ArticleAmerican journal of respiratory and critical care medicine2006
Pulmonary function after exposure to the World Trade Center collapse in the New York City Fire Department.
Article in American journal of respiratory and critical care medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 3 of them syntheses that pooled it.
What it found
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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.
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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.
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Who cites it
63 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Receptor for advanced glycation end-products and environmental exposure related obstructive airways disease: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2019Pooled it
- The long-term rate of change in lung function in urban professional firefighters: a systematic review.BMC pulmonary medicine · 2018Pooled it
- The impact of disasters on populations with health and health care disparities.Disaster medicine and public health preparedness · 2010Pooled it
- Worsened longitudinal visit-to-visit-FEVLung · 2026Article
- Post-Traumatic Growth and Quality of Life Among World Trade Center Health Registry Enrollees 16 Years After 9/11.International journal of environmental research and public health · 2026Article
- Normal Lung Function and Mortality in World Trade Center Responders and National Health and Nutrition Examination Survey III Participants.American journal of respiratory and critical care medicine · 2024Article
- Trace and Major Element Concentrations in Cadaveric Lung Tissues from World Trade Center Health Registry Decedents and Community Controls.International journal of environmental research and public health · 2023Article
- Association of Lung Function Decline with All-Cause and Cancer-Cause Mortality after World Trade Center Dust Exposure.Annals of the American Thoracic Society · 2023Article
- Novel approach to studying effects of inhalational exposure on lung function in civilians exposed to the World Trade Center disaster.Scientific reports · 2023Article
- Fine Particulate Matter and Lung Function among Burning-ExposedEnvironmental health perspectives · 2022Article
- Post-9/11 Mental Health Comorbidity Predicts Self-Reported Confusion or Memory Loss in World Trade Center Health Registry Enrollees.International journal of environmental research and public health · 2020Article
- Injury Severity and Psychological Distress Sustained in the Aftermath of the Attacks of 11 September 2001 Predict Somatic Symptoms in World Trade Center Health Registry Enrollees Sixteen Years Later.International journal of environmental research and public health · 2020Article
- Assessing the Protective Metabolome Using Machine Learning in World Trade Center Particulate Exposed Firefighters at Risk for Lung Injury.Scientific reports · 2019Article
- Metabolic Syndrome and Air Pollution: A Narrative Review of Their Cardiopulmonary Effects.Toxics · 2019Review
- Acute effects of smoke exposure on airway and systemic inflammation in forest firefighters.Journal of asthma and allergy · 2018Article
- Metabolomics of World Trade Center-Lung Injury: a machine learning approach.BMJ open respiratory research · 2018Article
- Injury, intense dust exposure, and chronic disease among survivors of the World Trade Center terrorist attacks of September 11, 2001.Injury epidemiology · 2017Article
- Proposed Iraq/Afghanistan War-Lung Injury (IAW-LI) Clinical Practice Recommendations: National Academy of Sciences' Institute of Medicine Burn Pits Workshop.American journal of men's health · 2017Article
- An Official American Thoracic Society Workshop Report: Chemical Inhalational Disasters. Biology of Lung Injury, Development of Novel Therapeutics, and Medical Preparedness.Annals of the American Thoracic Society · 2017Article
- A follow-up study of airway symptoms and lung function among residents and workers 5.5 years after an oil tank explosion.BMC pulmonary medicine · 2017Article
3 more citing papers are in PubMed but not listed here.
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Authors and funding
9 authors.
Funding
Abstract
rationaleOn September 11, 2001, the World Trade Center collapse created an enormous urban disaster site with high levels of airborne pollutants. First responders, rescue and recovery workers, and residents have since reported respiratory symptoms and developed pulmonary function abnormalities.
objectivesTo quantify respiratory health effects of World Trade Center exposure in the New York City Fire Department. MEASUREMENTS: Longitudinal study of pulmonary function in 12,079 New York City Fire Department rescue workers employed on or before 09/11/2001. Between 01/01/1997 and 09/11/2002, 31,994 spirometries were obtained and the FEV(1) and FVC were analyzed for differences according to estimated World Trade Center exposure intensity. Adjusted average FEV(1) during the first year after 09/11/2001 was compared with the 5 yr before 09/11/2001. Median time between 09/11/2001 and a worker's first spirometry afterwards was 3 mo; 90% were assessed within 5 mo. MAIN
resultsWorld Trade Center-exposed workers experienced a substantial reduction in adjusted average FEV(1) during the year after 09/11/2001 (372 ml; 95% confidence interval, 364-381 ml; p < 0.001) This exposure-related FEV(1) decrement equaled 12 yr of aging-related FEV(1) decline. Moreover, exposure intensity assessed by initial arrival time at the World Trade Center site correlated linearly with FEV(1) reduction in an exposure intensity-response gradient (p = 0.048). Respiratory symptoms also predicted a further FEV(1) decrease (p < 0.001). Similar findings were observed for adjusted average FVC.
conclusionsWorld Trade Center exposure produced a substantial reduction in pulmonary function in New York City Fire Department rescue workers during the first year after 09/11/2001.
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