Occupational history quality in patients with newly documented, clinician-diagnosed chronic bronchitis

Chest
Ware G KuschnerMadhuri Agrawal

Abstract

Approximately 15% of cases of COPD, including chronic bronchitis, is attributable to occupational exposures. An occupational history is essential to identify exposures responsible for work-related chronic bronchitis. We conducted a structured retrospective analysis of the medical records of veterans, 18 to 70 years of age, newly diagnosed with chronic bronchitis in order to achieve the following: (1) to assess the quality of documented occupational histories; and (2) to characterize the management of patients with a history of exposure to a potentially hazardous respiratory substance. We also analyzed occupational exposure data reported by patients on a structured questionnaire. Sixty patients were included in the final analysis. A total of 6,150 notes were reviewed. Occupational status was documented in the records of 54 patients (90%). A description of occupational duties was recorded in 32 records (53%), and work exposure data in 26 records (43%). Clinicians concluded that occupational exposures potentially contributed to chronic bronchitis in three patients (5%). A recommendation for exposure avoidance was documented for six patients (10%). On the questionnaire, most patients reported a history of occupational exposure to r...Continue Reading

References

Aug 7, 1991·JAMA : the Journal of the American Medical Association·P J Landrigan, D B Baker
Oct 26, 1995·The New England Journal of Medicine·L S Newman
Apr 5, 2001·Journal of Occupational and Environmental Medicine·P Harber, B Merz
Feb 25, 2003·American Journal of Respiratory and Critical Care Medicine·John BalmesUNKNOWN Environmental and Occupational Health Assembly, American Thoracic Society
Mar 27, 2004·American Journal of Respiratory and Critical Care Medicine·UNKNOWN American Thoracic Society
Jun 8, 2006·Journal of Occupational Medicine and Toxicology·Piera BoschettoCristina E Mapp
Dec 15, 2007·Reviews on Environmental Health·Lesley Rushton
Feb 28, 2008·Current Opinion in Pulmonary Medicine·Margit Pelkonen

❮ Previous
Next ❯

Citations

Aug 6, 2011·The American Journal of the Medical Sciences·Ware G KuschnerSebnem Guvenc-Tuncturk
Aug 10, 2010·Paediatric Respiratory Reviews·Jonathan Egan
Sep 10, 2014·Respiratory Medicine·Margit K PelkonenHeikki O Koskela
Feb 28, 2015·American Journal of Respiratory and Critical Care Medicine·Carlos H Martinez, George L Delclos
May 19, 2016·Expert Review of Respiratory Medicine·J L Lopez-CamposJ B Soriano

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Atencion primaria
M Ferrer Marín-BlázquezF J offujano Pita
The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
Paul D Blanc, Kjell Torén
The Medical Journal of Australia
Grant M Russell, Sally M Roach
The Nursing Journal of Singapore
M El Batawi
© 2022 Meta ULC. All rights reserved