Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot105010.32687/0869-866X-2022-30-s1-998-1003Научная статьяANALYSIS OF THE CAUSES OF SUDDEN DEATH AMONG EMPLOYEES OF JSC «RUSSIAN RAILWAYS»ZhidkovaE. A.-GutorE. M.-GurevichK. G.kgurevich@mail.ruOrlovD. O.-DzhioevaO. N.-Central Directorate of Healthcare - a branch of Russian Railways MedicineA. I. Yevdokimov Moscow State University of Medicine and DentistryResearch Institute for Healthcare Organization and Medical Management of Moscow Healthcare DepartmentNational Medical Research Center for Therapy and Preventive Medicine1511202230s1998100317112022Copyright © 2022,2022Protecting the health of railway workers of various professional groups is an important and integral part of the work of primary health care. The incidence of circulatory diseases is a significant problem among some groups of railway workers, given the considerable number of occupational risk factors. Among the most unfavorable complications of cardiovascular disease may be sudden cardiac death.Purpose of the study - сonducting an analysis of typical risk factors for sudden death among the main occupational groups of railway workers in Russia.Materials and methods. A retrospective analysis was carried out of all cases of sudden death of employees of Russian Railways in the period from 2009 to 2021. All deceased workers were conditionally divided into 6 groups depending on the professions and positions of workers.Results. All 411 deceased patients worked on 16 railways, subordinate to 15 medical directorates of Russian Railways. 84.7% of patients felt the first symptoms during working hours and only 15.3% during non-working hours. The prevalence of cases of sudden death during working hours was noted - 81%. Among the occupational groups under consideration, death at home or outside the home was more often observed in groups I and VI, and at the workplace, from groups II to V (p < 0.001). 6.8% of those who died had high levels of ethyl alcohol in their blood, and 3 out of 4 of them died at the workplace. Among the deceased, 70.3% of the patients were smokers. 68.1% were overweight or obese. The level of total cholesterol exceeded 5 mmol/l in 20.7% of cases, and the largest number of patients (65%) had a moderate risk according to the SCORE scale.Conclusion. The study sample showed that cardiovascular diseases are the main cause of sudden death. Among the risk factors in the study group, smoking and obesity prevailed.JSC «Russian Railways»railway workerscardiovascular diseasessudden deathsudden cardiac deathОАО «РЖД»работники железных дорогжелезнодорожные рабочиесердечно-сосудистые заболеваниявнезапная смертьвнезапная сердечная смерть1.Wikland B. Medically unattended fatal cases of ischaemic heart disease in a defined population // Acta Med. Scand. 1971. Suppl. 524. P. 189.2.Кудрин В. А., Краевой С. А. Медико-профилактические вопросы преждевременной смертности на железнодорожном транспорте // Актуальные проблемы транспортной медицины. 2008. № 1. С. 110-113.3.Жидкова Е. А., Найговзина Н. Б., Калинин М. Р. и др. Результаты анализа причин внезапной смерти среди работников локомотивных бригад // Кардиология. 2019. Т. 59, № 6. С. 42-47.4.Казидаева Е. Н., Сергунина И. Н., Веневцева Ю. Л. Факторы риска сердечно-сосудистых заболеваний и их динамика у работников локомотивных бригад // Кардиоваскулярная терапия и профилактика. 2018. Т. 17, № 3. С. 53-58. DOI: 10.15829/1728-8800-2018-3-53-585.Лазуткина А. Ю., Горбунов В. В. Структура смертности работников локомотивных бригад Забайкальской железной дороги // Дальневосточный медицинский журнал. 2013. № 3. С. 125-127.6.Гервальд В. Я., Насонов Т. Г., Лепилов А. В. и др. Внезапная смерть. Состояние проблемы // Современные проблемы науки и образования. 2018. № 6. С. 320-323.7.Liberthson R. R. Sudden death from cardiac causes in children and young adults // N. Engl. J. Med. 1996. Vol. 334. P. 1039-1044.