Brancati F L, Hodgson M J, Karpf M
Division of General Medicine, University of Pittsburgh School of Medicine, PA.
J Occup Med. 1993 Feb;35(2):161-5. doi: 10.1097/00043764-199302000-00017.
The purpose of this study was to identify the prevalence of occupational exposures, their potential contribution to the development of chronic diseases among medical inpatients, and their recognition by house officers. Occupational histories were obtained from 101 medical inpatients and their charts were reviewed. Sixty-six percent of patients had diseases for which an occupational etiology merited consideration. A relevant occupational exposure was discovered in 68% of patients with a disease potentially attributable to occupation. Specific disease/exposure pairs were associated with each other (P = .001). Senior house staff recognized fewer relevant exposures (17%) than did interns (55%) (P < .001). Relevant occupational exposures are common among medical inpatients, but frequently go unrecognized because of an inadequate fund of knowledge in occupational medicine among physicians.
本研究的目的是确定职业暴露的发生率、其对住院内科患者慢性病发展的潜在影响以及住院医生对其的认知情况。我们从101名住院内科患者处获取职业史并查阅了他们的病历。66%的患者所患疾病值得考虑职业病因。在68%可能由职业因素导致疾病的患者中发现了相关职业暴露。特定的疾病/暴露组合相互关联（P = 0.001）。高年资住院医生识别出的相关暴露（17%）少于实习医生（55%）（P < 0.001）。相关职业暴露在住院内科患者中很常见，但由于医生在职业医学方面知识储备不足，这些暴露常常未被识别。
