ArticleIrish journal of medical science2026
Occupational and lifestyle factors associated with SCORE-2 cardiovascular risk among emergency healthcare workers.
Article in Irish journal of medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesThis study aimed to examine the associations between occupational characteristics, lifestyle behaviors, sleep quality, and 10-year cardiovascular risk estimated using SCORE-2 algorithm among ambulance emergency medical services (EMS) and emergency department healthcare workers.
methodsThis cross-sectional study included 300 healthcare workers employed in ambulance EMS (n = 122) and emergency departments (n = 178). Sociodemographic variables, occupational characteristics, lifestyle behaviors, and clinical data were collected using a structured questionnaire. Sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI), and cardiovascular risk was estimated using SCORE-2. Group comparisons were performed using the Mann-Whitney U and chi-square tests. Associations were evaluated with Spearman correlation, and independent predictors of SCORE-2 were identified using multivariable linear regression analysis.
resultsThe median SCORE-2 value was 2.8% (IQR: 1.6-4.7), with no significant difference between ambulance EMS and emergency department workers (p = 0.855). Participants aged ≥ 50 years had significantly higher SCORE-2 values compared with those aged 40-49 years (p < 0.001). Alcohol consumption was associated with higher SCORE-2 levels (p < 0.001) and remained an independent predictor in multivariable analysis (B = 1.41, 95% CI: 0.60-2.22). Age and sex were also independently associated with SCORE-2. Although sleep quality showed a weak positive correlation with SCORE-2 (r = 0.166, p = 0.004), this association was not significant after adjustment.
conclusionIn emergency healthcare workers, SCORE-2-estimated cardiovascular risk is mainly driven by age, sex, and alcohol consumption rather than work setting or shift characteristics. These findings suggest that incorporating occupational and lifestyle factors alongside SCORE-2 may improve cardiovascular risk assessment in shift-working healthcare professionals.
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