Evidence map›Paper›PMID 35941624›Full record

ArticleBMC pulmonary medicine2022

Do hospital workers experience a higher risk of respiratory symptoms and loss of lung function?

Behzad Heibati, Maritta S Jaakkola, Taina K Lajunen, Alan Ducatman, Rahmat Veysi, Ali Karimi, Jouni J K Jaakkola

Open access · goldAbstract read
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Article in BMC pulmonary medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

7 authors at 5 institutions in 3 countries.

Behzad HeibatiFaculty of Medicine, Center for Environmental and Respiratory Health Research, University of Oulu, Aapistie 5B, P.O. Box 5000, 90014, Oulu, Finland.
Maritta S JaakkolaFaculty of Medicine, Center for Environmental and Respiratory Health Research, University of Oulu, Aapistie 5B, P.O. Box 5000, 90014, Oulu, Finland.
Taina K LajunenFaculty of Medicine, Center for Environmental and Respiratory Health Research, University of Oulu, Aapistie 5B, P.O. Box 5000, 90014, Oulu, Finland.
Alan DucatmanWest Virginia University School of Public Health, Morgantown, WV, USA.
Rahmat VeysiDepartment of Occupational Health Engineering, School of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Ali Karimi *Department of Occupational Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. a_karimi@sina.tums.ac.ir.
Jouni J K Jaakkola *Faculty of Medicine, Center for Environmental and Respiratory Health Research, University of Oulu, Aapistie 5B, P.O. Box 5000, 90014, Oulu, Finland. jouni.jaakkola@oulu.fi.
Oulu University Hospital · FIUniversity of Oulu · FIShiraz University of Medical Sciences · IRTehran University of Medical Sciences · IRWest Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital work environment contains various biological and chemical exposures that can affect indoor air quality and have impact on respiratory health of the staff. The objective of this study was to investigate potential effects of occupational exposures on the risk of respiratory symptoms and lung function in hospital work, and to evaluate potential interaction between smoking and occupational exposures.

methodsWe conducted a cross-sectional study of 228 staff members in a hospital and 228 employees of an office building as the reference group in Shiraz, Iran. All subjects completed a standardized ATS respiratory questionnaire and performed a spirometry test.

resultsIn Poisson regression, the adjusted prevalence ratios (aPR) among the hospital staff were elevated for cough (aPR 1.90, 95% CI 1.15, 3.16), phlegm production (aPR 3.21, 95% CI 1.63, 6.32), productive cough (aPR 2.83, 95% CI 1.48, 5.43), wheezing (aPR 3.18, 95% CI 1.04, 9.66), shortness of breath (aPR 1.40, 95% CI 0.93, 2.12), and chest tightness (aPR 1.73, 95% CI 0.73, 4.12). Particularly laboratory personnel experienced increased risks of most symptoms. In linear regression adjusting for confounding, there were no significant differences in lung function between the hospital and office workers. There was an indication of synergism between hospital exposures and current smoking on FEV1/FVC% (interaction term β = - 5.37, 95% CI - 10.27, - 0.47).

conclusionsWe present significant relations between hospital work, especially in laboratories, and increased risks of respiratory symptoms. Smoking appears to enhance these effects considerably. Our findings suggest that policymakers should implement evidence-based measures to prevent these occupational exposures.

Indexed as

Occupational DiseasesOccupational ExposureCoughCross-Sectional StudiesHospitalsHumansLungPersonnel, HospitalHospital workersOccupational exposuresPulmonary functionRespiratory symptoms

Identifiers

PMID35941624
PMCPMC9358815
OpenAlexW4290635751

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LicenceCC BY
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Registered trials

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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.