지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Background: The detection rate of hand-arm vibration syndrome (HAVS) is very low in South Korea compared with other countries. The absence of uniform consensus and guidelines for diagnosing HAVS has been presumed to be one of the reasons. The HAVS has various manifestations including cold intolerance and its severity can be measured using the cold intolerance symptom severity (CISS) questionnaire. This study aimed to determine whether the CISS questionnaire, being used as a screening tool, can aid in the early detection of HAVS.
Methods: A total of 76 male workers with vibration-induced symptoms were enrolled as the final study participants. To compare the CISS score of healthy individuals, 41 men who had never been exposed to local vibration were included in the study. In addition to the former medical questionnaire, the participants answered the CISS questionnaire. A statistical analysis was conducted to identify the association of CISS scores with vibration induced symptom and to determine its cut off value.
Results: The reliability of the CISS questionnaire was proven to be good, with a total Cronbach’s alpha of 0.922. The mean CISS score of the exposed group increased in every vascular stage [stage 0 = 42.6 (18.5); stage 1 = 59.4 (14.1); and over stage 2 = 60.2 (21.6)]. They were significantly higher than that of the non-exposed group. The result was fairly consistent with those in the sensorineural stage. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and area under curve (AUC) of 30 were 88.5, 65.3, 76.1, 82.1 and 0.769, respectively. From the result of logistic regression, the adjusted odds ratio of both components increased by the CISS score grouped by 30s.
Conclusions: The self-reported CISS questionnaire, used to measure the degree of cold intolerance, showed high agreement with the Stockholm classification of HAVS. Hence, we recommend the use of this questionnaire to assess the level of cold intolerance among vibration-exposed workers and detect individuals who are at risk of vibration-induced impairment with a cutoff value of 30.
Methods: A total of 76 male workers with vibration-induced symptoms were enrolled as the final study participants. To compare the CISS score of healthy individuals, 41 men who had never been exposed to local vibration were included in the study. In addition to the former medical questionnaire, the participants answered the CISS questionnaire. A statistical analysis was conducted to identify the association of CISS scores with vibration induced symptom and to determine its cut off value.
Results: The reliability of the CISS questionnaire was proven to be good, with a total Cronbach’s alpha of 0.922. The mean CISS score of the exposed group increased in every vascular stage [stage 0 = 42.6 (18.5); stage 1 = 59.4 (14.1); and over stage 2 = 60.2 (21.6)]. They were significantly higher than that of the non-exposed group. The result was fairly consistent with those in the sensorineural stage. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and area under curve (AUC) of 30 were 88.5, 65.3, 76.1, 82.1 and 0.769, respectively. From the result of logistic regression, the adjusted odds ratio of both components increased by the CISS score grouped by 30s.
Conclusions: The self-reported CISS questionnaire, used to measure the degree of cold intolerance, showed high agreement with the Stockholm classification of HAVS. Hence, we recommend the use of this questionnaire to assess the level of cold intolerance among vibration-exposed workers and detect individuals who are at risk of vibration-induced impairment with a cutoff value of 30.
목차
Abstract
Background
Methods
Results
Discussion
Conclusion
References
참고문헌 (40)
참고문헌 신청
Lawson IJ / 2003 / A medical assessment process for a large volume of medico-legal compensation claims for hand-arm vibration syndrome / Occup Med(Lond) 53(5):302~308
C. Heaver / 2011 / Hand–arm vibration syndrome: a common occupational hazard in industrialized countries / Journal of Hand Surgery (European Volume) 36(5):354~363
Tohr Nilsson / 2017 / Hand-arm vibration and the risk of vascular and neurological diseases—A systematic review and meta-analysis / PLOS ONE 12(7):e0180795
Mahbub M / 2011 / Review of different quantification methods for the diagnosis of digital vascular abnormalities in hand-arm vibration syndrome / J Occup Health 53(4):241~249
Korea Occupational Safety and Health Agency (KOSHA) / 2015 / Health examination guideline for Korean worker / KOSHA
C. Heaver / 2011 / Hand–arm vibration syndrome: a common occupational hazard in industrialized countries / Journal of Hand Surgery (European Volume) 36(5):354~363
Tohr Nilsson / 2017 / Hand-arm vibration and the risk of vascular and neurological diseases—A systematic review and meta-analysis / PLOS ONE 12(7):e0180795
Mahbub M / 2011 / Review of different quantification methods for the diagnosis of digital vascular abnormalities in hand-arm vibration syndrome / J Occup Health 53(4):241~249
Korea Occupational Safety and Health Agency (KOSHA) / 2015 / Health examination guideline for Korean worker / KOSHA
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UCI(KEPA) : I410-ECN-0101-2019-517-000718697