Respiratory health evaluation of construction workers using questionnaire

2021 ◽  
Vol 25 (4) ◽  
pp. 313-320
Author(s):  
Umesh C. Ojha ◽  
Sonam Spalgais ◽  
Ashish Ranjan ◽  
Omkar K. Choudhari
Keyword(s):  
Health Status ◽  
Occupational Health ◽  
Respiratory Health ◽  
Chronic Obstructive Lung Disease ◽  
Construction Workers ◽  
Environmental Research ◽  
Chronic Obstructive ◽  
Study Results ◽  
Growing Economy ◽  
Participant Response

Relevance . With growing economy and flourishing construction industries the comorbidities among construction workers are also raised. They are exposed to various dust, fumes, noxious gases and vapours making them susceptible to chronic airway diseases like Chronic Obstructive Lung Disease. The aim of the study was to evaluate the respiratory health status of construction workers in an unorganised sector. Materials and Methods . The data collected from National Capital of Delhi region in an unorganised sector of construction workers by using a Saint George Respiratory Questionnaire by the Institute of Occupational Health and Environmental research, Basaidarapur, Delhi, India. All the participant response was noted and the answers were evaluated to see respiratory health status of workers. Total 200 workers were evaluated. Total 182 males and 18 female participated in the study. Results and Discussion . 25% of workers reported poor health at the time of the survey, while only 4% of workers considered their health to be very good. Among the main complaints were indicated: cough, sputum production, shortness of breath, chest infections, attacks of wheezing. The overall mean of Saint George Respiratory Questionnaire core was 33.55. It increases with the working period in the construction field with 21.6% for 10years and 49.1 for 30years experienced workers, while workers with 11 to 20 years of experience, the score was 28.4. The Saint George Respiratory Questionnaire score was 35.1 in 21-30 years of experienced construction workers. Conclusion . As a result of the study, construction workers are found to be at high risk of various respiratory diseases and related disabilities. Participants in this study did not receive any treatment for respiratory problems at any clinic. This means the importance of occupational health education and the use of personal protective equipment and safe working conditions for construction workers.

scholarly journals 4021 Learning from Patient Experience to Improve Diagnosis: a Pilot Study

2020 ◽  
Vol 4 (s1) ◽  
pp. 138-139
Author(s):  
Kelly Gleason ◽  
Cheryl Dennison Himmelfarb ◽  
Susan Peterson ◽  
Taylor Wynn ◽  
Mariel Villanueva ◽  
...  
Keyword(s):  
Emergency Department ◽  
Health Status ◽  
Administrative Data ◽  
Health Problem ◽  
Chronic Obstructive Lung Disease ◽  
Diagnostic Error ◽  
Chronic Obstructive ◽  
Study Results ◽  
Patient Reported ◽  
Emergency Department Discharge

OBJECTIVES/GOALS: Leveraging Patient’s Experience to improve Diagnosis (LEAPED) is our proposed method of measuring diagnostic error through seeking patient feedback on their understanding of their diagnosis and health status following emergency department discharge. To pilot test LEAPED’s feasibility, we deployed and determined patient uptake of LEAPED. METHODS/STUDY POPULATION: To test LEAPED, we employed a longitudinal cohort study design at emergency departments across one academic health system in the Mid-Atlantic region. Patients consented to complete questionnaires regarding their understanding of their diagnosis and/or follow-up steps and their health status at 2 weeks, 1 month, and 3 months following emergency department discharge. People aged 18 and older who were seen at the emergency department within the past 7 days with at least one chronic condition (hypertension, diabetes, history of stroke, arthritis, cancer, heart disease, osteoporosis, depression, and/or chronic obstructive lung disease) and one or more of the following common chief complaints: chest pain, upper back pain, abdominal pain, shortness of breath/cough, dizziness, and headache were eligible to join the study. RESULTS/ANTICIPATED RESULTS: Of those enrolled (n = 59), 95% (n = 53) responded to the two week post-ED discharge questionnaire (1 and 3-month ongoing). Of the 6 non-responders, 1 had died and 3 were hospitalized at two weeks. The average age was 50 years (SD 16) and 64% were female. Over half of participants (53%) were white and 41% were black. Almost one-third (27%) reported they were not given an explanation of their health problem on leaving the ED, and of those, a third did not have an understanding of what steps to take after leaving the ED. Participants reported a new health problem was identified after ED discharge (19%), worsening health status (12%), and health status stayed the same (16%). DISCUSSION/SIGNIFICANCE OF IMPACT: Patient uptake of LEAPED was high, which suggests that patient-report is a feasible method of evaluating diagnostic decision making and delivery to patients and yields insightful information beyond administrative data. The next steps are to validate the accuracy of patient-reported diagnostic error by comparing with administrative data.

scholarly journals Serum bilirubin and chronic obstructive pulmonary disease (COPD): a systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
David M. MacDonald ◽  
Ken M. Kunisaki ◽  
Timothy J. Wilt ◽  
Arianne K. Baldomero
Keyword(s):  
Systematic Review ◽  
Health Status ◽  
Lung Function ◽  
Serum Bilirubin ◽  
Respiratory Health ◽  
Airflow Obstruction ◽  
Risk Of Bias ◽  
Chronic Obstructive ◽  
Strength Of Evidence ◽  
Acute Exacerbations

Abstract Background Bilirubin is a potent antioxidant and higher serum bilirubin levels have been associated with improved COPD outcomes. We performed a systematic review to evaluate the association between serum bilirubin levels and lung function (FEV1), prevalence/incidence of COPD, acute exacerbations of COPD, respiratory health status, and mortality. Methods MEDLINE® and Embase were searched using Ovid® (search updated October 1st, 2019). We included studies that measured serum bilirubin levels and outcomes of interest in adults with or without underlying lung disease. We excluded studies of those with liver disease or drug-induced elevations in bilirubin. We used the Newcastle–Ottawa scale to assess individual study risk of bias (ROB) and the US Agency for Healthcare Research and Quality—Evidence Based Practice tool to assess overall strength of evidence (SOE). Two authors independently determined eligibility, performed data abstraction, assessed ROB, and determined SOE. Results Thirteen studies (5 low risk of bias, 3 moderate and 5 high risk) were included. We found low strength of evidence for the association between higher bilirubin levels and lower risk of acute exacerbations of COPD (2 studies), mortality (3 studies), COPD diagnosis (4 studies), and lung function (FEV1) (8 studies). We found insufficient evidence on the relationship between serum bilirubin and respiratory health status/exercise capacity (1 study) and airflow obstruction (FEV1/FVC ratio) (4 studies). Conclusion Higher bilirubin levels may be associated with lower mortality and improved COPD outcomes. Randomized trials are needed to evaluate the effect of medications that raise serum bilirubin on COPD outcomes. PROSPERO registration: CRD42019145747.

scholarly journals Relationship of CT densitometry to lung physiological parameters and health status in alpha-1 antitrypsin deficiency: initial report of a centralised database of the NIHR rare diseases translational research collaborative

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e036045
Author(s):  
Diana Crossley ◽  
James Stockley ◽  
Charlotte E Bolton ◽  
Nicholas S Hopkinson ◽  
Ravi Mahadeva ◽  
...  
Keyword(s):  
Health Status ◽  
Lung Function ◽  
Lung Disease ◽  
Clinical Features ◽  
Obstructive Lung Disease ◽  
Chronic Obstructive Lung Disease ◽  
Chronic Obstructive ◽  
Antitrypsin Deficiency ◽  
Alpha 1 Antitrypsin Deficiency ◽  
Alpha 1 Antitrypsin

ObjectivesTo establish a database network for the study of alpha-1 antitrypsin deficiency (AATD) and compare the results to CT lung density as the most direct measure of emphysema.DesignA central electronic database was established to permit the upload of anonymised patient data from remote sites. Prospectively collected CT data were recorded onto disc, anonymised, analysed at the coordinating centre and compared with the clinical features of the disease.SettingTertiary referral centres with expertise in the management of AATD focused on academic Biomedical Research Units and Wellcome Clinical Research Facilities.ParticipantsData were collected from 187 patients over 1 year from eight UK academic sites. This included patient demographics, postbronchodilator physiology, health status and CT. Analysis was undertaken at the coordinating centre in Birmingham.ResultsPatient recruitment in the 12 months reached 94% of target (set at 200) covering the whole spectrum of the disease from those with normal lung function to very severe chronic obstructive lung disease. CT scan suitable for analysis was available from 147 (79%) of the patients. CT density, analysed as the threshold for the lowest 15% of lung voxels, showed statistically significant relationships with the objective physiological parameters of lung function as determined by spirometric Global Initiative for Chronic Obstructive Lung Disease (GOLD) severity staging (p<0.001) and carbon monoxide gas transfer (p<0.01). Density also correlated with subjective measures of quality of life (p=0.02).ConclusionsEstablishment of the network for data collection and its transfer was highly successful facilitating future collaboration for the study of this rare disease and its management. CT densitometry correlated well with the objective clinical features of the disease supporting its role as the specific marker of the associated emphysema and its severity. Correlations with subjective measures of health, however, were generally weak indicating other factors play a role.

scholarly journals The Clinical COPD Questionnaire Correlated with BODE Index-A Cross-Sectional Study

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Shih-Feng Liu ◽  
Ching-Wan Tseng ◽  
Mei-Lien Tu ◽  
Chin-Chou Wang ◽  
Chia-Cheng Tseng ◽  
...  
Keyword(s):  
Health Status ◽  
Airflow Obstruction ◽  
Chronic Obstructive Lung Disease ◽  
Cross Sectional Study ◽  
Chronic Obstructive ◽  
Cross Sectional ◽  
Bode Index ◽  
Measure Health Status ◽  
Global Initiative ◽  
A Prospective Study

The Global initiative for Chronic Obstructive Lung Disease (GOLD) staging has widely used in the stratification of the severity of COPD, while BODE (body mass index, airflow obstruction, dyspnea, and exercise capacity) index was proven superior to FEV1 in predicting mortality, exacerbation and disease severity in patients with COPD. Clinical COPD Questionnaire (CCQ), a questionnaire with ten items categorized into three domains (symptoms, functional state and mental state) was developed to measure health status of COPD patients. However, little is known about the relationship between CCQ score and BODE index. We performed a prospective study with the inclusion of 89 patients who were clinically stable after a 6-week-therapy for COPD symptoms comparing their health status assessed by CCQ, BODE index and GOLD staging. We found that the total CCQ score was correlated with BODE score (P<0.001) and GOLD staging (P<0.001); of three CCQ domains, the functional status correlated the most with BODE index (rS=0.670) and GOLD staging (rS=0.531), followed by symptoms (rS=0.482;rS=0.346, respectively), and mental status (rS=0.340;rS=0.236, respectively). Our data suggest that CCQ is a reliable and convenient alternative tool to evaluate the severity of COPD.

scholarly journals Preventing clinically important deterioration with single-inhaler triple therapy in COPD

2018 ◽  
Vol 4 (4) ◽  
pp. 00047-2018 ◽  
Author(s):  
Ian Naya ◽  
Chris Compton ◽  
Afisi S. Ismaila ◽  
Ruby Birk ◽  
Noushin Brealey ◽  
...  
Keyword(s):  
Health Status ◽  
Lung Function ◽  
Chronic Obstructive Lung Disease ◽  
Chronic Obstructive ◽  
Double Blind ◽  
Obstructive Pulmonary Disease ◽  
Once Daily ◽  
Link Type ◽  
Clinically Important Deterioration ◽  
St George's Respiratory Questionnaire

Clinically important deterioration (CID) is a novel composite end-point (lung function, health status, exacerbations) for assessing disease stability in patients with chronic obstructive pulmonary disease (COPD).We prospectively analysed CID in the FULFIL study. FULFIL (ClinicalTrials.govNCT02345161; randomised, double-blind, double-dummy, multicentre study) compared 24 weeks of once daily, single-inhaler fluticasone furoate/umeclidinium/vilanterol (FF/UMEC/VI) 100/62.5/25 µg with twice daily budesonide/formoterol (BUD/FOR) 400/12 μg in patients aged ≥40 years with symptomatic advanced COPD (Global Initiative for Chronic Obstructive Lung Disease group D). A subset of patients received study treatment for up to 52 weeks. Time to first CID event was assessed over 24 and 52 weeks using two approaches for the health status component: St George's Respiratory Questionnaire and COPD assessment test. FF/UMEC/VI significantly reduced the risk of a first CID event by 47–52% versus BUD/FOR in the 24- and 52-week populations using both CID definitions (p<0.001).The median time to first CID event was ≥169 days and ≤31 days with FF/UMEC/VI and BUD/FOR, respectively. Only stable patients with no CID at 24 weeks demonstrated sustained clinically important improvements in lung function and health status at 52 weeks versus those who had experienced CID.Once daily, single-inhaler FF/UMEC/VI significantly reduced the risk of CID versus twice daily BUD/FOR with a five-fold longer period without deterioration.

scholarly journals Knowledge, Attitude and Practices towards Lifestyle Disorders in Rural Communities, in Maharashtra, India

2021 ◽  
Vol 10 (19) ◽  
pp. 1372-1376
Author(s):  
Prajakta Prakash Jadhav ◽  
Anushka Nitin Kamble ◽  
Suraj Bhimarao Kanase ◽  
Dhiraj Kumar Mane
Keyword(s):  
Rural Communities ◽  
Positive Attitude ◽  
Musculoskeletal Diseases ◽  
Age Groups ◽  
Chronic Obstructive Lung Disease ◽  
Chronic Respiratory Disease ◽  
Chronic Obstructive ◽  
P Value ◽  
Study Results ◽  
Daily Physical Activities

BACKGROUND Lifestyle is a way of living which depends on geographical, cultural, social, economic, political, and religious characteristics. An individual’s lifestyle is defined by many factors such as his daily physical activities, diet, nutrition, stress, alcohol consumption, drug abuse, smoking, sleep etc. Disorder means disruption in the normal physical or mental functioning of body. Lifestyle disorders are disorders related with way one lives his life. Lifestyle disorders include cardiovascular diseases, musculoskeletal diseases, stroke, depression, chronic obstructive lung disease, diabetes mellitus, chronic respiratory disease, and certain types of cancers like lung cancer, cervical cancer etc. Risk factors for lifestyle disorders are physical inactivity, excessive use of alcohol, smoking, wrong body posture, obesity, unhealthy diet. The focus of this study was to determine the knowledge, attitude and practices in the rural communities towards lifestyle disorders. METHODS This observational study was conducted among 394 participants aged between 20 and 45 years who were selected from Malkapur, Karad, through simple random sampling method. Out of 394 subjects, 181 were males and 213 were females. A structured questionnaire which involved 30 questions based on knowledge, attitude and practices regarding lifestyle disorders was used in this study. RESULTS In this study it was found that, out of 394 participants, 34 % (132) participants had good knowledge regarding lifestyle disorders, 18 % (70) participants had positive attitude towards lifestyle disorders and only 13 % (61) participants were actually practicing healthy habits (P-value = < 0.0001). After comparison between two age groups 20 - 32 years (181) and 33 – 45 years (213) it was indicated that there was significant association between the practice score with P-value of 0.0004 and chi square value of 15.45. CONCLUSIONS Above study concluded that the participants had adequate knowledge about lifestyle disorders, but they lacked positive attitude and healthy practices towards lifestyle disorders. KEY WORDS Lifestyle Disorders, Knowledge, Attitude, Practices

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