New York State Medical Treatment Guidelines for Prognosis for asthma in workers compensation patients

The guidelines developed by the New York State Workers Compensation Board are intended to assist healthcare professionals in evaluating the prognosis for asthma.

Tailored for medical practitioners, these Workers Compensation Board guidelines offer support in determining the likely course of asthma for individuals.

It’s important to emphasize that these guidelines do not replace clinical judgment or professional experience. The assessment of the prognosis for asthma should be a collaborative one, involving the patient and their healthcare provider in consultation.

Long-Term Outlook and Follow-Up in Occupational Asthma

1. Variable Long-Term Consequences:

  • The enduring outcomes of Occupational Asthma (OA) exhibit variability, necessitating extended follow-up.

2. Persistence of Symptoms and Impairment:

  • Symptoms and functional limitations linked to OA may endure for several years post the cessation of exposure to the causative agent.

3. Optimal Outcomes and Factors:

  • Favorable outcomes are more probable in individuals with:
    • No ongoing exposure to the causative agent,
    • Relatively normal lung function at the time of diagnosis, and
    • A shorter duration of symptoms before diagnosis.

4. Chronic Nature of OA:

  • OA can transform into a chronic condition akin to non-OA, demanding extended medical management.

5. Follow-Up Recommendations:

  • For patients with confirmed or potential OA, diligent follow-up is crucial, involving respiratory questionnaires and spirometry testing, particularly when exposure risks persist.

6. Post-Work Follow-Up:

  • Individuals with confirmed OA, who have left their workplace or face no ongoing asthmagen exposure, should undergo regular follow-ups based on clinical requirements.



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