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The Immediate Pulmonary Disease Pattern following Exposure to High Concentrations of Chlorine Gas
Joint Authors
Mohr, Lawrence C.
Clark, Kathleen A.
Balte, Pallavi P.
Karmaus, Wilfried J.
Svendsen, Erik R.
Van Sickle, David
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-09
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Classification of pulmonary disease into obstructive, restrictive, and mixed patterns is based on 2005 ATS/ERS guidelines and modified GOLD criteria by Mannino et al.
(2003), but these guidelines are of limited use for simple spirometry in situations involving mass casualties.
Aim.
The purpose of this study was to apply these guidelines to patients who underwent simple spirometry following high concentration of chlorine gas inhalation after a train derailment in Graniteville, South Carolina.
Methods.
We retrospectively investigated lung functions in ten patients.
In order to classify pulmonary disease pattern, we used 2005 ATS/ERS guidelines and modified GOLD criteria along with our own criteria developed using available simple spirometry data.
Results.
We found predominant restrictive pattern in our patients with both modified GOLD and our criteria, which is in contrast to other chlorine exposure studies where obstructive pattern was more common.
When compared to modified GOLD and our criteria, 2005 ATS/ERS guidelines underestimated the frequency of restrictive disease.
Conclusion.
Diagnosis of pulmonary disease patterns is of importance after irritant gas inhalation.
Acceptable criteria need to be developed to evaluate pulmonary disease through simple spirometry in events leading to mass casualty and patient surge in hospitals.
American Psychological Association (APA)
Balte, Pallavi P.& Clark, Kathleen A.& Mohr, Lawrence C.& Karmaus, Wilfried J.& Van Sickle, David& Svendsen, Erik R.. 2013. The Immediate Pulmonary Disease Pattern following Exposure to High Concentrations of Chlorine Gas. Pulmonary Medicine،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-463684
Modern Language Association (MLA)
Balte, Pallavi P.…[et al.]. The Immediate Pulmonary Disease Pattern following Exposure to High Concentrations of Chlorine Gas. Pulmonary Medicine No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-463684
American Medical Association (AMA)
Balte, Pallavi P.& Clark, Kathleen A.& Mohr, Lawrence C.& Karmaus, Wilfried J.& Van Sickle, David& Svendsen, Erik R.. The Immediate Pulmonary Disease Pattern following Exposure to High Concentrations of Chlorine Gas. Pulmonary Medicine. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-463684
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-463684