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Occupational Medicine 2005 55(2):139-141; doi:10.1093/occmed/kqi019
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Occupational Medicine, Vol. 55 No. 2 © Society of Occupational Medicine 2005; all rights reserved

Short Report

A screening questionnaire for HAVS?

Joanne Elms1, Kerry Poole and Howard Mason

J. Elms, Health & Safety Laboratory

Aim To define the diagnostic power of simple questions most applicable for a hand–arm vibration syndrome (HAVS) assessment screening questionnaire.

Method Using a binary logistic regression we analysed 365 physician led HAVS health surveillance assessments to identify which questions could form the basis of a screening questionnaire.

Results Four sensorineural related questions regarding tingling and numbness in response to the cold and after using vibrating tools, and two vascular-related questions focusing on the patient's fingers going white on exposure to cold and numbness during an attack of whiteness were identified.

Conclusions Questions of high sensitivity for screening subjects for the vascular and neurosensory components of HAVS were identified, which can be used to identify those requiring further clinical investigation and functional testing.

Keywords      HAVS; health surveillance; screening questionnaire

Received       20 May 2004
Revised         10 September 2004
Accepted       28 September 2004

* Correspondence to: Joanne Elms, Health and Safety Laboratory, Medical Unit, Harpur Hill, Buxton, Derbyshire SK17 9JN, UK. Tel: +44 1298 218449; Email: joanne.elms{at}hsl.gov.uk


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