Interpreting screening questionnaires: specific respiratory symptoms and their relationship to objective test results

Details

• Personal Author:
  Petsonk, Edward L. ; Wang, Mei Lin
• Description:
  Objective: To better delineate the relationship between responses to screening respiratory symptom questionnaires and various pulmonary function test results. Methods: Spirometry, methacholine challenge, standardized questionnaires, smoking, medical, and work histories were recorded at initial and 5-year follow-up surveys among 411 participants. Percent-predicted forced expiratory volume in 1 second (ppFEV1), 5-year FEV1 decline, and proportion of methacholine responders (% hyper-responders) were compared with questionnaire responses utilizing generalized estimating equations modeling and analysis of variance. Results: Significant associations were found between ppFEV1 and cough, phlegm, dyspnea, or ever wheezing; between greater percentage of hyper-responders and dyspnea with wheezing, ever/persistent wheezing, or history of asthma/hay fever; and between accelerated FEV1 decline and new onset dyspnea with wheezing, phlegm, or persistent wheeze. Conclusions: Particular respiratory symptoms reported on screening questionnaires are associated with specific physiologic abnormalities, enhancing questionnaire utility in workplace health surveillance. [Description provided by NIOSH]
• Subjects:
  Lung Methacholine Compounds Occupational Health Respiratory Function Tests Respiratory System Respiratory Tract Diseases Safety Smokers Surveys And Questionnaires
• Keywords:
  Lung-function Medical-screening Methacholines Pulmonary-function-tests Questionnaires Respiratory-function-tests Respiratory-system-disorders Smoking Spirometry Surveillance-programs
• ISSN:
  1076-2752
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DRDS - Division of Respiratory Disease Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  52
• Issue:
  12
• NIOSHTIC Number:
  nn:20037983
• Citation:
  J Occup Environ Med 2010 Dec; 52(12):1225-1229
• Contact Point Address:
  Edward L. Petsonk, MD, National Institute for Occupational Safety and Health, Division of Respiratory Disease Studies, Mail Stop H-G900.2, 1095 Willowdale Road, Morgantown, WV 26505
• Email:
  elp2@cdc.gov
• Federal Fiscal Year:
  2011
• Peer Reviewed:
  True
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:d5eb55de1f68c648058ea6aee54ba91917b0d3c6b7c773686329cfd9720122fd327af94582710ce95f7e074e705abef0a4f770bf674d06d8562f65cc07a95acd
• Download URL:
  https://stacks.cdc.gov/view/cdc/191868/cdc_191868_DS1.pdf
• File Type:
  [PDF - 341.54 KB ]