Aarhus Lisa, Mehlum Ingrid Sivesind
Tidsskr Nor Laegeforen. 2017 Aug 21;137(14-15). doi: 10.4045/tidsskr.16.0652. Print 2017 Aug 22.
In 2009, the hospital departments of occupational medicine and the National Institute of Occupational Health established a joint, anonymous examination register. The objective was to achieve a better overview of occupational health examinations of patients in Norway, including changes in occupationally related exposure and illness over time.
After the patient consultation the examining doctor completes a form, which is subsequently registered electronically. This article is based on analyses of patient examinations registered in the period 2010 – 2015.
A total of 8 775 patient examinations had been recorded. The majority of those examined were men (75 %) and the most commonly occurring age group was 50 – 69 years (52 %). The most frequent exposures involved irritants/allergens (18 %) and organic solvents (15 %), which were recorded in a slightly increasing and slightly declining frequency respectively through the period. Manufacturing and mining were the top industries (30 %). The most common symptom organs were the lungs/respiratory tract (57 %), with asthma, COPD and lung cancer as the most frequent diagnoses. The proportion of cases that were deemed to be likely or possibly related to work remained stable at 40 % and 23 % respectively. At the time of the examination altogether 16 % of the patients were receiving sickness benefit, 10 % were receiving work assessment allowance and 13 % disability benefit.
Occupationally related illness entails significant consequences for individuals as well as society. The examination register provides a good overview of the patient examinations in the occupational health departments in Norway and may reveal changes in occupationally related exposure over time. In this way, the register may contribute to targeted preventive efforts.
2009年，医院职业医学科与国家职业健康研究所建立了一个联合匿名检查登记册。目的是更好地了解挪威患者的职业健康检查情况，包括职业相关暴露和疾病随时间的变化。
在患者咨询后，检查医生填写一份表格，随后进行电子登记。本文基于对2010 - 2015年期间登记的患者检查情况的分析。
共记录了8775例患者检查。接受检查的大多数是男性（75%），最常见的年龄组是50 - 69岁（52%）。最常见的暴露涉及刺激物/过敏原（18%）和有机溶剂（15%），在此期间其记录频率分别略有上升和略有下降。制造业和采矿业是主要行业（30%）。最常见的症状器官是肺部/呼吸道（57%），最常见的诊断是哮喘、慢性阻塞性肺疾病和肺癌。被认为可能或极有可能与工作相关的病例比例分别稳定在40%和23%。在检查时，共有16%的患者领取病假津贴，10%领取工作评估津贴，13%领取残疾津贴。
职业相关疾病对个人和社会都有重大影响。该检查登记册很好地概述了挪威职业健康部门的患者检查情况，并可能揭示职业相关暴露随时间的变化。通过这种方式，该登记册可能有助于有针对性地开展预防工作。
