发布求助
文献互助 智能选刊 最新文献

Journal of occupational and environmental medicine最新文献

筛选
英文 中文
Age Differences in the Effects of Depression and Health Status on Work Productivity Among Korean Workers. 韩国工人抑郁和健康状况对工作效率影响的年龄差异
IF 1.4
Journal of occupational and environmental medicine Pub Date : 2026-10-01 Epub Date: 2026-04-07 DOI: 10.1097/JOM.0000000000003730
Ju Youn Jung, Young Ho Yun
{"title":"Age Differences in the Effects of Depression and Health Status on Work Productivity Among Korean Workers.","authors":"Ju Youn Jung, Young Ho Yun","doi":"10.1097/JOM.0000000000003730","DOIUrl":"10.1097/JOM.0000000000003730","url":null,"abstract":"<p><strong>Objective: </strong>This study examined how depression and self-reported health status are associated with work productivity among Korean workers aged 20-49 years and whether these relations differ by age group.</p><p><strong>Methods: </strong>A total of 1000 employees participated in a cross-sectional survey assessing absenteeism, presenteeism, and overall work impairment. Depression was measured with the Patient Health Questionnaire-9, and health status was evaluated across physical, mental, social, and spiritual domains. Analyses were conducted separately for workers younger than 35 years and those aged 35 years or older using logistic regression.</p><p><strong>Results: </strong>Depression was the most consistent predictor of productivity loss across all outcomes. The influence of specific health domains differed by age.</p><p><strong>Conclusion: </strong>These findings support the need for workplace programs that combine universal depression management with age-appropriate wellness strategies.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":"e659-e667"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of an 18-Week Workplace Gymnastics Program on Selected Components of Health-related Physical Fitness in Administrative Workers: A Non-Randomized Clinical Trial. 一项为期18周的工作场所体操计划对行政工作人员健康相关体质部分的影响：一项非随机临床试验。
IF 1.4
Journal of occupational and environmental medicine Pub Date : 2026-09-30 DOI: 10.1097/JOM.0000000000003900
Letícia Resende Viegas, David Michel de Oliveira, Letícia Mendes de Morais, Luiz Fernando Gouvêa-E-Silva, Mayara Bocchi, Eduardo Vignoto Fernandes
{"title":"Effects of an 18-Week Workplace Gymnastics Program on Selected Components of Health-related Physical Fitness in Administrative Workers: A Non-Randomized Clinical Trial.","authors":"Letícia Resende Viegas, David Michel de Oliveira, Letícia Mendes de Morais, Luiz Fernando Gouvêa-E-Silva, Mayara Bocchi, Eduardo Vignoto Fernandes","doi":"10.1097/JOM.0000000000003900","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003900","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the effects of an 18-week workplace gymnastics (WG) program on selected components of health-related physical fitness in administrative workers.</p><p><strong>Methods: </strong>This non-randomized study (n=66) compared low (LA, <35 sessions) and good adherence (GA, ≥35 sessions) groups across an 18-week program (15-min sessions, 3x/week), assessing handgrip strength (HGS), flexibility, and lower-limb endurance.</p><p><strong>Results: </strong>The GA group showed greater reductions in body fat (-1.7% vs -1.0%) and gains in muscle mass (+1.0% vs +0.8%), although not significant, and significantly higher post-intervention flexibility (30.9 vs 22.2 cm; p=0.004) and lower-limb endurance (33.0 vs 26.1 reps; p=0.0002). No significant HGS changes occurred. Attendance correlated positively with post-intervention outcomes.</p><p><strong>Conclusions: </strong>Participation in WG was associated with selected components of health-related physical fitness; higher attendance was associated with better outcomes, without implying causality or a dose-response relationship.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Community Health Center Staff Evaluation of the Acceptability, Usefulness and Ease of Implementation of Evidence-Based Organizational-Level Interventions to Promote Healthcare Workforce Well-Being. 社区卫生中心工作人员评估基于证据的组织层面干预措施的可接受性、有用性和易用性，以促进医疗保健工作者的福祉。
IF 1.4
Journal of occupational and environmental medicine Pub Date : 2026-09-29 DOI: 10.1097/JOM.0000000000003896
Sharon S Laing, Daphne Gallegos, Taryn Amberson, Pamela Sheffield, Kathleen Shannon Dorcy
{"title":"Community Health Center Staff Evaluation of the Acceptability, Usefulness and Ease of Implementation of Evidence-Based Organizational-Level Interventions to Promote Healthcare Workforce Well-Being.","authors":"Sharon S Laing, Daphne Gallegos, Taryn Amberson, Pamela Sheffield, Kathleen Shannon Dorcy","doi":"10.1097/JOM.0000000000003896","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003896","url":null,"abstract":"<p><strong>Objective: </strong>Study examined community health center healthcare staff's assessment of the acceptability, usefulness and ease of implementation of evidence-based organizational-level strategies to reduce burnout and improve well-being.</p><p><strong>Methods: </strong>Four focus groups with a total of 22 healthcare professionals from four occupational domains: medical providers, medical support staff, dental staff and nursing staff. We analyzed the data using Rapid Qualitative Analysis enabling timely results to leaders.</p><p><strong>Results: </strong>Participants highlighted organizational strengths (culture of teamwork and collaboration), and challenges (increased workload and inconsistent workflow). Respondents identified (1) workflow redesign; (2) advanced team-based care; (3) person-centered leadership training; and (4) flexible work schedules as organizational-level interventions that are acceptable, useful, easy to implement and therefore feasible to support workforce wellness.</p><p><strong>Conclusions: </strong>Staff engagement in identification and implementation of health promotive strategies is key to long-term burnout reduction and workplace health promotion.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mixed exposure to PFAS and OPEs is associated with increased depressive and anxiety symptoms in college freshmen. PFAS和OPEs的混合暴露与大学新生抑郁和焦虑症状的增加有关。
IF 1.4
Journal of occupational and environmental medicine Pub Date : 2026-09-29 DOI: 10.1097/JOM.0000000000003895
Xiangfei Zhong, Shi-Yi Gong, Gang Liang, Chen-Wei Pan, Ming Zhang, Dan-Lin Li, Tianyang Zhang
{"title":"Mixed exposure to PFAS and OPEs is associated with increased depressive and anxiety symptoms in college freshmen.","authors":"Xiangfei Zhong, Shi-Yi Gong, Gang Liang, Chen-Wei Pan, Ming Zhang, Dan-Lin Li, Tianyang Zhang","doi":"10.1097/JOM.0000000000003895","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003895","url":null,"abstract":"<p><strong>Objective: </strong>To examine individual and mixture associations of PFAS and OPEs with depressive and anxiety symptoms among college freshmen.</p><p><strong>Methods: </strong>This cross-sectional study included 1,247 Chinese freshmen with serum PFAS/OPE measurements and SDS/SAS scores. Associations were estimated using multiple linear regression, WQS regression, and BKMR, adjusting for demographic and lifestyle covariates.</p><p><strong>Results: </strong>In adjusted WQS models, each one-quartile increase in the mixture index was associated with higher depression (β=1.42; 95% CI, 0.28-2.56) and anxiety scores (β=1.96; 95% CI, 0.77-3.15). BKMR showed positive but imprecise mixture trends and identified PFHpA as a relatively important contributor.</p><p><strong>Conclusions: </strong>PFAS/OPE co-exposure was associated with greater depressive and anxiety symptoms, supporting mixture-based assessment of environmental mental health risks.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Workplace Health Promotion Practices in Brazilian Companies: Initial Findings From the Brazilian Version of the CDC Worksite Health ScoreCard. 巴西公司的工作场所健康促进实践：来自巴西版CDC工作场所健康记分卡的初步发现。
IF 1.4
Journal of occupational and environmental medicine Pub Date : 2026-09-25 DOI: 10.1097/JOM.0000000000003893
João Silvestre Silva-Junior, Lara Vendramini Lucas Freitas, Pedro Henrique Farinha, Victor Dias Roviello, Cristiane Helena Gallasch, Tiago Boff Pedro, Rafael Comini Barcelos, Alberto José Niituma Ogata
{"title":"Workplace Health Promotion Practices in Brazilian Companies: Initial Findings From the Brazilian Version of the CDC Worksite Health ScoreCard.","authors":"João Silvestre Silva-Junior, Lara Vendramini Lucas Freitas, Pedro Henrique Farinha, Victor Dias Roviello, Cristiane Helena Gallasch, Tiago Boff Pedro, Rafael Comini Barcelos, Alberto José Niituma Ogata","doi":"10.1097/JOM.0000000000003893","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003893","url":null,"abstract":"<p><strong>Objective: </strong>To describe the initial application of the Brazilian version of the CDC Worksite Health ScoreCard (WHSC) among companies in southern Brazil.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted in 2023. Representatives from 230 companies were invited to complete the Brazilian WHSC (154 items, 18 domains). Organizational characteristics and WHSC scores were analyzed descriptively.</p><p><strong>Results: </strong>Fifty-seven companies participated (24.8% response rate). The mean WHSC score was 119.1 (40.5% of the maximum score). Highest scores were observed for Occupational Safety and Health (78.9%), Vaccine-Preventable Diseases (58.6%), and Organizational Supports (56.4%). Lowest scores were found for Nutrition (18.8%), Sleep and Fatigue (21.1%), High Cholesterol (27.7%), and Tobacco Use (28.3%).</p><p><strong>Conclusions: </strong>The Brazilian WHSC identified important gaps in workplace health promotion and supports organizational assessment, benchmarking, and planning of evidence-based health promotion initiatives.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adding Neuromuscular Exercise to Ergonomics Training for Professional Butchers: A Randomized Controlled Trial of Work-Related Musculoskeletal Symptoms. 在职业屠夫的人体工程学训练中加入神经肌肉锻炼：一项与工作相关的肌肉骨骼症状的随机对照试验
IF 1.4
Journal of occupational and environmental medicine Pub Date : 2026-09-25 DOI: 10.1097/JOM.0000000000003890
Esra Çal, Vedat Caner, Ömer Şevgin
{"title":"Adding Neuromuscular Exercise to Ergonomics Training for Professional Butchers: A Randomized Controlled Trial of Work-Related Musculoskeletal Symptoms.","authors":"Esra Çal, Vedat Caner, Ömer Şevgin","doi":"10.1097/JOM.0000000000003890","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003890","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether adding a 12-week neuromuscular exercise programme to occupation-specific ergonomics training improves work-related musculoskeletal symptoms in professional butchers.</p><p><strong>Methods: </strong>In this single-blind randomized controlled trial, 50 symptomatic male butchers were allocated 1:1 to ergonomics training plus neuromuscular exercise (3 sessions/week) or ergonomics training alone. Pain (visual analogue scale, VAS), QuickDASH, Fatigue Severity Scale (FSS), Pittsburgh Sleep Quality Index (PSQI), and Nordic Musculoskeletal Questionnaire were assessed at baseline and week 12. No outcome hierarchy was prespecified.</p><p><strong>Results: </strong>All participants completed follow-up. Group-by-time interactions favoured the combined intervention for VAS pain, QuickDASH, FSS, and PSQI; all P<0.001, partial η²=0.31-0.58. Exploratory neck symptom prevalence fell from 60% to 8% versus 56% to 56%.</p><p><strong>Conclusions: </strong>Adding neuromuscular exercise to ergonomics training produced greater short-term improvement than ergonomics training alone; baseline imbalances and self-report warrant cautious interpretation.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Burnout in professionals working with children and adolescents in mental health, pediatric medicine, and social care settings - A convergent mixed methods study. 在心理健康、儿科医学和社会护理环境中与儿童和青少年一起工作的专业人员的职业倦怠——一项融合混合方法研究。
IF 1.4
Journal of occupational and environmental medicine Pub Date : 2026-09-25 DOI: 10.1097/JOM.0000000000003892
Daniel Vella Fondacaro, Caroline Vassallo, Annalise Bellizzi, Francesca Vella Fondacaro
{"title":"Burnout in professionals working with children and adolescents in mental health, pediatric medicine, and social care settings - A convergent mixed methods study.","authors":"Daniel Vella Fondacaro, Caroline Vassallo, Annalise Bellizzi, Francesca Vella Fondacaro","doi":"10.1097/JOM.0000000000003892","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003892","url":null,"abstract":"<p><strong>Objective: </strong>This mixed-methods study analyzed burnout in healthcare and social care professionals working with children and adolescents.</p><p><strong>Methods: </strong>Participants (n = 101) were chosen using snowball sampling; these worked in mental health, pediatric medicine, or social care institutions. Online questionnaires were distributed and 8 participants were chosen for interviews through purposive sampling.</p><p><strong>Results: </strong>Burnout decreased with age (p =.01), while doctors reported the highest burnout (M = 44.39). Pediatric medicine professionals reported significantly higher burnout (M = 43.54); social care institution professionals reported the lowest (M = 37.46). Exhaustion correlated with disengagement (p <.001). Qualitative results identified contributors for burnout, including clinical pressures and systemic challenges. Peer support, supervision, and multidisciplinary approaches were considered protective.</p><p><strong>Conclusions: </strong>Findings inform service developers to implement burnout reduction strategies, improving retention rates and the overall working experience.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Central Adiposity and Cardiometabolic Risk in Occupational Personnel: Nonlinear Associations with Lipid Risk and Aerobic Capacity. 职业人员中心性肥胖和心脏代谢风险：与脂质风险和有氧能力的非线性关联。
IF 1.4
Journal of occupational and environmental medicine Pub Date : 2026-09-23 DOI: 10.1097/JOM.0000000000003881
Yuhang Liu, Michael J Conner, J Jay Dawes, Jacob Mota, Brian Newman, Steven E Martin, Drew E Gonzalez
{"title":"Central Adiposity and Cardiometabolic Risk in Occupational Personnel: Nonlinear Associations with Lipid Risk and Aerobic Capacity.","authors":"Yuhang Liu, Michael J Conner, J Jay Dawes, Jacob Mota, Brian Newman, Steven E Martin, Drew E Gonzalez","doi":"10.1097/JOM.0000000000003881","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003881","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether DXA-derived android-to-gynoid fat ratio (A/G) relates to cardiometabolic risk and aerobic capacity in first responders beyond BMI-based phenotypes.</p><p><strong>Methods: </strong>In this cross-sectional study, 170 first responders were categorized into four BMI-body fat phenotypes. Group differences in VO₂peak, A/G, and cardiometabolic markers were examined using ANCOVA. A/G was modeled continuously using linear regression, generalized additive models, and exploratory structural equation modeling.</p><p><strong>Results: </strong>VO₂peak, TG/HDL, and estimated pulse wave velocity differed across phenotypes. A/G showed nonlinear associations with TG/HDL (edf = 3.22, F = 13.7, p < 0.01) and AOPP (edf = 2.89, F = 5.25, p < 0.01). A/G showed a modest nonlinear association with VO₂peak, but indirect pathways were unsupported.</p><p><strong>Conclusions: </strong>Central adiposity may better reflect cardiometabolic heterogeneity than aerobic capacity in first responders.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Retrospective Comparative Analysis of Sperm Count and Semen Parameters among White-Collar and Blue-Collar Workers: Influence of Occupational and Lifestyle Factors. 白领和蓝领工人精子数量和精液参数的回顾性比较分析：职业和生活方式因素的影响。
IF 1.4
Journal of occupational and environmental medicine Pub Date : 2026-09-22 DOI: 10.1097/JOM.0000000000003891
Papitha P Anand, Scindiya Mariappan, Hetal Shukla
{"title":"A Retrospective Comparative Analysis of Sperm Count and Semen Parameters among White-Collar and Blue-Collar Workers: Influence of Occupational and Lifestyle Factors.","authors":"Papitha P Anand, Scindiya Mariappan, Hetal Shukla","doi":"10.1097/JOM.0000000000003891","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003891","url":null,"abstract":"<p><strong>Objective: </strong>To compare semen quality characteristics and associated occupational and lifestyle characteristics in white- and blue-collar workers.</p><p><strong>Methods: </strong>This retrospective study was carried out on 2,555 individuals (1,383 white-collar and 1,172 blue-collar) aged 20 to 50 years. Parameters of semen quality were measured based on WHO (2010) guidelines.</p><p><strong>Results: </strong>Smoking, drinking alcohol, heat, and chemical exposure were more frequent among blue-collar workers, while stress and sedentary lifestyle prevailed among white-collar workers. There was a difference in the semen quality parameters by categories of abnormalities. Progressive motility and morphology proved their significant discriminating power concerning the high level of stress in white-collar workers, with area under the curve of 0.924 and 0.878, respectively.</p><p><strong>Conclusion: </strong>Occupational and lifestyle characteristics were linked with differences in semen quality characteristics.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early Versus Delayed Bronchoalveolar Lavage in Hospitalized Patients With Coal Workers' Pneumoconiosis and Pneumonia: A Retrospective Cohort Study of Inflammatory and Radiographic Outcomes. 煤工尘肺和肺炎住院患者早期与延迟支气管肺泡灌洗：炎症和影像学结果的回顾性队列研究
IF 1.4
Journal of occupational and environmental medicine Pub Date : 2026-09-22 DOI: 10.1097/JOM.0000000000003888
Zhengjun Wen, Liang Chen, Jianhong Zhang
{"title":"Early Versus Delayed Bronchoalveolar Lavage in Hospitalized Patients With Coal Workers' Pneumoconiosis and Pneumonia: A Retrospective Cohort Study of Inflammatory and Radiographic Outcomes.","authors":"Zhengjun Wen, Liang Chen, Jianhong Zhang","doi":"10.1097/JOM.0000000000003888","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003888","url":null,"abstract":"<p><strong>Objective: </strong>Assess whether BAL timing (≤72 h vs. >72 h) affects inflammation, radiographic outcomes, and resource use in patients with CWP complicated by pneumonia.</p><p><strong>Methods: </strong>This single-center cohort included 204 patients treated from 2020 to 2024. Associations were evaluated using GEE, multivariable regression, and IPTW.</p><p><strong>Results: </strong>Patients receiving early BAL had higher baseline inflammation and showed steeper CRP and WBC declines in adjusted and weighted analyses. Radiographic estimates were imprecise, and no clear adjusted differences were observed in length of stay or total cost.</p><p><strong>Conclusions: </strong>Early BAL (≤72 h) was associated with greater short-term inflammatory improvement. However, residual confounding, regression to the mean, missing data, and survival/immortal-time biases limit causal interpretation. Benefits for radiographic outcomes and healthcare resource use remain uncertain.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信
小红书