The validation of work-related self-reported asthma exacerbation

Bolen, Aimee R.; Henneberger, Paul K.; Xiaoming Hang; Sama, Susan R.; Preusse, Peggy A.; Rosiello, Richard A.; Milton, Donald K.
May 2007
Occupational & Environmental Medicine;May2007, Vol. 64 Issue 5, p343
Academic Journal
Objective: To determine the validity of work-related self-reported exacerbation of asthma using the findings from serial peak expiratory How (PEF) measurements as the standard. Methods: Adults with asthma treated in a health maintenance organisation were asked to conduct serial spirometry testing at home and at work for 3 weeks. Self-reported respiratory symptoms and medication use were recorded in two ways: a daily log completed concurrently with the serial PEF testing and a telephone questionnaire administered after the PEF testing. Three researchers evaluated the serial PEF records and judged whether a work relationship was evident. Results: 95 of 382 (25%) working adults with asthma provided adequate serial PEF data, and 13 of 95 (14%) were judged to have workplace exacerbation of asthma (WEA) based on these data. Self-reported concurrent medication use was the most valid single operational definition, with a sensitivity of 62% and a specificity of 65%. Conclusions: A work-related pattern of self-reported asthma symptoms or medication use was usually not corroborated by serial PEF testing and failed to identify many people who had evidence of WEA based on the serial PEF measurements.


Related Articles

  • Two patients with occupational asthma who returned to work with dust respirators. Obase, Yasushi; Shimoda, Terufumi; Mitsuta, Kazuko; Matsuse, Hiroto; Kohno, Shigeru // Occupational & Environmental Medicine;Jan2000, Vol. 57 Issue 1, p62 

    Objectives: To assess the efficacy of dust respirators in preventing asthma attacks in patients with occupational asthma (asthma induced by buckwheat flour or wheat flour). Methods: The effect of the work environment was examined in two patients with occupational asthma with and without the use...

  • A mathematical reason for FEV1/FVC dependence on age. Gólczewski, Tomasz; Lubiński, Wojciech; Chciałowski, Andrzej // Respiratory Research;Jul2012, Vol. 13 Issue 7, p1 

    Background: Recent studies have showed that FEV1/FVC describing correspondence between the forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) depends significantly on age. However, the nature of this dependence is uncertain. The study aim is to analyze mathematically...

  • Combat COPD.  // Prevention India;Apr2012, p6 

    The article offers information related to chronic obstructive pulmonary disorder (COPD), a condition which progressively impairs lung functions. The disease can be diagnosed with lung function assessment with spirometry, physical examination and a chest X-ray. According to research, smokers tend...

  • Accuracy of asthma and COPD diagnosis in Australian general practice: a mixed methods study. Abramson, Michael J.; Schattner, Rosa L.; Sulaiman, Nabil D.; Del Colle, Eleonora A.; Aroni, Rosalie; Thien, Francis // Primary Care Respiratory Journal;Jun2012, Vol. 21 Issue 2, p167 

    Background: Spirometry is the 'gold standard' for diagnosing asthma and chronic obstructive pulmonary disease (COPD) but is rarely used in general practice. Aims: To compare doctor diagnoses with patient reports/spirometry and to determine doctors' perceptions of spirometry. Methods: Patients...

  • Chronic Obstructive Pulmonary Disease in the Veterans Affairs Hospitals: Haven't We Seen This Before? Guy W. Soo Hoo // Respiratory Care;May2010, Vol. 55 Issue 5, p643 

    The article presents the author's comments on chronic obstructive pulmonary disease (COPD) in veterans affairs hospitals in the U.S. According to the author, COPD has long been acknowledged as a major cause of respiratory disability, and is the fourth leading cause of death in the U.S. The...

  • Conference brief: Nine predictors of fixed obstruction.  // GP: General Practitioner;9/13/2004, p15 

    The article reports that a team of U.S. and Great Britain researchers has identified nine factors to help identify patients with prior evidence of obstructive lung disease likely to require spirometric follow-up.

  • Systematic spirometry testing is needed. Shovelton, Dame Helena // Independent Nurse;11/17/2008, p16 

    The author provides insights regarding chronic obstructive pulmonary disease (COPD) and its prevalence in Great Britain. She mentions the effort of the British Lung Foundation (BLF) to address the lack of awareness regarding COPD through a campaign to be held on November 19, 2008. Moreover, she...

  • Role of forced expiratory flow at 25–75% as an early marker of small airways impairment in subjects with allergic rhinitis. Marseglia, Gian Luigi; Cirillo, Ignazio; Vizzaccaro, Andrea; Klersy, Catherine; Tosca, Maria Angela; La Rosa, Mario; Marseglia, Alessia; Licari, Amelia; Leone, Maddalena; Ciprandi, Giorgio // Allergy & Asthma Proceedings;Jan/Feb2007, Vol. 28 Issue 1, p74 

    A close link exists between allergic rhinitis and asthma. Small airway disease (SAD), defined by a reduction in forced expiratory flow at 25–75% of the pulmonary volume (FEF25–75) and normal spirometry (normal forced expiratory volume at 1 second [FEV1], forced vital capacity...

  • Prevalence, diagnosis and relation to tobacco dependence of chronic obstructive pulmonary disease in a nationally representative population sample. Shahab, L.; Jarvis, M. J.; Britton, J.; West, R. // Thorax;Dec2006, Vol. 61 Issue 12, p1043 

    Background: Chronic obstructive pulmonary disease (COPD) is the fourth most common cause of death worldwide. It is caused primarily by cigarette smoking. Given its importance, it is remarkable that reliable national prevalence data are lacking for most countries. This study provides estimates of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics