APPLICATION OF SPIROMETRY FOR EARLY DETECTION OF VENTILATORY DISORDERS IN CONSTRUCTION WORKERS

Bao Han Doan1, , Huynh Anh Thu Dang2
1 Tay Nguyen University
2 University of Medicine and Pharmacy at Ho Chi Minh City

Main Article Content

Abstract

Background: The working environment has a significant impact on workers' health, workers in construction industry are frequently exposed to factors that adversely affect the respiratory system. Assessing the respiratory function of construction workers is crucial to identifying and preventing respiratory diseases. Objectives: To describe the characteristics of spirometry, ventilatory disorders, and changes after one year. Materials and methods: A retrospective descriptive analysis study was conducted on 196 construction workers examined at the Respiratory Department - Clinic of University Medical Center 1 in 2021 and 2022. Results: The average age of the workers participating in the study was 35 ± 7.01 years, with males accounting for the majority (85.2%), 42.3% of workers smoked. In the first year, 52 workers had abnormal spirometry results, with the highest rate being non-specific ventilatory disorders at 14.3%, restrictive ventilatory disorders at 13.3%, early airway obstruction at 4.6%, only 1 worker had obstructive ventilatory disorder, and 1 worker had large airway obstruction, with no mixed ventilatory disorders recorded. After one year of follow-up, 8 more workers showed abnormal spirometry results, with restrictive ventilatory disorders at 17.9%, non-specific patterns at 17.3%, reduced PEF at 16.8%, and early airway obstruction at 5.6%. Conclusion: Over 196 construction workers were evaluated for spirometry, and there was an increase in spirometry abnormalities after one year.

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References

1. World Health Organization, International Labour Organization. WHO/ILO joint estimates of the work-related burden of disease and injury, 2000-2016: global monitoring report. 2021.
2. Tổng cục thống kê. Thông cáo báo chí về tình hình lao động việc làm quý I năm 2024. 2024.
3. Ahmad I, Balkhyour MA. Occupational exposure and respiratory health of workers at small scale industries. Saudi Journal of Biological Sciences. 2020. doi: 10.1016/j.sjbs.2020.01.019.
4. Ponce MC, Sankari A, Sharma S. Pulmonary Function Tests. StatPearls. StatPearls Publishing.
5. Vũ Văn Triển. Nghiên cứu một số triệu chứng, bệnh đường hô hấp và môi trường thi công lao động của công nhân thi công cầu Nhật Tân. Đại học Y Hà Nội. 2014.
6. Keramydas D, Bakakos P, Alchanatis M, et al. Investigation of the health effects on workers exposed to respirable crystalline silica during outdoor and underground construction projects. Exp Ther Med. 2020. doi:10.3892/etm.2020.8786.
7. Phurpa, Chhoden S, Wangdi K, Wangdi C. Poor Lung Function of Industrial Workers of Bhutan: a retrospective study. Bhutan Health Journal. 2022. 8(1):12-17. doi:10.47811/bhj.140.
8. Ørts LM, Bech BH, Lauritzen T, Thomsen JL, Bruun NH, Løkke A, Sandbæk A. Predictive value of spirometry in early detection of obstructive lung disease in adults: a cohort study. European Respiratory Journal. 2020. 56(suppl 64), 2402, doi:10.1183/13993003.congress-2020.2402.
9. Keman S, Willemse B, Wesseling GJ, Kusters E, Borm PJ. A five year follow-up of lung function among chemical workers using flow-volume and impedance measurements. Eur Respir J. Oct 1996. 9(10), 2109-15, doi:10.1183/09031936.96.09102109.
10. Graham BL, Steenbruggen I, Miller MR, et al. Standardization of Spirometry 2019 Update. American Journal of Respiratory and Critical Care Medicine. 2019. 200(8), e70-e88, doi:10.1164/rccm.201908-1590ST.
11. Nguyễn Quốc Doanh, Quách Thị Như Trang, Phạm Thị Quân, Nguyễn Ngọc Anh, Lê Thị Thanh Xuân và cộng sự. Thực trạng bệnh lý đường hô hấp của người lao động Công ty Xi măng Phúc Sơn, Hải Dương năm 2019. Tạp chí Nghiên cứu Y học. 08/26 2021. 144(8), 236-243, doi:10.52852/tcncyh.v144i8.444.