The upper respiratory pyramid: early factors and later treatment utilization in World Trade Center exposed firefighters.
The upper respiratory pyramid: early factors and later treatment utilization in World Trade Center exposed firefighters.
复制标题
上呼吸道金字塔：世贸中心暴露的消防员的早期因素和后期治疗利用。
DOI：
10.1002/ajim.22326
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发表时间：
2014
影响因子：
3.5
通讯作者：
Prezant,Davi
中科院分区：
文献类型：
--
作者：
Niles,JustinK;Webber,MayrisP;Liu,Xiaoxue;Zeig-Owens,Rachel;Hall,CharlesB;Cohen,HillelW;Glaser,MichelleS;Weakley,Jessica;Schwartz,TheresaM;Weiden,MichaelD;Nolan,Anna;Aldrich,ThomasK;Glass,Lara;Kelly,KerryJ;Prezant,Davi
BackgroundWe调查了早期后9/11的因素，可以预测鼻窦炎的医疗保健利用成本长达11年后，在8,079世界贸易中心暴露救援/recovery workers.MethodsWe使用双变量和多变量分析技术，调查利用结果;我们还使用金字塔框架来描述鼻窦炎的早期医疗保健群体，结果多变量模型显示，2005年9月11日之前的慢性鼻窦炎诊断和鼻部症状预测了WTC暴露后十多年的最后一年医疗保健利用结果。每个金字塔水平的工人的相对比例发生了显着变化，在研究period.ConclusionsDiagnoses慢性鼻窦炎4年内的一个主要吸入事件只能部分解释未来的医疗保健利用。在预测未来的医疗保健需求时，还必须考虑暴露强度、早期症状和其他因素。Am. J. Ind. Med. 57：857-865，2014.© 2014 Wiley Periodicals，Inc.
BackgroundWe investigated early post 9/11 factors that could predict rhinosinusitis healthcare utilization costs up to 11 years later in 8,079 World Trade Center‐exposed rescue/recovery workers.MethodsWe used bivariate and multivariate analytic techniques to investigate utilization outcomes; we also used a pyramid framework to describe rhinosinusitis healthcare groups at early (by 9/11/2005) and late (by 9/11/2012) time points.ResultsMultivariate models showed that pre‐9/11/2005 chronic rhinosinusitis diagnoses and nasal symptoms predicted final year healthcare utilization outcomes more than a decade after WTC exposure. The relative proportion of workers on each pyramid level changed significantly during the study period.ConclusionsDiagnoses of chronic rhinosinusitis within 4 years of a major inhalation event only partially explain future healthcare utilization. Exposure intensity, early symptoms and other factors must also be considered when anticipating future healthcare needs. Am. J. Ind. Med. 57:857–865, 2014. © 2014 Wiley Periodicals, Inc.