Status of pulmonary nodule detection and its influencing factors among medical staff of a tertiary hospital in Hefei City
Objective To investigate the detection rate and epidemiological characteristics of pulmonary nodules among medical professionals in a tertiary hospital in Hefei City,and to analyze the related influencing factors.Methods A cross-sectional study was conducted in medical staff undergoing pulmonary nodule screening using low-dose spiral computed tomography and taking part in completed questionnaire survey in the Health Management Center,the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital)in 2021.Results A total of 1,280 patients with pulmonary nodules were detected among 3,475 subjects undergoing physical examination,with a positive rate of 36.83％.The detection rate was higher in males(45.16％,443/981)than in females(33.56％,837/2,494).Among the patients with pulmonary nodules detected,patients with bilateral pulmonary nodules accounted for the largest proportion(58.36％,747/1,280),while patients with left pulmonary nodules accounted for the lowest proportion(13.98％,179/1,280).By multivariate logistic regression analysis,it was found that the age of 31-40 years old(OR=2.372,95％CI:1.768-3.183),41-50 years old(OR=36.394,95％CI:25.803-51.333),51-60 years old(OR=51.876,95％CI:34.380-78.275),family history of lung cancer(OR=1.521,95％CI:1.056-2.192)and frequent light-headedness or dizziness(OR=1.625,95％CI:1.072-2.462)were independent risk factors affecting the detection of pulmonary nodules in the medical staff(all P＜0.05).Conclusion The detection rate of pulmonary nodules is higher in medical staff with older age and a family history of lung cancer.Special attention should be paid to frequent light-headedness or dizziness as a common symptom of pulmonary nodules.
medical staffpulmonary noduledetection rateinfluencing factor
万方数据
维普
