Longitudinal spirometry among patients in a treatment program for community members with World Trade Center-related illness

Details

• Personal Author:
  Berger KI ; Caplan-Shaw C ; Cheng Q ; Fernandez-Beros ME ; Goldring RM ; Kazeros A ; Liu M ; Marmor M ; Parsia S ; Qian M ; Reibman J ; Shao Y ; Turetz M
• Description:
  OBJECTIVE: The course of lung function in community members exposed to World Trade Center (WTC) dust and fumes remains undefined. We studied longitudinal spirometry among patients in the WTC Environmental Health Center (WTCEHC) treatment program. METHODS: Observational study of 946 WTCEHC patients with repeated spirometry measures analyzed on the population as a whole and stratified by smoking status, initial spirometry pattern, and WTC-related exposure category. RESULTS: Improvement in forced vital capacity (54.4 mL/yr; 95% confidence interval, 45.0 to 63.8) and forced expiratory volume in 1 second (36.8 mL/yr; 95% confidence interval, 29.3 to 44.3) was noted for the population as a whole. Heavy smokers did not improve. Spirometry changes differed depending on initial spirometry pattern and exposure category. CONCLUSION: These data demonstrate spirometry improvement in select populations suggesting reversibility in airway injury and reinforcing the importance of continued treatment. [Description provided by NIOSH]
• Subjects:
  Dust Emergency Responders Hazardous Substances Health Care Facilities Workforce And Services Lung Lung Diseases Occupational Health Respiratory Function Tests Respiratory System Respiratory Tract Diseases Safety Smokers Tobacco Products

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• Keywords:
  Airway-obstruction Cigarette-smoking Dose-response Dust-exposure Dust-particles Dusts Hazardous-materials Lung-disorders Lung-function Medical-monitoring Medical-screening Medical-treatment Pulmonary-system-disorders Rescue-workers Respiratory-function-tests Respiratory-system-disorders Smoking Spirometry

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• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant ; Contract
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  WTCHP - World Trade Center Health Program
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  54
• Issue:
  10
• NIOSHTIC Number:
  nn:20041562
• Citation:
  J Occup Environ Med 2012 Oct; 54(10):1208-1213
• Contact Point Address:
  Joan Reibman, MD, 550 1st Ave, Room NB7N24, New York University School of Medicine, New York, NY 10016
• Email:
  joan.reibman@nyumc.org
• Federal Fiscal Year:
  2013
• Performing Organization:
  New York City Health and Hospitals Corporation
• Peer Reviewed:
  True
• Start Date:
  20080929
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20110928
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:775f2c4f6f44042829faaac90de661395c523726a063d97ae48da4e6877d767d1fc99a2d16bedfe71a5ab068c8df67fb53e20242ddb58511a96ec2595a01b4ca
• Download URL:
  https://stacks.cdc.gov/view/cdc/194097/cdc_194097_DS1.pdf
• File Type:
  [PDF - 177.61 KB ]