麦消防员历史队列的心血管疾病发病率

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摘要

Firefighters are exposed to multiple cardiovascular hazards, but few epidemiological studies have addressed their cardiovascular morbidity. The objective of this study was therefore to examine the incidence of cardiovascular diseases (CVD) in Danish firefighters.We used individual historical employment records on 11.691 male Danish firefighters supplied by trade unions and fire agencies. The Supplementary Pension Fund Register was used to establish two occupational reference groups (a random sample from the male employed population and military employees). Information on CVD incidence was retrieved from the nationwide Danish National Patient Registry. SIRs and Poisson regression analyses (incidence rate ratio) were used for estimation of risks, including 95% CIs.In comparison with the population sample, the age-adjusted and calendar time-adjusted SIR for all CVDs combined was increased in firefighters (SIR=1.10, 95% CI 1.05 to 1.15). The risk was also elevated for the most frequent outcomes, including angina pectoris (SIR=1.16, 95% CI 1.08 to 1.24), acute myocardial infarction (SIR=1.16, 95% CI 1.06 to 1.26), chronic ischaemic heart disease (SIR=1.15, 95% CI 1.06 to 1.24) and atrial fibrillation/flutter (SIR=1.25, 95% CI 1.14 to 1.36). This analysis showed the most elevated SIRs for CVD in full-time firefighters compared with part-time/volunteer firefighters. Both types of firefighters employed 15 years had an increased risk of CVD. Similar risk patterns appeared in comparisons with the military. Internal analysis supported external findings.The risk of overall CVD, including the most frequent subtypes was modestly increased in Danish firefighters and was most elevated in full-time firefighters compared with other male employees.
机译：消防员暴露于多种心血管危害，但很少有流行病学研究已经解决了它们的心血管发病率。因此，本研究的目的是研究丹麦消防员心血管疾病（CVD）的发生率。我们在工会和消防机构提供的11.691名男性丹麦消防员11.691名男性丹麦消防员中使用了个人历史就业记录。补充养老金基金登记册用于建立两组职业参考群体（来自男性人口和军事雇员的随机样本）。关于CVD发病率的信息来自全国范围的丹麦国家患者登记处。 SIRS和Poisson回归分析（发病率比）用于估计风险，包括95％的CIS.IN与人口样本的比较，消防员在消防员中增加了所有CVDS的年龄和日历时间调整后的先生（SIR = 1.10,95％CI 1.05至1.15）。对于最常见的结果，包括心绞痛（SIR = 1.16,95％CI 1.08至1.24），急性心肌梗死（SIR = 1.16,95％CI 1.06至1.26），慢性缺血性心脏病（SIR = 1.15,95％CI 1.06至1.24）和心房颤动/颤动（SIR = 1.25,95％CI 1.14至1.36）。与兼职/志愿者消防员相比，此分析显示了全日制消防员的CVD最高升高的SIRS。两种类型的消防员使用＆ 15年的CVD风险增加。与军队的比较出现了类似的风险模式。内部分析支持外部结果。丹麦消防员的整体CVD的风险在丹麦消防员中谦虚地增加，与其他男性员工相比，全日制消防员最升高。

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