Long term health complaints following the Amsterdam Air Disaster in police officers and fire-fighters

Long term health complaints following the Amsterdam Air Disaster in police officers and fire-fighters
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DOI:
10.1136/oem.2005.024687
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发表时间:
2006-10-01
影响因子:
4.9
通讯作者:
Smid, T.
Smid, T.
中科院分区:
医学2区
文献类型:
--
作者:
Huizink, A. C.;Slottje, P.;Smid, T.

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背景:1992年10月4日,一架货运飞机在荷兰阿姆斯特丹撞上公寓楼。目的:探讨灾难救援人员的长期健康问题。在警察中进行了一项历史队列研究,(n = 834)和消防员(n = 334)谁进行了至少一个灾难相关的任务和参考组的非暴露的同事(分别为n = 634和n = 194)。主要结果的措施包括消化,心血管,肌肉骨骼,神经系统,气道,皮肤,创伤后应激,疲劳和一般的心理健康投诉;血液学和生化实验室值;和尿液分析outcomes.Results:警察和消防队员谁是专业暴露于灾难报告更多的身体和心理健康的投诉,相比参考组。没有临床相关的实验室outcomes.Conclusions的统计学显着差异:这项研究是第一次检查长期的健康投诉在一个大样本的救援人员暴露于灾难相比,非暴露的同事参考组。调查结果显示,即使从长远来看,在没有实验室异常的情况下,救援人员报告的健康投诉也更多。
Background: On 4 October 1992, a cargo aircraft crashed into apartment buildings in Amsterdam, the Netherlands. Fire-fighters and police officers assisted with the rescue work.Objectives: To examine the long term health complaints in rescue workers exposed to a disaster.Methods: A historical cohort study was performed among police officers ( n = 834) and fire-fighters ( n = 334) who performed at least one disaster related task and reference groups of their non-exposed colleagues ( n = 634 and n = 194, respectively). The main outcome measures included digestive, cardiovascular, musculoskeletal, nervous system, airway, skin, post-traumatic stress, fatigue, and general mental health complaints; haematological and biochemical laboratory values; and urinalysis outcomes.Results: Police officers and fire-fighters who were professionally exposed to a disaster reported more physical and mental health complaints, compared to the reference groups. No clinically relevant statistically significant differences in laboratory outcomes were found.Conclusions: This study is the first to examine long term health complaints in a large sample of rescue workers exposed to a disaster in comparison to reference groups of non-exposed colleagues. Findings show that even in the long term, and in the absence of laboratory abnormalities, rescue workers report more health complaints.