Respiratory symptoms in firefighters

Greven, Frans; Rooyackers, J.M.; Kerstjens, Huib A. M.; Heederik, Dick

doi:10.1002/ajim.20929

Cited by 19 publications

(23 citation statements)

References 28 publications

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“…There was a significantly elevated prevalence of firefighters who "ever had asthma" compared to the ELON population with an OR of 1.5 (95% CI 1.1-2.0). These findings are also in line with the comparison between the questionnaire study and ELON (14). Therefore, selection bias seems unlikely.…”

Section: Discussionsupporting

confidence: 79%

“…This study was executed as a subset of an earlier study (14). The response rate of the participants of 21 randomly chosen fire brigades invited for the testing at the fire stations was 94.8%, and, therefore, selection bias was deemed improbable.…”

Section: Discussionmentioning

confidence: 99%

“…The current cross-sectional study was carried out in a subset of a population of firefighters from a previous study in the Netherlands (14). All tests were carried out at the fire stations between December 2008 and June 2009.…”

Section: Population and Designmentioning

confidence: 99%

“…In a previously conducted survey, 1249 active firefighters from 54 municipal fire brigades in 3 provinces of the Netherlands (Groningen, Friesland, and Drenthe) filled in a web-based version of the European Community respiratory health survey questionnaire (14). For our study, 21 fire brigades were randomly chosen until the Greven et al required number of 400 firefighters was examined.…”

Section: Population Characteristicsmentioning

confidence: 99%

“…Questionnaire items have been previously described elsewhere (14). Due to the time lapse between the previous questionnaire and the execution of the tests at the fire stations (between 6 and 11 months), questions were asked again to (i) identify the type and number of incidents and the type, onset, and duration of symptoms following the last fire and (ii) determine possible exposure during an incident.…”

Section: Questionnaire and Exposure Estimatesmentioning

confidence: 99%

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Lung function, bronchial hyperresponsiveness, and atopy among firefighters

Greven¹,

Krop²,

Spithoven³

et al. 2011

Scand J Work Environ Health

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Objectives The aim of this study was to determine associations between lung function, bronchial hyperresponsiveness (BHR), and atopy with exposure to fire smoke among firefighters. MethodsThe study was comprised of 402 firefighters, a randomly chosen subset of a previous survey among firefighters in the Netherlands. Subjects underwent spirometry and methacholine provocation, and blood samples were taken to assess atopy. Exposure to fire smoke was registered by a questionnaire.Results Hyperresponsiveness expressed as dose-response slope (DRS) was positively and significantly associated with the number of fires fought in the last 12 months with and without adjustments for smoking, gender, atopy, age, and exposure in the main job held. Limiting the analysis to firefighters without exposure within 7 days of testing did not change any of the associations. The association between the number of fires and the DRS was stronger among atopics, and hyperresponsiveness expressed as PD 20 was also significantly associated, indicating that atopics are at higher risk of developing BHR as a result of smoke exposure. Respiratory protection devices were not optimally used.Conclusions It is recommended that awareness be heightened among firefighters to avoid exposure to all fire smoke and that management be sensitive to the adequate use of self-contained breathing apparatuses by their personnel.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Population and Designmentioning

confidence: 99%

Section: Population Characteristicsmentioning

confidence: 99%

Section: Questionnaire and Exposure Estimatesmentioning

confidence: 99%

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