The prevalence of asthma work relatedness – Preliminary data

2.50
Hdl Handle:
http://hdl.handle.net/10146/565710
Title:
The prevalence of asthma work relatedness – Preliminary data
Authors:
Dudek, Wojciech ( 0000-0002-3502-4227 ) ; Kuprys-Lipisska, Izabela; Wittczak, Tomasz; Swierczynska-Machura, Dominika; Kupczyk, Maciej; Walusiak-Skorupa, Jolanta ( 0000-0003-0836-6800 ) ; Kuna, Piotr; Palczynski, Cezary
Abstract:
Objectives: About 5–10% of asthmatics do not respond well to standard treatment plan. Occupational exposure may be one of the factors that can be linked with treatment failure. The aim of the study was to assess the prevalence of workrelated asthma (WRA) among adult asthmatics under follow up in an outpatient allergy clinic and to create a useful tool for detecting individuals with possible WRA. Material and Methods: Preliminary 5-question questionnaire designed to recognize WRA was presented to 300 asthmatics. All patients with positive preliminary verification along with 50 subjects from control group were asked to fill up a detailed questionnaire. The WRA was diagnosed by positive match for asthma symptoms in combination with workplace exposure indicated in the detailed WRA questionnaire followed by confirmation of each WRA case by detailed exposure analysis. Results: Work-related asthma was recognized in 63 subjects (21% of study group). The preliminary questionnaire has 76.9% sensitivity and 94% specificity in recognition of WRA. Occupational exposure to irritants is a risk factor of WRA recognition (relative risk (RR) = 2.09 (1.44:3.03)). Working in exposure-free environment is a factor against WRA recognition (RR = 0.38 (0.24:0.61)). Among subjects with work-related asthma, the uncontrolled course of the disease is significantly more frequent (p = 0.012). Subjects with WRA more often report sickness absenteeism due to asthma than those without WRA (9.6% vs. 3.2%, respectively), but the observed differences did not reach the statistical significance. Conclusions: Short 5-question questionnaire seems to be a promising tool to detect individuals with possible work-related asthma in the outpatient setting for further evaluation and additional attention.
Affiliation:
Dr Karol Jonscher City Hospital, Łódź, Poland; Medical University of Lodz, Łódź, Poland; The Regional Centre for Occupational Medicine, Łódź, Poland; Nofer Institute of Occupational Medicine, Łódź, Poland
Citation:
International Journal of Occupational Medicine and Environmental Health 2015;28(6)
Journal:
International Journal of Occupational Medicine and Environmental Health
Issue Date:
2015
URI:
http://hdl.handle.net/10146/565710
DOI:
10.13075/ijomeh.1896.00513
Additional Links:
http://www.journalssystem.com/ijomeh/The-prevalence-of-asthma-work-relatedness-preliminary-data,58552,0,2.html; http://ijomeh.eu/The-prevalence-of-asthma-work-relatedness-Preliminary-data,58552,0,2.html
Type:
Article
Language:
en_US
ISSN:
1232-1087
Sponsors:
Statutory funding of Nofer Institute of Occupational Medicine program No. IMP 11.5/2012/2014
Appears in Collections:
Articles

Full metadata record

DC FieldValue Language
dc.contributor.authorDudek, Wojciechen
dc.contributor.authorKuprys-Lipisska, Izabelaen
dc.contributor.authorWittczak, Tomaszen
dc.contributor.authorSwierczynska-Machura, Dominikaen
dc.contributor.authorKupczyk, Maciejen
dc.contributor.authorWalusiak-Skorupa, Jolantaen
dc.contributor.authorKuna, Piotren
dc.contributor.authorPalczynski, Cezaryen
dc.date.accessioned2015-08-07T07:41:53Zen
dc.date.available2015-08-07T07:41:53Zen
dc.date.issued2015en
dc.identifier.citationInternational Journal of Occupational Medicine and Environmental Health 2015;28(6)en
dc.identifier.issn1232-1087en
dc.identifier.doi10.13075/ijomeh.1896.00513en
dc.identifier.urihttp://hdl.handle.net/10146/565710en
dc.description.abstractObjectives: About 5–10% of asthmatics do not respond well to standard treatment plan. Occupational exposure may be one of the factors that can be linked with treatment failure. The aim of the study was to assess the prevalence of workrelated asthma (WRA) among adult asthmatics under follow up in an outpatient allergy clinic and to create a useful tool for detecting individuals with possible WRA. Material and Methods: Preliminary 5-question questionnaire designed to recognize WRA was presented to 300 asthmatics. All patients with positive preliminary verification along with 50 subjects from control group were asked to fill up a detailed questionnaire. The WRA was diagnosed by positive match for asthma symptoms in combination with workplace exposure indicated in the detailed WRA questionnaire followed by confirmation of each WRA case by detailed exposure analysis. Results: Work-related asthma was recognized in 63 subjects (21% of study group). The preliminary questionnaire has 76.9% sensitivity and 94% specificity in recognition of WRA. Occupational exposure to irritants is a risk factor of WRA recognition (relative risk (RR) = 2.09 (1.44:3.03)). Working in exposure-free environment is a factor against WRA recognition (RR = 0.38 (0.24:0.61)). Among subjects with work-related asthma, the uncontrolled course of the disease is significantly more frequent (p = 0.012). Subjects with WRA more often report sickness absenteeism due to asthma than those without WRA (9.6% vs. 3.2%, respectively), but the observed differences did not reach the statistical significance. Conclusions: Short 5-question questionnaire seems to be a promising tool to detect individuals with possible work-related asthma in the outpatient setting for further evaluation and additional attention.en
dc.description.sponsorshipStatutory funding of Nofer Institute of Occupational Medicine program No. IMP 11.5/2012/2014en
dc.language.isoen_USen
dc.relation.urlhttp://www.journalssystem.com/ijomeh/The-prevalence-of-asthma-work-relatedness-preliminary-data,58552,0,2.htmlen
dc.relation.urlhttp://ijomeh.eu/The-prevalence-of-asthma-work-relatedness-Preliminary-data,58552,0,2.htmlen
dc.rightsArchived with thanks to International Journal of Occupational Medicine and Environmental Healthen
dc.subjectasthmaen
dc.subjectoccupational diseasesen
dc.subjectepidemiologyen
dc.titleThe prevalence of asthma work relatedness – Preliminary dataen_US
dc.typeArticleen
dc.contributor.departmentDr Karol Jonscher City Hospital, Łódź, Poland; Medical University of Lodz, Łódź, Poland; The Regional Centre for Occupational Medicine, Łódź, Poland; Nofer Institute of Occupational Medicine, Łódź, Polanden
dc.identifier.journalInternational Journal of Occupational Medicine and Environmental Healthen
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