The Survey of Health Status among Personnel in Ramathibodi Hospital

Abstract

           Routine to research (R2R) aimed to study health conditions and factors predicting personnel’s cardiovascular risks, Faculty of Medicine Ramathibodi Hospital. Participants were 5,429 and 5,440 personnel who received health examinations in fiscal years 2021 and 2022. Data were collected from a database in the Electronic Medical Records (EMR) ICheck up program, including personal information. health behaviors, physical examination, and laboratory examination. Data were analyzed using descriptive statistics, Fisher's extract, Pearson’s Correlation Coefficient, and Logistic Regression. The results revealed that in fiscal years 2021 and 2022, most participants were female (85.74%, 85%) with an average age of 36.47 and 36.75 years. Most participants had good health behaviors, except for exercise. Body mass index, weight circumference, systolic and diastolic blood pressure were in the normal range (50.36%, 51.73%; 58.89%, 62.06%; 94.47%, 93.55%; 95.10%, 94.89%, respectively).

           Most participants had normal laboratory examinations and chest X-rays, except for a mammogram. The average risk score for cardiovascular disease was low (98.30%, 98.61%), and had a statistically significant correlation with gender, age, body mass index, waist circumference, systolic blood pressure, fasting blood glucose, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides and glomerular filtration rate (p < .01). Besides, factors statistically significant predicting risk of cardiovascular disease were male (OR=27.64, OR=70.61), age (OR=3.05, OR=3.62), systolic blood pressure (OR=1.35, OR=1.38), HDL (OR=0.74, OR 0.73), and LDL (OR=1.04, OR= 1.05). The results suggest that male personnel aged more than 50 years with higher systolic blood pressure and LDL have a risk of cardiovascular disease, and should receive proactive health behavior modification, including diet aspects by reducing sweet, fatty, and salty foods, decreasing smoking and drinking alcohol, increasing exercise continuously, resulting in a decrease in non-communicable diseases, especially cardiovascular diseases.