我们是否在辜负那些有职业性哮喘症状的工人？
Are we failing workers with symptoms suggestive of occupational asthma?
作者信息
Fishwick David, Bradshaw Lisa, Davies Jo, Henson Mandy, Stenton Chris, Burge Sherwood, Niven Rob, Warburton Chris J, Hendrick David, Rogers Trevor, Rawbone Roger, Curran Andrew D
机构信息
Medical Unit, Health and Safety Laboratory, Harpur Hill, Buxton, UK.
出版信息
Prim Care Respir J. 2007 Oct;16(5):304-10. doi: 10.3132/pcrj.2007.00064.
AIMS
To assess the route to secondary care for patients with possible occupational asthma, and to document the duration of workrelated symptoms and referral times.
METHODS
Consecutive patients with suspected occupational asthma were recruited to a case series from six secondary care clinics with an interest in occupational asthma. Semi-structured interviews were performed and hospital case notes were reviewed to summarise relevant investigations and diagnosis.
RESULTS
97 patients were recruited, with a mean age of 44.2 years (range 24-64), 51 of whom (53%) had occupational asthma confirmed as a diagnosis. Most (96%) had consulted their general practitioner (GP) at least once with work-related respiratory symptoms, although these had been present for a mean of 44.6 months (range 0-320 months) on presentation to secondary care. Patients experienced a mean delay for assessment in secondary care of 4 years (range 1-27 years) following presentation in primary care.
CONCLUSIONS
Significant diagnostic delay currently occurs for patients with occupational asthma in the UK.
目的
评估疑似职业性哮喘患者的二级医疗保健途径，并记录与工作相关症状的持续时间和转诊时间。
方法
从六家对职业性哮喘感兴趣的二级医疗保健诊所招募连续的疑似职业性哮喘患者，组成一个病例系列。进行了半结构化访谈，并查阅了医院病历，以总结相关检查和诊断情况。
结果
共招募了97名患者，平均年龄44.2岁（范围24 - 64岁），其中51名（53%）被确诊为职业性哮喘。大多数患者（96%）因与工作相关的呼吸道症状至少咨询过一次全科医生（GP），尽管这些症状在转诊至二级医疗保健机构时平均已出现44.6个月（范围0 - 320个月）。患者在初级医疗保健机构就诊后，二级医疗保健机构的评估平均延迟4年（范围1 - 27年）。
结论
目前在英国，职业性哮喘患者存在明显的诊断延迟。
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