|Document ID (ISN)||78535|
|ISSN - Serial title
||1076-2752 - Journal of Occupational and Environmental Medicine
|Convention or series no.
||Meijer E., Grobbee D.E., Heederik D.J.J.
||Health surveillance for occupational chronic obstructive pulmonary disease
||May 2001, Vol.43, No.5, p.444-450. Illus. 17 ref.
||Screening for lung disease in all workers with a low prevalence of chronic obstructive pulmonary disease (COPD) would lead to unacceptable costs. Surveillance of high-risk groups may be a useful alternative. Data from 314 workers exposed to dust were used to develop a prediction model. Data from a study comprising 96 rubber workers were used to validate the model's performance. COPD was defined as a ratio of forced expiratory volume in 1 second to forced vital capacity outside the 5th percentile. Shortness of breath, wheeze, heavy smoking, and work-related lower respiratory symptoms were identified as independent determinants of having COPD. Workers with COPD can be distinguished from those without COPD on the basis of a medical and work-related questionnaire, providing occupational physicians with a low-cost strategy for detecting workers at risk for COPD.
||obstructive ventilatory impairment; chronic respiratory diseases; medical supervision; respirable dust
||smoking; diagnosis; risk factors; respiratory function tests; occupational health survey
||D - Periodical articles
|Country / State or Province||Netherlands|
|Broad subject area(s)
||Occupational medicine, epidemiology
||Diseases of the respiratory system (except for pneumoconiosis & similar)