Screening Heroin Smokers Attending Community Drug Services for COPD.
Adult
Age Distribution
Asthma
/ chemically induced
Community Health Services
/ methods
Cross-Sectional Studies
Female
Heroin Dependence
/ complications
Humans
Male
Mass Screening
/ methods
Middle Aged
Prevalence
Prognosis
Pulmonary Disease, Chronic Obstructive
/ chemically induced
Risk Assessment
Severity of Illness Index
Sex Distribution
Spirometry
/ methods
United States
Vital Capacity
/ physiology
COPD
addiction
drug abuse
spirometry
Journal
Chest
ISSN: 1931-3543
Titre abrégé: Chest
Pays: United States
ID NLM: 0231335
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
07
06
2018
revised:
03
08
2018
accepted:
08
08
2018
pubmed:
7
9
2018
medline:
12
11
2019
entrez:
7
9
2018
Statut:
ppublish
Résumé
Heroin smoking is associated with deprivation, early onset severe emphysema, premature morbidity and mortality, and high use of health care, but individuals engage poorly with traditional health services. In this cross-sectional study, we screened a population of heroin smokers, prescribed opiate substitution therapy by community drug services, for airway disease. We assessed drug exposure, respiratory symptoms, health status, and COPD prevalence. Subjects completed spirometry, completed Medical Research Council (MRC) Dyspnea Scale, COPD Assessment Tool (CAT) questionnaire, recorded drug exposure, and provided feedback. A total of 753 people (73% of those approached) completed screening, with 260 participants (35%) having COPD using FEV Most heroin smokers had COPD or ACO, most commonly mild to moderate disease. In high-risk areas, screening this population provides an opportunity to reduce symptoms and risk. Anchoring respiratory health screening to drug center appointments delivers high completion and satisfaction and is an appropriate model for screening other hard-to-reach populations.
Sections du résumé
BACKGROUND
Heroin smoking is associated with deprivation, early onset severe emphysema, premature morbidity and mortality, and high use of health care, but individuals engage poorly with traditional health services.
METHODS
In this cross-sectional study, we screened a population of heroin smokers, prescribed opiate substitution therapy by community drug services, for airway disease. We assessed drug exposure, respiratory symptoms, health status, and COPD prevalence. Subjects completed spirometry, completed Medical Research Council (MRC) Dyspnea Scale, COPD Assessment Tool (CAT) questionnaire, recorded drug exposure, and provided feedback.
RESULTS
A total of 753 people (73% of those approached) completed screening, with 260 participants (35%) having COPD using FEV
CONCLUSIONS
Most heroin smokers had COPD or ACO, most commonly mild to moderate disease. In high-risk areas, screening this population provides an opportunity to reduce symptoms and risk. Anchoring respiratory health screening to drug center appointments delivers high completion and satisfaction and is an appropriate model for screening other hard-to-reach populations.
Identifiants
pubmed: 30189189
pii: S0012-3692(18)32337-7
doi: 10.1016/j.chest.2018.08.1049
pii:
doi:
Types de publication
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
279-287Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2018 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.