With over a million firefighters in the country servicing metro, rural communities, and wildlife forestry, the public depends on their optimal state of health. However, firefighters have twice as many cardiovascular deaths compared to police officers and four times the proportion among emergency medical responders. To date, despite the high cardiac risk for firefighters and its societal importance, there are no available physiological recordings during firefighting activities that may reveal why firefighters are dying on duty. Thus, the primary aim of the Surveying & Assessing Firefighter Fitness & Electrocardiograms: The SAFFE Study is to develop a non-invasive risk stratification approach to better identify firefighters at risk for cardiovascular events. For this exploratory/developmental study, 118 professional firefighters will be recruited to participate in the research protocol which includes (1) baseline ECG & V02 measures, (2) maximum capacity ECG & V02 during a graded exercise treadmill test and (3) on-duty ECG & VO2 measures. Continuous 12 lead ECG will be initiated at the beginning of the shift and maintained for 24 hours during all firefighter activities including: (1) fire calls, (2) medical calls, (3) training, (4) meals, (5) exercise, and (6) rest/sleep. Intermittent V02 measures will be obtained throughout the shift during select periods including: fire calls, medical calls and training. The proportion of firefighters that demonstrate specific ECG abnormalities and nonlinear HR/V02 relationship will be reported at baseline, maximum capacity and on-duty. With cardiac events as one of the leading causes of death, the use of biological measures (ECGs & V02) to better identify at-risk first responders who service the public, would aid in assessing risk and evaluating intervention strategies that optimize health.

Public Health Relevance

With over a million firefighters in the country servicing metro, rural communities and wildlife forestry, the public depends on their state of health. However, firefighters have twice as many cardiovascular deaths compared to police officers and four times the proportion among emergency medical responders. With cardiac events as one of the leading causes of death, the use of biological measures (ECGs & V02) to better identify at-risk first responders who service the public, would aid in assessing risk and evaluating intervention strategies that optimize health. ? ? ? ? ? ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21NR011077-01
Application #
7572454
Study Section
Nursing Science: Adults and Older Adults Study Section (NSAA)
Program Officer
Huss, Karen
Project Start
2008-09-29
Project End
2011-07-31
Budget Start
2008-09-29
Budget End
2009-07-31
Support Year
1
Fiscal Year
2008
Total Cost
$253,039
Indirect Cost
Name
State University of New York at Buffalo
Department
Type
Schools of Nursing
DUNS #
038633251
City
Buffalo
State
NY
Country
United States
Zip Code
14260
Al-Zaiti, Salah S; Carey, Mary G (2015) The Prevalence of Clinical and Electrocardiographic Risk Factors of Cardiovascular Death Among On-duty Professional Firefighters. J Cardiovasc Nurs 30:440-6
Homish, Gregory G; Frazer, Bonita S; Carey, Mary G (2012) The influence of indirect collective trauma on first responders' alcohol use. Int J Emerg Ment Health 14:21-8
Carey, Mary G; Al-Zaiti, Salah S; Dean, Grace E et al. (2011) Sleep problems, depression, substance use, social bonding, and quality of life in professional firefighters. J Occup Environ Med 53:928-33
Carey, Mary G; Al-Zaiti, Salah S; Liao, Limei M et al. (2011) A low-glycemic nutritional fitness program to reverse metabolic syndrome in professional firefighters: results of a pilot study. J Cardiovasc Nurs 26:298-304
Al-Zaiti, Salah S; Runco, Kristen N; Carey, Mary G (2011) Increased T wave complexity can indicate subclinical myocardial ischemia in asymptomatic adults. J Electrocardiol 44:684-8
Carey, Mary G; Thevenin, Bernard J-M (2009) High-resolution 12-lead electrocardiograms of on-duty professional firefighters: a pilot feasibility study. J Cardiovasc Nurs 24:261-7