Pulmonary Function after Exposure to the World Trade Center Collapse in the New York City Fire Department

Banauch, Gisela I.; Hall, Charles B.; Weiden, Michael D.; Cohen, Hillel W.; Aldrich, Thomas K.; Christodoulou, Vasillios; Arcentales, Nicole; Kelly, Kerry J.; Prezant, David J.

doi:10.1164/rccm.200511-1736oc

Cited by 148 publications

(137 citation statements)

References 42 publications

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“…For example, the use We found similar results with FEV 1 % predicted in adjusted analyses. Age, height, and race were excluded from this model because these factors are already incorporated into the National Health and Nutrition Examination Survey prediction equations for FEV 1 . The fi rst FEV 1 % predicted (HR, 1.08; 95% CI, 1.04-1.12) after September 11, 2001, was associated with confi rmed recovery; however, arrival group was now only marginally associated with confi rmed recovery.…”

Section: Resultsmentioning

confidence: 99%

“…[13][14][15] In WTC-exposed cohorts, we and others have shown signifi cant associations between pulmonary function and respiratory symptoms. 1,[16][17][18][19] Prior studies have focused on the incidence or prevalence of symptoms and declines in pulmonary function. To date, and to our knowledge, no longitudinal studies have examined whether FEV 1 measured soon after WTC exposure predicts symptom resolution.…”

Section: Discussionmentioning

confidence: 99%

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Pulmonary Function Predicting Confirmed Recovery From Lower-Respiratory Symptoms in World Trade Center-Exposed Firefighters, 2001 to 2010

Soo

Webber

Hall

et al. 2012

Chest

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A fter the September 11, 2001, terrorist attack on the World Trade Center (WTC), rescue workers from the Fire Department City of New York (FDNY) experienced substantial and immediate reductions in pulmonary function, 1 particularly in FEV 1 . FDNY fi refi ghters had an average adjusted FEV 1 decline of 355 mL in the fi rst 6 months after September 11, 2001, which is . 10 times the average annual agerelated decline of 27 to 30 mL. 2,3 Declines were persistent, resulting in little or no average recovery during the subsequent 6 years. 3 During the same time, FDNY rescue workers reported increased upper-respiratory symptoms, lower-respiratory symptoms (LRSs), and gastroesophageal refl ux symptoms, 4 with an exposureresponse gradient based on earliest arrival time 5 and work duration. 4,6 Modest associations between decreased pulmonary function and increased respiratory symptoms have been described in the general adult population 7,8 and in elderly persons 9 ; after occupational, dust, or pollutant

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pulmonary Function Predicting Confirmed Recovery From Lower-Respiratory Symptoms in World Trade Center-Exposed Firefighters, 2001 to 2010

Soo

Webber

Hall

et al. 2012

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“…Banauch et al (2006) conducted a longitudinal study of pulmonary function in FDNY firefighters 11) . The main finding was that rescue workers experienced an average 372-ml reduction in adjusted average FEV1 in the year following September 11, 2001, a decline equivalent to 12 yr of normal aging.…”

Section: Abnormalities In Pulmonary Functionmentioning

confidence: 99%

The Lessons of September 11

Crane¹,

Milek²,

Globina³

et al. 2011

Ind Health

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“…We have learned much about the respiratory disorders since the exposures of responders at the World Trade Center (WTC) site, especially from the publications of Prezant and colleagues about the presentations, follow-up, and impairments of pulmonary function and bronchial reactivity of the fire fighters and emergency medical technicians of the New York City Fire Department (Banauch et al 2003(Banauch et al , 2005(Banauch et al , 2006Prezant et al 2002). These reports are especially informative because of the availability of preexposure clinical and spirometric data.…”

Section: Limitations Of Wtc Five-year Assessmentmentioning

confidence: 99%