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• W2981277897 abstract "SESSION TITLE: Population-Wide Lung Health: Exposures and Risks SESSION TYPE: Original Investigations PRESENTED ON: 10/23/2019 10:45 AM - 11:45 AM PURPOSE: U.S. military veterans frequently report concerns that deployment-related airborne hazard exposures contributed to respiratory symptoms and conditions. Participants in the Airborne Hazards and Open Burn Pit Registry (AHOBPR), a voluntary, online questionnaire, are eligible for an optional medical examination (AH exam) focusing on health outcomes potentially associated with airborne hazard exposure. The purpose of this study is to compare the characteristics of those who had pulmonary evaluation before vs after an AH exam. METHODS: We examined Veterans enrolled in VHA who, by July 1, 2018, completed the AHOBPR (n=126,220). Among these, 6,586 (5.2%) had received an in-person evaluation. Current Procedural Terminology (CPT) and Clinic Stop Codes were identified in the VHA medical records for Chest X-Ray. Only procedures done within five years prior to or after AH exam were included in the analysis. RESULTS: Among the subset who received a chest x-ray and/or PFT(CXR/PFT), those who had these procedures prior to exam (n=2,226) were older (41-60 years: 52.7%) than those who received the procedures after (n=1,443; 41-60 years: 45.0%). Those receiving CXR/PFT were more likely to have major difficulty climbing a flight of stairs (22.1% vs 13.8%) and reported decreased exercise tolerance (68.6% vs 58.7%). Compared to those with CXR/PFT after exam, those who had these tests before AH exam more frequently self-reported respiratory diagnosis of emphysema, chronic bronchitis, COPD, and asthma (all p<0.00). Among those with more specialized care, CT Scan and/or Pulmonary consult (CT/Pulm; n=1,380) a majority, 57% (n=793) received this care prior to an AH exam. Those who received the procedures after AH exam tended to be older (41-60 years: 58.9%), were more likely to have major difficulty climbing a flight of stairs (26.0% vs 16.4%) and reported decreased exercise tolerance (73.4% vs 63.2%) (all p<0.00). CONCLUSIONS: Examining both initial (CXR/PFT) and specialty (CT/Pulm) diagnostic evaluation we see that most registry participants obtained testing prior to an AH exam. This is especially true of those reporting symptoms, greater functional impairment, and diagnoses. The subgroup receiving testing after AH exam appear to be healthier with less self-reported illness. More analysis is required to understand these differences and the value of an AH exam in ensuring access to necessary medical care. CLINICAL IMPLICATIONS: Greater understanding will aid in ensuring that medical care is delivered in the most effective manor to help patients DISCLOSURES: no disclosure on file for Michael Falvo; no disclosure on file for Drew Helmer; No relevant relationships by Nisha Jani, source=Web Response No relevant relationships by Frank Molina, source=Web Response No relevant relationships by Mangala Rajan, source=Web Response no disclosure on file for Anays Sotolongo" @default.
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• W2981277897 date "2019-10-01" @default.
• W2981277897 modified "2023-09-27" @default.
• W2981277897 title "PULMONARY EVALUATION FOR US VETERANS BEFORE VS AFTER AN OPTIONAL, TARGETED REGISTRY EXAMINATION" @default.
• W2981277897 doi "https://doi.org/10.1016/j.chest.2019.08.820" @default.
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