Evidence map›Paper›PMID 38738124›Full record

ArticleCureus2024

Cardiovascular Disease and Stroke Risk Among Egyptian Resident Physicians: A Cross-Sectional Multicenter Study.

Alaa Ramadan, Mostafa A Soliman, Abdullah A Hamad, Mohamed El-Samahy, Merna R Roshdy, Rehab A Diab, Yomna E Abdalla, Moamen Emara, Asmaa K Azooz, Dina S Abo El-Lail and 5 more

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Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Alaa RamadanDepartment of Medicine, South Valley University, Qena, EGY.
Mostafa A SolimanDepartment of Medicine, Cairo University, Cairo, EGY.
Abdullah A HamadDepartment of Medicine, Menoufia University, Shebin El-Koum, EGY.
Mohamed El-SamahyDepartment of Medicine, Zagazig University, Zagazig, EGY.
Merna R RoshdyDepartment of Medicine, Sohag University, Sohag, EGY.
Rehab A DiabDepartment of Medicine, Al-Azhar University, Cairo, EGY.
Yomna E AbdallaDepartment of Medicine, Zagazig University, Zagazig, EGY.
Moamen EmaraDepartment of Medicine, Port Said University, Port Said, EGY.
Asmaa K AzoozDepartment of Medicine, Cairo University, Cairo, EGY.
Dina S Abo El-LailDepartment of Pharmacy, Helwan University, Helwan, EGY.
Eman H ElbannaDepartment of Health Administration and Behavioral Sciences, High Institute of Public Health, Alexandria University, Alexandria, EGY.
Mohammed E AlmalkiDepartment of Medicine, Umm Alqura University, Makkah, SAU.
Basel AbdelazeemDepartment of Internal Medicine, McLaren Health Care, Flint, USA.
Ahlam S AliDepartment of Medicine, South Valley University, Qena, EGY.
Ahmed NegidaDepartment of Medicine, Zagazig University, Zagazig, EGY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular diseases (CVDs) are the leading cause of death worldwide and are considered silent killers that threaten different age groups. The stressful lifestyle of resident physicians might make them vulnerable to CVDs. Since 2021, Egypt has recently reported more frequent sudden deaths of junior physicians after long shifts. Many factors can be associated with this prevalence, such as diabetes mellitus, increased blood pressure, or a sedentary lifestyle. Therefore, this study aimed to estimate the risk of developing heart attack and stroke within 10 years among resident physicians in Egypt with the goal of informing health policymakers to improve the healthcare systems for Egyptian physicians.

methodsThis cross-sectional study was conducted at six university teaching hospitals around Egypt: Cairo, Al-Azhar, Zagazig, Menoufia, South Valley, and Sohag. Data were collected on the ground using a questionnaire developed from a validated tool, the QRISK3 calculator, developed by the National Health Service, and used to measure the development of CVDs and stroke over the next 10 years.

resultsFour hundred twenty-eight resident physicians filled out the study questionnaire, including 224 (52.3%) females. The mean age of the participants was 28.22 years (±2.54). The study revealed that 258 (60.3%), with a median (IQR) = 0.2% (0.1%-0.5%), of the resident physicians are at high risk of having a heart attack or stroke within 10 years. Migraine symptoms (n=65, 15.2%) and angina or heart attack in a first-degree relative (n=26, 6.1%) were the most reported risk factors. The risk was variable among the six university hospitals, with a significant P-value <0.001, where Menoufia University hospitals ranked first, followed by Zagazig University hospitals. However, the percentage of each specialty differs from others. The highest risk was among anesthesiology and ICU residents (n=18, 78.3%), followed by surgery residents (n=44, 62.9%).

conclusionAbout 258 (60.3%) of the resident physicians are at risk of having a heart attack or stroke within 10 years. There is an urgent need to increase resident physicians' awareness about their heart attack and stroke risks and for health policymakers to ensure a better lifestyle and friendly training environment for resident physicians in Egypt.

Indexed as

cardiovascular diseaseegypthealth policyphysiciansqrisk3

Identifiers

PMID38738124
PMCPMC11088482

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.