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Spirometry Monitoring Technology
The primary method of preventing occupational respiratory disease is through control
or elimination of adverse exposures in the workplace. Even with exposure controls
in place, some workers may be affected by hazardous exposure. Spirometry monitoring
is recommended for persons with occupational exposure to respiratory hazards, and
is best done as part of an overall health maintenance program in which results of
spirometry evaluations are linked with exposure control, smoking cessation, and
general health-promotion interventions.
Spirometry monitoring should be done to prevent development of disabling chronic
lung function impairment through early intervention on excessive lung function loss.
To achieve this objective, it is important:
- to maintain acceptable quality of the spirometry data;
- to apply an interpretative strategy that has a high likelihood of promptly identifying
individuals with excessive loss of lung function who are at increased risk of developing
disabling lung function impairment;
- to couple results of health monitoring to effective intervention strategies.
Spirometry Longitudinal Data Analysis (SPIROLA) Software
SPIROLA software is an easy-to-use visual and quantitative tool intended to assist
the health care provider in monitoring and interpreting computerized longitudinal
spirometry data for individuals as well as for a group.
Publications Relevant
to SPIROLA
- Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Crapo R, Enright
P, van der Grinten CPM, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R,
Navajas D, Pedersen OF, Pellegrino R, Viegi G and Wanger J. Standardization of spirometry.
ATS/ERS task force: Standardization of lung function testing. Ed. Brusasco V, Crapo
R and Viegi. Eur Respir J 2005; 26:319-338.
- ACOEM Position Statement:
Evaluating Pulmonary Function Change Over Time in the Occupational Setting.
JOEM 2005; 47:1307-1316.
External link: http://www.acoem.org/guidelines.aspx?id=756
- Hnizdo E, Yu L, Freyder L, Attfield M, Lefante J, Glindmeyer HW. Precision of longitudinal
lung function measurements—monitoring and interpretation. Occup Environ Med
2005; 62:695-701.
- Hnizdo E, Sircar K, Glindmeyer HW, Petsonk EL. Longitudinal limits of normal decline
in lung function in an individual. J Occup Environ Med 2006; 48:625-634.
- Hnizdo E, Sircar K, Yan T, Harber P, Fleming J, Glindmeyer HW. Limits of longitudinal
decline for the interpretation of annual change in FEV1 in individuals. Occup Environ
Med 2007; 64: 701-707.
- Wang ML, Petsonk EL. Repeated measures of FEV1 over six to twelve months: what change
is abnormal? J Occup Environ Med 2004; 46:591-595.
- Wang ML, Vashia BH, Petsonk EL. Interpreting periodic lung function tests in individuals.
The relationship between 1- to 5-year and long-term FEV1 changes. Chest
2006; 130:493-499.
- Sircar K, Hnizdo E, Petsonk E, Attfield M. Decline in lung function and mortality:
implication for medical monitoring. Occup Environ Med 2007; 64:461-466.
- Hankinson JL, Wagner GR. Medical screening using periodic spirometry for detection
of chronic lung disease. Occup Med: State Art Rev 1993; 8:353-361.
- Harber P, Lockey JE. Pulmonary function testing in pulmonary prevention. Occup
Med: State Art Rev 1991; 6:69-79.
- Enright PL. Surveillance for lung disease. Quality assurance using computers and
a team approach. Occup Med: State Art Rev 1992; 7:209-225.
- Enright PL. How to make sure your spirometry tests are of good quality. Respir
Care 2003; 48:773-776.
- Becklake MR, White N. Sources of variation in spirometric measurements. Identifying
the signal and dealing with the noise. Occup Med: State Art Rev 1993; 8:241-261.
NIOSHTIC-2 Search
NIOSHTIC-2 Search Results on Spirometry Monitoring
NIOSHTIC-2 is a searchable bibliographic
database of occupational safety and health publications, documents, grant reports,
and journal articles supported in whole or in part by NIOSH.
Other suggested search terms: longitudinal spirometry; longitudinal lung function;
lung function monitoring; lung function screening
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