alexa Respiratory symptoms necessitating spirometry among soldiers with Iraq Afghanistan war lung injury.
Psychiatry

Psychiatry

Journal of Addiction Research & Therapy

Author(s): Szema AM, Salihi W, Savary K, Chen JJ

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Abstract OBJECTIVE: New-onset asthma rates are higher among US soldiers deployed to Iraq/Afghanistan than stateside, but overall respiratory symptom and spirometry rates among soldiers returning from Iraq/Afghanistan have not yet been addressed. We determined these rates in soldiers deployed to Iraq/Afghanistan versus troops stationed elsewhere. METHODS: Retrospective review of active-duty soldiers (2004 to 2010) registered at Veterans Affairs Medical Center, Northport, New York, with Long Island/New York City zip codes. Subjects were examined by physicians or physicians' assistants. We counted number of spirometries, which required respiratory symptoms, and the provider was required to submit a diagnosis as part of the request process. RESULTS: Twenty-five percent of 7151 troops went to Iraq/Afghanistan (n = 1816) and 75\% went elsewhere (n = 5335), with more smokers in the Iraq/Afghanistan group (16.1\% vs 3.3\%). Rates of symptoms and spirometry were 14.5\% and 1.8\%, for Iraq/Afghanistan, versus troops deployed elsewhere, respectively (P < 0.001). Both groups had similar forced expired volume in 1 second/forced vital capacity ratios (78\%). CONCLUSIONS: New-onset Iraq/Afghanistan war lung injury is common and rates of symptoms leading to a diagnosis requiring spirometry are high. (C)2011The American College of Occupational and Environmental Medicine This article was published in J Occup Environ Med and referenced in Journal of Addiction Research & Therapy

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