Improvement in severe lower respiratory symptoms and small airway function in World Trade Center dust exposed community members
| Autor: | Yongzhao Shao, Michael Marmor, Kenneth I. Berger, Rebecca Rosen, Mengling Liu, Deepak Pradhan, Lucia Ferri, Caralee Caplan-Shaw, Sibo Zhao, Maria Elena Fernandez-Beros, Roberta M. Goldring, Angeliki Kazeros, Joan Reibman, Nomi C Levy-Carrick |
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| Rok vydání: | 2016 |
| Předmět: |
Spirometry
medicine.medical_specialty medicine.diagnostic_test business.industry Public Health Environmental and Occupational Health World trade center 030210 environmental & occupational health Mental health 03 medical and health sciences 0302 clinical medicine 030228 respiratory system medicine Physical therapy Respiratory system Airway business Lung function |
| Zdroj: | American Journal of Industrial Medicine. 59:777-787 |
| ISSN: | 0271-3586 |
| DOI: | 10.1002/ajim.22642 |
| Popis: | Objective Longitudinal assessment of lower respiratory symptoms (LRS) in community members with World Trade Center (WTC) exposures. Methods Adult members of a treatment program with complete standardized visits were evaluated (n = 798). Association of demographic characteristics, mental health symptoms and lung function with trajectory of LRS between initial and monitoring visit was evaluated. Results Severe LRS were present in 70% at initial and 63% at monitoring visit. Initial severe LRS were associated with WTC dust cloud exposure and mental health symptoms. Spirometry measures were not associated with LRS severity or trajectory; improvement in LRS was associated with improved lung function measured with forced oscillometry techniques. Conclusion Many community patients in a WTC treatment program had severe LRS associated with exposures and mental health symptoms. Improvement in LRS was associated with improvement in measures of small airway function. Am. J. Ind. Med. 59:777–787, 2016. © 2016 Wiley Periodicals, Inc. |
| Databáze: | OpenAIRE |
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