Chest CT scan findings in World Trade Center workers. Issue 5 (3rd September 2019)

• Record Type: Journal Article
• Authors: de la Hoz, Rafael E.; Weber, Jonathan; Xu, Dongming; Doucette, John T.; Liu, Xiaoyu; Carson, Deborah A.; Celedón, Juan C.
• Is Part Of: Archives of environmental & occupational health. Volume 74:Issue 5(2019)
• Page Start: 263
• Page End: 270
• Publication Date: 2019-09-03
• Subjects: Occupational lung disease -- respiratory diseases -- asbestos -- workers -- occupational diseases -- lung diseases; Medicine, Preventive -- Periodicals; Medicine, Industrial -- Periodicals; Environmental health -- Periodicals; Occupational diseases -- Periodicals; Environmental Health -- Periodicals; Occupational Medicine -- Periodicals; 616.9803
• DOI: 10.1080/19338244.2018.1452712
• Languages: English
• ISSNs: 1933-8244

Abstract

ABSTRACT: We examined the chest CT scans of 1, 453 WTC responders using the International Classification of High-resolution CT for Occupational and Environmental Respiratory Diseases. Univariate and bivariate analyses of potential work-related pleural abnormalities were performed with pre-WTC and WTC-related occupational exposure data, spirometry, demographics and quantitative CT measurements. Logistic regression was used to evaluate occupational predictors of those abnormalities. Chest CT scans were performed first at a median of 6.8 years after 9/11/2001. Pleural abnormalities were the most frequent (21.1%) across all occupational groups In multivariable analyses, significant pre-WTC occupational asbestos exposure, and work as laborer/cleaner were predictive of pleural abnormalities, with prevalence being highest for the Polish subgroup (n = 237) of our population. Continued occupational lung disease surveillance is warranted in this cohort.