Periodic Spirometry in Occupational Setting
| Autor: | Artak Hakobyan, Lu-Ann Beeckman-Wagner, Eva Hnizdo, James L. Fleming |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Lung Diseases Quality Control Spirometry Program evaluation Accuracy and precision Vital capacity medicine.medical_specialty Quality management Occupational Health Services law.invention law Forced Expiratory Volume medicine Humans Longitudinal Studies medicine.diagnostic_test business.industry Technician Public Health Environmental and Occupational Health Quality Improvement Monitoring program Occupational Diseases Population Surveillance Linear Models Physical therapy business Spirometer Program Evaluation |
| Zdroj: | Journal of Occupational & Environmental Medicine. 53:1205-1209 |
| ISSN: | 1076-2752 |
| DOI: | 10.1097/jom.0b013e31823078b8 |
| Popis: | Objective: Effectiveness of periodic spirometry in medical monitoring depends on spirometry quality. We describe an intervention on spirometry quality and its impact on accuracy and precision of longitudinal measurements. Methods: The intervention was conducted from 2005 to 2010 in a monitoring program involving approximately 2500 firefighters. Intervention supported adherence to 2005 American Thoracic Society/European Respiratory Society recommendations through monitoring of spirometry quality and longitudinal data precision, technician training, change of spirometer, and quality control. Results: The percentage of forced vital capacity tests meeting the American Thoracic Society/European Respiratory Society criteria increased from 60% to 95% and the mean longitudinal forced expiratory volume in 1 second within-person variation decreased from 6% to 4%. The increased accuracy and precision of measurements and estimated rates of forced expiratory volume in 1 second decline were statistically significant. Conclusion: Monitoring of quality and data precision helped to recognize the need for intervention. The intervention improved accuracy and precision of spirometry measurements and their usefulness. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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