Türkan Nadir ÖZİŞ
(Ankara Meslek Hastalıkları Hastanesi, Göğüs Hastalıkları Anabilim Dalı, Ankara, Türkiye)
Nur Şafak ALICI
(Suat Seren Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, İşyeri Hekimliği Anabilim Dalı, İzmir, Türkiye)
İbrahim Onur ALICI
(Dr. Suat Seren Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi Göğüs Hastalıkları Anabilim Dalı, İzmir, Türkiye)
Dilek ERGÜN
(Ankara Meslek Hastalıkları Hastanesi, Göğüs Hastalıkları Anabilim Dalı, Ankara, Türkiye)
Emine AVCI
(Epidemiyoloji Anabilim Dalı, Dokuz Eylül Üniversitesi, İzmir, Türkiye)
Nevin Taci HOCA
(Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi Göğüs Hastalıkları Anabilim Dalı, Ankara, Türkiye)
Ömer Hınç YILMAZ
(Ankara Meslek Hastalıkları Hastanesi, Toksikoloji Anabilim Dalı, Ankara, Türkiye)
Yıl: 2021Cilt: 22Sayı: 1ISSN: 2149-2530Sayfa Aralığı: 50 - 56İngilizce

38 0
Risk Factors for Mortality in Denim Sandblasters Silicosis: Selecting Candidate for Lung Transplantation
OBJECTIVE: This study aimed to review the risk factors for silicosis together with survival analysis and a perspective for lung transplantation with data from a single center.MATERIAL AND METHODS: We reviewed the medical records of denim sandblasters who were referred to our center between January 2006 and December 2011 and evaluated 219 patients with a history of denim sandblasting with a minimum follow-up period of 5 years until 2016. We analyzed several personal and occupational features, together with functional and radiologic data.RESULTS: Of the 219 denim sandblasters, 107 (49%) had been diagnosed with silicosis. In the logistic regression analysis, the duration of exposure was the only independent risk factor for the development of silicosis, indicating a 9% increased risk of silicosis for every month of exposure (p<0.001; odds ratio 1.09; 95% confidence interval 1.050–1.132). Of the patients, 7 (3%) died. A forced expiratory volume in the first second of <44% and a forced vital capacity of <47% were associated with an increased risk of mortality. Mortality was significantly higher in the international labor office category 3 patients, and 5-year survival rates of patients with A, B, and C lung opacities were 88%, 67%, and 25%, respectively.CONCLUSION: Silicosis still kills young workers. Severe radiologic involvement and decreased lung volumes are related to mortality, and lung transplantation is the only therapeutic option.
DergiAraştırma MakalesiErişime Açık
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