Annual Health Checkup According to the Civil Servants Medical Benefit Scheme : Which Test are Useful?
Keywords:Annual checkup, Blood test, Civil Servants Medical Benefit Scheme, CSMBS
Background : Health checkup is useful for screening risk factors that may cause of diseases in the future. If people know their risks of diseases and can adjust their behavior, the chance of diseases occurrence may be reduced and/ or occur slowly. Civil Servants Medical Benefit Scheme (CSMBS) supports an annual health checkup according to the specified list.
Objective : To identify abnormalities in the annual health checkup of 1,987 civil servants.
Method : This descriptive study collected data from the annual health checkup of 1,987 civil servants. The detail of checkup list in this study were laboratory blood test, chest radiography and electrocardiogram (EKG). Data were collected from the medical records of the National Cancer Institute and Rajavithi Hospital In 2017.
Results : The average age of participants was 53.6 years (min 30 and max 81 years). Most of them were 35-60 years and 87.7% was female. The results showed the low hemoglobin and haematocrit which was 12.2% (95% CI 10.7, 13.6) and 9.4% (95% CI 8.1, 10.7) respectively. Moreover, anemia (haemoglobin <10 mg / dl) was found 0.9%. High blood glucose after 8 hours of fasting was 14.2% (95% CI 12.7, 15.7). High cholesterol, triglyceride and LDL-cholesterol was 62.4% (95% CI 60.3, 64.5), 9.4% (95% CI 8.1, 10.7) and 38.7% (95% CI 36.6, 40.8) respectively. Low HDL-cholesterol level was 1.1% (95% CI 0.6, 1.6). However, the abnormalities of BUN and creatinine was found in less than 1%. AST, ALT, alkaline phosphatase was abnormal in less than 6%. High uric acid was 17.7% (95% CI 16.0, 19.4). We found abnormal ECG 12.5% (95% CI 11.1, 13.9). Abnormal chest radiography was 7.9% (95% CI 6.7, 9.1) which were heart, lung and thoracic bone whereas lung cancer and tuberculosis was not found.
Conclusion : The health checkup under the CSMBS for 35 years and over was likely benefit including cholesterol and LDL-cholesterol levels. Followed by a blood glucose test, uric acid and complete blood count (CBC) for anemia screening. The tests expected to be less useful in the annual health checkup were BUN, creatinine, ALT, APT, alkaline phosphatase as well as chest radiography (for early detection of lung cancer and tuberculosis) and an electrocardiogram. Therefore, we should consider other factors regarding health checkup such as age, gender, occupation, family history and other risks, for appropriate checkup list in the future.
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