Agricultural exposures in patients with COPD in health systems serving rural areas.
Agricultural exposures in patients with COPD in health systems serving rural areas.
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DOI：
10.1300/j096v12n02_10
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发表时间：
2007-01-01
影响因子：
2.4
通讯作者：
Romberger, Debra J
中科院分区：
文献类型：
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作者：
Bailey, Kristina L;Meza, Jane L;Romberger, Debra J
背景：农业暴露是慢性阻塞性肺疾病（COPD）发展的危险因素。然而，对于有农业暴露史的COPD患者的数量没有很好的估计。方法：我们对2004年11月至2005年3月期间在奥马哈退伍军人管理医院（Omaha Veterans Administration Hospital）进行的所有肺功能检查确定的COPD患者进行了电话访谈。阻塞性肺疾病定义为FEV(1)/FVC比值小于70%。该调查详细介绍了人口统计数据、吸烟史、肺部症状和农业接触史。结果：参与者包括150名退伍军人（平均年龄68.2岁+/-10.8岁）。68%的受试者有农业暴露史。在从事农业工作的人中，暴露类型各不相同，14%在猪舍，20%在奶牛场，8%在家禽场，87%暴露于谷物粉尘。随着农业暴露年限的增加，FEV(1)有减小的趋势。结论：在服务于农村地区的卫生系统中，慢性阻塞性肺病患者通常有农业暴露史，这可能有助于慢性阻塞性肺病的发展。这些地区的卫生保健工作者应将农业暴露作为这些患者社会/职业史的重要组成部分。
BACKGROUND: Agricultural exposure is a risk factor for the development of chronic obstructive pulmonary disease (COPD). However, there are no good estimates of the number of COPD patients with a history of agricultural exposure.METHODS: We conducted a telephone interview of subjects with COPD identified by reviewing all pulmonary function tests at the Omaha Veterans Administration Hospital between November 2004 and March 2005. Obstructive lung disease was defined as a FEV(1)/FVC ratio of less than 70%. The survey detailed demographic data, smoking history, pulmonary symptoms, and history of agricultural exposures.RESULTS: Participants included 150 veterans (mean age 68.2 years +/-10.8). A history of agricultural exposure was elicited in 68% of subjects. Of those who had worked in agriculture, the types of exposures varied, with 14% in hog confinement barns, 20% on dairy farms, 8% on poultry farms, and 87% exposed to grain dust. There was a trend of diminishing FEV(1) with increasing years of agricultural exposure.CONCLUSIONS: In health systems that serve rural areas, patients with COPD commonly have a history of agricultural exposures that may contribute to the development of COPD. Health care workers in these areas should include agricultural exposures as an important part of the social/occupational history in these patients.