4.2 Article

Quality and learning aspects of the first 9000 spirometries of the LifeGene study

Journal

NPJ PRIMARY CARE RESPIRATORY MEDICINE
Volume 28, Issue -, Pages -

Publisher

NATURE PORTFOLIO
DOI: 10.1038/s41533-018-0073-y

Keywords

-

Funding

  1. project group 'Future Occupational Health Services' [2010-1563]

Ask authors/readers for more resources

Spirometry requires the patient to cooperate and do the manoeuvre 'right' for reliable results. Algorithms to assess test quality as well as educational recommendations for personnel are defined in guidelines. We compared the quality of forced spirometry tests performed by spirometry technicians with little or no previous experience of spirometry using spirometry systems with different modes of feedback. In both cases, the spirometry technician received general feedback on the screen based on ATS/ERS guidelines, such as 'exhale faster' and 'exhale longer'. The major difference was whether quality grading system of the complete session was available simultaneously on screen, or in the printed report afterwards. Two parts of the same population-based study (LifeGene), the pilot (LG1) and the first part (LG2) of the subsequent study, were compared retrospectively. In LG1 (on-screen grading) approved examination quality was achieved for 88% of the 10 first subjects for each spirometry technician compared to 70% in LG2 (printed grading afterwards). The corresponding values after 40 subjects was 94 % in LG1, compared to 73% in LG2, and after the first ten subjects there was no apparent quality improvement in either LG1 or LG2. The quality for LG1 is among the highest reported in the literature even though the spirometry technician were relatively inexperienced. We conclude that on-screen grading in addition to general technical quality feedback is powerful in enhancing the spirometry test session quality.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.2
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Chemistry, Analytical

Validity of a Non-Proprietary Algorithm for Identifying Lying Down Using Raw Data from Thigh-Worn Triaxial Accelerometers

Pasan Hettiarachchi, Katarina Aili, Andreas Holtermann, Emmanuel Stamatakis, Magnus Svartengren, Peter Palm

Summary: The study refined an algorithm to accurately detect lying down from raw data of thigh-worn accelerometers and found that the refined algorithm can accurately estimate lying time in studies using different accelerometer brands.

SENSORS (2021)

Article Environmental Sciences

Company Representatives' Experiences of Occupational Health Surveillance for Workers Exposed to Hand-Intensive Work: A Qualitative Study

Kristina Eliasson, Gunilla Dahlgren, Therese Hellman, Charlotte Lewis, Peter Palm, Magnus Svartengren, Teresia Nyman

Summary: The study aimed to explore company representatives' experiences of a process model that emphasized the interconnection between exposure assessment and medical health checks in occupational health surveillance. The findings revealed that the model contributed to increased risk awareness and understanding of exposure effects on workers' health. Feasibility was facilitated by clear communication and clarity regarding process ownership.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Environmental Sciences

Development Work in Healthcare: What Supportive and Deterrent Factors Do Employees Working in a Hospital Department Experience in an Improved Work Environment?

Susanna Pera, Therese Hellman, Fredrik Molin, Magnus Svartengren

Summary: This study explored employees' experiences of development work within a hospital department, finding that both internal and external factors influence development work. It emphasizes the importance of viewing local development work in relation to how the rest of the organization functions.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Environmental Sciences

Can the Human Resources Index (HRI) Be Used as a Process Feedback Measurement in a Structured Support Model for Systematic Work Environment Management?

Fredrik Molin, Sofia Astrom Paulsson, Therese Hellman, Magnus Svartengren

Summary: This study aimed to estimate the human resources index (HRI) among Swedish municipal employees and investigate its association with relational justice, short-term recovery, work environment-related production loss, and health-related production loss. The results revealed positive associations between HRI and relational justice, short-term recovery, as well as negative associations with work environment-related production loss and health-related production loss.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Environmental Sciences

How Human Resources Index, Relational Justice, and Perceived Productivity Change after Reorganization at a Hospital in Sweden That Uses a Structured Support Model for Systematic Work Environment Management

Erebouni Arakelian, Sofia Paulsson, Fredrik Molin, Magnus Svartengren

Summary: The study investigated the effects of implementing a structured support model on work environment management in a perioperative hospital department in Sweden. The results showed positive improvements in the Human Resources Index, production loss, and other areas.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

Article Rehabilitation

How to strengthen the RTW process and collaboration between patients with chronic pain and their employers in interdisciplinary pain rehabilitation programs? Patients' experiences of the Demand and Ability Protocol

Elin Johansson, Magnus Svartengren, Katarina Danielsson, Therese Hellman

Summary: This study aims to explore how patients participating in an IPRP experience a three-party meeting through DAP dialogue to assist in their return to work. The results indicate that the structured dialogue facilitated new insights, enabled employer participation, and created a link between rehabilitation and work in everyday life.

DISABILITY AND REHABILITATION (2023)

Article Medicine, General & Internal

Predictors of post-COVID-19 and the impact of persistent symptoms in nonhospitalized patients 12 months after COVID-19, with a focus on work ability

Marta A. Kisiel, Helena Janols, Tobias Nordqvist, Jonas Bergquist, Simone Hagfeldt, Andrei Malinovschi, Magnus Svartengren

Summary: This study aimed to investigate persistent symptoms up to 12 months after COVID-19 in non-hospitalized patients and their impact on work ability. The results showed that 47% of the respondents reported persistent symptoms 12 months after COVID-19 diagnosis, with impaired sense of smell and/or taste and fatigue being the most commonly reported symptoms. Predictors of persistent symptoms included being born abroad, lower physical fitness compared with peers before COVID-19, body mass index >25 kg/m(2), cooccurrence of hypertension and chronic pain, and having more than seven of the general COVID-19 symptoms at the onset. The study highlights the importance of considering work ability after mild COVID-19.

UPSALA JOURNAL OF MEDICAL SCIENCES (2022)

Article Rehabilitation

Active engagement of managers in employee RTW and manager-employee relationship: managers' experiences of participating in a dialogue using the Demand and Ability Protocol

Katarina Aili, Magnus Svartengren, Katarina Danielsson, Elin Johansson, Therese Hellman

Summary: This study aims to describe the experiences of managers in the return-to-work process using the Demand and Ability Protocol by participating in a three-party meeting. The findings reveal that having a structured dialogue and active involvement in the employee's rehabilitation can improve the manager-employee relationship and benefit the organization.

DISABILITY AND REHABILITATION (2023)

Article Environmental Sciences

Including a Three-Party Meeting Using the Demand and Ability Protocol in an Interdisciplinary Pain Rehabilitation Programme for a Successful Return to Work Process

Katarina Aili, Therese Hellman, Magnus Svartengren, Katarina Danielsson

Summary: The study aimed to investigate the effectiveness of using DAP intervention in an interdisciplinary pain rehabilitation program compared to usual care. Results indicated that the DAP intervention seemed to improve sleep quality among patients, but the impact on work-related outcomes was inconclusive.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

Article Environmental Sciences

Sustainable Earnings among Immigrants, and the Role of Health Status for Self-Sufficiency: A 10-Year Follow-Up Study of Labour Immigrants and Refugees to Sweden 2000-2006

Magnus Helgesson, Maria Brendler-Lindqvist, Bo Johansson, Tobias Nordquist, Martin Tondel, Magnus Svartengren

Summary: This study investigates economic self-sufficiency and the impact of health status on self-sufficiency for immigrants. The proportion of self-sufficiency during years 1-10 after receiving a residence permit is compared between non-European labour immigrants, refugees, and Swedish-born individuals. Cox regression models are used to analyze the risk of not being self-sufficient in year 10, and the results show that both labour immigrants and refugees have a higher risk compared to Swedish-born individuals. The impact of having a diagnosis from specialised health care on self-sufficiency is also analyzed.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2023)

Article Psychiatry

Long-term stability in obsessive thoughts and compulsive behavior in the general population: a longitudinal study in Sweden

Carl Hogstedt, Yvonne Forsell, Joseph F. Hayes, Margareta Torgen, Magnus Svartengren, Andreas Lundin

Summary: This study aimed to examine the occurrence and stability of obsessive thoughts and compulsive behavior in the general population, as well as the potential effect of SSRI and TCA medications on symptoms. The results showed that obsessive thoughts and compulsive behavior are common and stable, and there is no indication that medication treatment affects the pattern of symptom recovery.

NORDIC JOURNAL OF PSYCHIATRY (2023)

Article Respiratory System

Airspace Dimension Assessment for early detection of lung function impairment in the peripheral airways of firefighters

Marta A. Kisiel, Gui-Hong Cai, Madeleine Petersson Sjogren, Jakob Londahl, Jonas Jakobsson, Per Wollmer, Andrei Malinovschi, Magnus Svartengren

Summary: Firefighters have an increased risk of chronic respiratory disease. Standard clinical techniques may not detect the earliest microstructural changes in peripheral airways. AiDA, a new technique, has been shown to enable early detection of emphysema in COPD.

ERJ OPEN RESEARCH (2023)

Article Engineering, Industrial

Does occupational health surveillance lead to risk reduction for workers exposed to hand-intensive work?

Kristina Eliasson, Charlotte Lewis, Therese Hellman, Gunilla Dahlgren, Magnus Svartengren, Teresia Nyman

Summary: This study aimed to describe the risk-reducing actions proposed by ergonomists and workers after an occupational health surveillance process for workers exposed to hand-intensive work in ten companies. Ergonomists proposed personal measures more often while workers targeted technology or organizational changes. Six companies implemented at least one action proposal, but evaluation and relation to evaluation metrics were lacking. This study highlights the need for guidance to improve the participatory process and include workers' experiences in the implementation and evaluation of risk-reducing actions.

APPLIED ERGONOMICS (2023)

Article Respiratory System

The impact of body mass index, central obesity and physical activity on lung function: results of the EpiHealth study

Magnus Svartengren, Gui-Hong Cai, Andrei Malinovschi, Jenny Theorell-Haglow, Christer Janson, Solve Elmstahl, Lars Lind, Erik Lampa, Eva Lindberg

ERJ OPEN RESEARCH (2020)

Article Public, Environmental & Occupational Health

Procurement and implementation processes for Occupational Health Services in Sweden

Sofia Astrom Paulsson, Lisa Schmidt, Tomas Eriksson, Teresia Nyman, Marianne Parmsund, Margareta Torgen, Magnus Svartengren

WORK-A JOURNAL OF PREVENTION ASSESSMENT & REHABILITATION (2020)

No Data Available