Evidence map›Paper›PMID 15454658›Full record

ArticleThorax2004

Respiratory health status of Australian veterans of the 1991 Gulf War and the effects of exposure to oil fire smoke and dust storms.

H L Kelsall, M R Sim, A B Forbes, D P McKenzie, D C Glass, J F Ikin, P Ittak, M J Abramson

Open access · bronzeAbstract read
In one paragraph

Article in Thorax, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Sarcoidosis and burn pit exposure in military deployers to Iraq, Afghanistan, and Southwest Asia.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2023
    Article
  4. Gender-based Differences among 1990-1991 Gulf War Era Veterans: Demographics, Lifestyle Behaviors, and Health Conditions.Women's health issues : official publication of the Jacobs Institute of Women's Health · 2019
    Article
  5. Article
  6. An Analysis of Reported Dangerous Incidents, Exposures, and Near Misses amongst Army Soldiers.International journal of environmental research and public health · 2018
    Article
  7. Article
  8. Article
  9. All-Cause Mortality Among US Veterans of the Persian Gulf War: 13-Year Follow-up.Public health reports (Washington, D.C. : 1974) · 2016
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Gulf War illness: a view from Australia.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2006
    Article
  16. The challenges of exposure assessment in health studies of Gulf War veterans.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2006
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

H L KelsallDepartment of Epidemiology and Preventive Medicine, Monash University-Central and Eastern Clinical School, Alfred Hospital, Commercial Road, Melbourne, Victoria 3004, Australia. helen.kelsall@med.monash.edu.au
M R Sim
A B Forbes
D P McKenzie
D C Glass
J F Ikin
P Ittak
M J Abramson
Monash Alfred Psychiatry Research centre · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince the 1991 Gulf War concerns have been raised about the effects on veterans' health of exposures to Kuwaiti oil fire smoke and to dust storms.

methodsA cross sectional study compared 1456 Australian Gulf War veterans with a randomly sampled military comparison group (n = 1588). A postal questionnaire asked about respiratory conditions, exposures, medications, tobacco use, demographic characteristics, and military service details. During a medical assessment, spirometric tests and a physical examination were performed and a respiratory questionnaire was administered.

resultsThe response rate for the Gulf War veteran group was 80.5% and for the comparison group 56.8%. Australian Gulf War veterans had a higher than expected prevalence of respiratory symptoms and respiratory conditions suggesting asthma (OR 1.4; 95% CI 1.1 to 1.9) and bronchitis first diagnosed since the Gulf War (OR 1.9; 95% CI 1.2 to 3.1) but did not have poorer lung function or more ventilatory abnormalities than the comparison group. Veterans who reported exposure to oil fire smoke had slightly poorer forced vital capacity (difference between means -0.10 l; 95% CI -0.18 to -0.03) and those exposed to dust storms had a slightly better peak expiratory flow rate (difference between means 12.0 l/min; 95% CI 0.6 to 23.4) than veterans who did not report exposure. Veterans who were in the Gulf at or after the start of the oil fires had more respiratory conditions suggesting asthma (OR 1.7; 95% CI 1.0 to 2.9) than those who completed their deployment before this time.

conclusionsIncreased self-reporting of respiratory symptoms, asthma, and bronchitis by veterans was not reflected in poorer lung function. The findings do not suggest major long term sequelae of exposure to oil fire smoke or dust storms.

Indexed as

AdultAustraliaCross-Sectional StudiesDustEnvironmental ExposureFemaleForced Expiratory VolumeHealth StatusHumansHypersensitivity, ImmediateMaleOdds RatioOilsPersian Gulf SyndromeRespiration DisordersSmokeDustOilsSmoke

Identifiers

PMID15454658
PMCPMC1746848
OpenAlexW2146789923

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.