Periodic spirometry in occupational setting: improving quality, accuracy, and precision

Details

• Personal Author:
  Beeckman-Wagner LA ; Fleming JL ; Hakobyan A ; Hnizdo, Eva
• Description:
  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 percent to 95 percent and the mean longitudinal forced expiratory volume in 1 second within-person variation decreased from 6 percent to 4 percent. 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. [Description provided by NIOSH]
• Subjects:
  Diagnosis Firefighters Health Care Facilities Workforce And Services Lung Occupational Health Quality Control Respiratory Function Tests Respiratory System Safety
• Keywords:
  Breathing Diagnostic-techniques Diagnostic-tests Equipment-reliability Fire-fighters Lung-function Measurement-equipment Medical-monitoring Medical-screening Pulmonary-function Pulmonary-function-tests Quality-control Quality-standards Spirometry Surveillance

  More +
• ISSN:
  1076-2752
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Arizona ; OSHA Region 3 ; OSHA Region 9 ; 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:
  53
• Issue:
  10
• NIOSHTIC Number:
  nn:20039685
• Citation:
  J Occup Environ Med 2011 Oct; 53(10):1205-1209
• Contact Point Address:
  Eva Hnizdo, PhD, Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, 1095 Willowdale Rd, Morgantown, WV 26505
• Email:
  ehnizdo@cdc.gov
• Federal Fiscal Year:
  2012
• 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-512:0305f4d19ab9c26bb45a849e4b90884887dd6c9efa840a5a71e45449add7aebd0185189bb3cf5126a306a7171f9a35a5521707b6c686db97a4a9c91ab61535b7
• Download URL:
  https://stacks.cdc.gov/view/cdc/192839/cdc_192839_DS1.pdf
• File Type:
  [PDF - 283.70 KB ]