The Effect of Deployment on Pulmonary Function in Military Personnel With Asthma

Autor:	Robert Walter, Brian S. Barber, Mateo C Houle, Michael J. Morris, Jeffrey T Woods
Rok vydání:	2022
Předmět:	Spirometry Vital capacity medicine.medical_specialty Active duty medicine.drug_class Vital Capacity Population 0211 other engineering and technologies 02 engineering and technology Pulmonary function testing 03 medical and health sciences 0302 clinical medicine Forced Expiratory Volume Bronchodilator parasitic diseases Humans Medicine education Lung Retrospective Studies Asthma 021110 strategic defence & security studies education.field_of_study medicine.diagnostic_test business.industry Public Health Environmental and Occupational Health General Medicine medicine.disease Military personnel Military Personnel 030228 respiratory system Emergency medicine business
Zdroj:	Military Medicine. 187:e116-e121
ISSN:	1930-613X 0026-4075
DOI:	10.1093/milmed/usaa558
Popis:	Introduction Military personnel with a diagnosis of asthma report increased respiratory symptoms in the deployment and post-deployment periods. The long-term effect of deployment on pulmonary function in this population is unknown. This study sought to determine the effect of deployment on post-deployment pulmonary function in active duty military personnel with asthma. Materials and Methods A retrospective chart review of active duty military personnel with deployment to southwest Asia and an ICD-9 diagnosis of asthma with documented pre- and post-deployment spirometry was performed. Results A total of 642 active duty individuals with a diagnosis of asthma and documented spirometry with deployment to southwest Asia between 2006 and 2015 were identified. Of these, 76 individuals were identified with pre- and post-deployment spirometry. There was no significant change in the post-deployment forced expiratory volume at 1 second (% predicted), from 86.0 ± 14.8 to 87.6 ± 14.4 (P = .30). There was no significant change in post-deployment forced vital capacity (% predicted), from 93.8 ± 12.4 to 94.9 ± 12.1 (P = .42). The absolute change in forced expiratory volume at 1 second (L) after bronchodilator administration was decreased from pre-deployment to post-deployment (+0.31 ± 0.26 to +0.16 ± 0.23; P = .02). Conclusions There was no significant post-deployment change in spirometry in this military population with asthma deployed to southwest Asia. These findings suggest that deployment itself is not associated with any short-term deleterious effect on post-deployment spirometric measures of lung function in many military personnel with asthma.
Databáze:	OpenAIRE
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