Asma professionale e danno biologico: Tutela privilegiata?

Translated title of the contribution: Occupational asthma and biological damage: Adequate compensation?

M. Carino, G. Di Leone, A. Nuzzaco, G. Trani, I. Zullo, L. Ambrosi

Research output: Contribution to journalArticlepeer-review

Abstract

The evaluation of the damage to biological and relational capacities of the subject is the novel approach of the Italian Insurance Regulation Decree N° 38/2000 for compensating occupational asthma (OA). In this study we aimed to apply retrospectively the novel rating system to mild OA. From a data base of 201 diagnosis of OA collected in the 1987-97 decade 85 eligible consecutive cases of mild asthma according to the criteria of NIH/WHO guidelines on asthma were studied. Records on compensation were documented for 41 subjects. The average difference between novel scales and the actual rating individually assessed by Italian National Agency for compensation through criteria used at that time was 45.6 ± 20%. The average difference between novel scales and rating calculated with guidelines considering the measurement of non-specific bronchial hyperreactivity developed by international experts and American Thoracic Society, endorsed by American Medical Association, was 41.5 ± 12%. Within the actual rating individually assessed with previous Italian Insurance criteria no significant relationship (r=-0.20, p=0,2) was shown with bronchial responsiveness to methacoline expressed as provocative dose causing a 20% fall in FEV1 (PD 20FEV1 μg of mch). A significant (p

Translated title of the contributionOccupational asthma and biological damage: Adequate compensation?
Original languageItalian
Pages (from-to)435-440
Number of pages6
JournalGiornale Italiano di Medicina del Lavoro ed Ergonomia
Volume25
Issue number4
Publication statusPublished - Oct 2003

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Rehabilitation

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