某醫學中心職業病環境病門診1987至1995年間之個案分析

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1 !"#$%&'#()*+#,-*&'./01)*234561100 !"#$%1

Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University. No. 1, Jen-Ai Road, Section 1, Taipei 100, Taiwan.

2 !"#$#%&'$%()*

Department of Internal Medicine, National Taiwan University Hospital.

*_{ !Correspondence author. E-Mail: jdwang@ha.mc.ntu.edu.tw}

  !"#$%&'()*+,-./012345678-97,:;<=>  !"#$%&'()*+,-./01  !"19871995 !"#$%$  !"#$%&'()*!+',-./012+Newman !"#$%&'()*  !"#$%&'()*+,-./0123456789:;<=><)?@>  !"#$"%&'()*+,-./012-./3456789:;<=>?12@  !"#$%&'()*+,)-  !19871995 673 !"#$192  !"#$%!&'"()*+,-./012,-34.56!789:;<=>?,  !"#$%&'()*%+,-./01234567&89:;<=>?@AB&C  !"#$%&'"(%)*( =3.13) !"( =1.76) !"#$%( =1.34) ( =1.20) ( =1.02)  !"#$%&'()*+,- !"#$%&'()*+,-./*012345#"67890:;<=>1234  !"#$%&'()*+,-./0123456( 199918(3)222-227)  !"#$%&'$%()*

Analysis of outpatient visits at a university hospital occupational

and environmental clinic between 1987 and 1995

Objectives: This study was designed to investigate the characteristics of environmental and

occupation-al diseases(EODs) in Taiwan. The factors associated with the establishment of a diagnosis for EOD were occupation-also determined. Methods: A modified Newman questionnaire was administered to outpatients seen in the envi-ronmental and occupational medicine clinic at a medical center in northern Taiwan between 1987 and 1995 to obtain personal data and a detailed occupational and medical history. Evidence of disease, evidence of exposure, temporality, consistency, and the exclusion of other common disease causes were used as criteria for making an EOD diagnosis. Patients with the first four criteria were classified as probably having an EOD. Those with all five criteria were classified as having an EOD. Results: Among 673 patients registered and reviewed between 1987 and 1995, 192 individuals were diagnosed as having or probably having an EOD. Respiratory tract diseases accounted for most EOD, followed by injuries, lead poisoning and skin diseases. Chemicals were the agents most commonly causing EOD. Logistic regression analysis also showed that significant factors leading to EOD diagnoses were coworkers having similar symptoms(odds ratio[OR]=3.13), referrals by other physicians(OR=1.76), using a mask(OR=1.34), smoking(OR=1.20) and age(OR=1.02).

Con-clusions: The results provide some insight in understanding the current characteristics of EOD in Taiwan and

some clues in reaching a diagnosis of EOD. Because data were collected from only one medical center, further study to include more data from other medical centers and a national surveillance system may show the whole picture of EOD in Taiwan. (Chin J Public Health. (Taipei): 1999; 18(3):222-227)

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