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Risk factors for post-9/11 chronic rhinosinusitis in Fire Department of the City of New York workers.
Putman, Barbara; Zeig-Owens, Rachel; Singh, Ankura; Hall, Charles B; Schwartz, Theresa; Webber, Mayris P; Cohen, Hillel W; Prezant, David J; Bachert, Claus; Weiden, Michael D.
Afiliação
  • Putman B; Pulmonary, Critical Care and Sleep Medicine Division, Departments of Medicine and Environmental Medicine, New York University School of Medicine, New York City, New York, USA.
  • Zeig-Owens R; The Bureau of Health Services and Office of Medical Affairs, Fire Department of the City of New York, Brooklyn, New York, USA.
  • Singh A; The Bureau of Health Services and Office of Medical Affairs, Fire Department of the City of New York, Brooklyn, New York, USA.
  • Hall CB; Pulmonary Medicine Division, Department of Medicine, Montefiore Medical Center, Bronx, New York, USA.
  • Schwartz T; Division of Epidemiology, Department of Epidemiology and Population Health, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
  • Webber MP; The Bureau of Health Services and Office of Medical Affairs, Fire Department of the City of New York, Brooklyn, New York, USA.
  • Cohen HW; Pulmonary Medicine Division, Department of Medicine, Montefiore Medical Center, Bronx, New York, USA.
  • Prezant DJ; Division of Biostatistics, Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA.
  • Bachert C; The Bureau of Health Services and Office of Medical Affairs, Fire Department of the City of New York, Brooklyn, New York, USA.
  • Weiden MD; Pulmonary Medicine Division, Department of Medicine, Montefiore Medical Center, Bronx, New York, USA.
Occup Environ Med ; 75(12): 884-889, 2018 12.
Article em En | MEDLINE | ID: mdl-30337339
OBJECTIVES: Chronic rhinosinusitis (CRS) has high socioeconomic burden but underexplored risk factors. The collapse of the World Trade Center (WTC) towers on 11 September 2001 (9/11) caused dust and smoke exposure, leading to paranasal sinus inflammation and CRS. We aim to determine which job tasks are risk factors for CRS in WTC-exposed Fire Department of the City of New York (FDNY) firefighters and emergency medical services (EMS) workers. METHODS: This cohort study included a 16-year follow-up of 11 926 WTC-exposed FDNY rescue/recovery workers with data on demographics, WTC exposure, job tasks and first post-9/11 complete blood counts. Using multivariable Cox regression, we assessed the associations of WTC exposure, work assignment (firefighter/EMS), digging and rescue tasks at the WTC site and blood eosinophil counts with subsequent CRS, adjusting for potential confounders. RESULTS: The rate of CRS was higher in firefighters than EMS (1.80/100 person-years vs 0.70/100 person-years; p<0.001). The combination of digging and rescue work was a risk factor for CRS (HR 1.54, 95% CI 1.23 to 1.94, p<0.001) independent of work assignment and WTC exposure. CONCLUSIONS: Compared with EMS, firefighters were more likely to engage in a combination of digging and rescue work, which was a risk factor for CRS. Chronic irritant exposures associated with digging and rescue work may account for higher post-9/11 CRS rates among firefighters.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Sinusite / Exposição Ocupacional / Trabalho de Resgate / Bombeiros / Ataques Terroristas de 11 de Setembro Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País como assunto: America do norte Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Sinusite / Exposição Ocupacional / Trabalho de Resgate / Bombeiros / Ataques Terroristas de 11 de Setembro Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País como assunto: America do norte Idioma: En Ano de publicação: 2018 Tipo de documento: Article