The relationship between COPD attack applications and air pollution in the emergency department

Öz

Purpose: We aimed to investigate the relationship between air pollution, temperature and COPD attacks in two different centers. Materials and methods: Two centers, Bandırma and Van, were included in the study. In addition, temperature grouping was also done. Air pollution and temperature values were obtained from official sites. COPD data were scanned retrospectively from hospital information management systems. Results: In the first 3 months (Group 1) included in the study, the PM10 value, the number of COPD treatment in the emergency department (ED) and the number of COPD hospitalizations in the ED were also found to be high in Van (p=0.05, p=0.05 and p=0.034, respectively). In the last 3 months (Group 2) period included in the study, it was observed that the mean temperature was lower in Van, and the rate of hospitalizations and hospitalizations due to COPD were higher in Van (p=0.05, p=0.05, and p=0.05, respectively). In the correlation analysis, a strong positive correlation was found between PM10 value and COPD treatment and hospitalization for COPD in Group 1 (r;0.986, p<0.001 and r;0.885, p=0.019, respectively). In Group 2, a strong negative correlation was found between the decrease in air temperatures and COPD treatment in the ED, hospitalization due to COPD and hospitalization rates (r;-0.905, p=0.013, r;-0.966, p=0.002 ve r;-0.867, p=0.025, respectively). Conclusion: COPD attacks are associated with temperature and air pollution. For COPD attacks in ED, possible increases in intensity can be estimated by closely monitoring air pollution parameters as well as temperature.

Anahtar Kelimeler

• Chronic obstructed pulmonary disease
• COPD attack
• air pollution
• temperature
• emergency medicine

Acil serviste KOAH atağı başvuruları ile hava kirliliği arasındaki ilişki

Öz

Amaç: Çalışmamızda hava kirliliği, sıcaklık ve KOAH atakları arasındaki ilişkiyi iki farklı merkezde araştırmayı amaçladık. Gereç ve yöntem: Bandırma ve Van olmak üzere iki merkez çalışmaya dâhil edildi. Ayrıca sıcaklık gruplandırması da yapılmıştır. Hava kirliliği ve sıcaklık değerleri resmi sitelerden alınmıştır. KOAH verileri geriye dönük olarak hastane bilgi yönetim sistemlerinden tarandı. Bulgular: Çalışmaya alınan ilk 3 aylık dönemde (Grup 1) de Van’ daki hava kirliliği ölçütü olan PM10 değeri Bandırma’ya göre daha yüksek saptanmıştır (p=0,05). Benzer şekilde acil serviste COPD tedavisi ve acil servisten COPD yatış sayıları da Van’da yüksek saptanmıştır (sırasıyla p=0,05 ve p=0,034). Çalışmaya alınan son 3 aylık periyodda sıcaklık ortalamasının Van’ da daha düşük ve acil servisten COPD nedenli yatışların ve yatış oranının daha fazla olduğu gözlenmiştir (sırasıyla p=0,05, p=0,05 ve p=0,05). Yapılan korelasyon analizinde Grup 1’ de PM10 değeri arttıkça acil serviste COPD tedavisi alma ve COPD nedenli yatışta kuvvetli bir pozitif korelasyon saptanmıştır (sırasıyla r;0,986, p<0,001 ve r;0,885, p=0,019). Grup 2’ de hava sıcaklıklarının düşmesi ile acil serviste COPD tedavisi alma, COPD nedenli yatışta ve yatış oranlarında kuvvetli bir negatif korelasyon saptanmıştır (sırasıyla r;-0,905, p=0,013, r;-0,966, p=0,002 ve r;-0,867, p=0,025). Sonuç: KOAH atakları sıcaklık ve hava kirliliği ile ilişkilidir. Acil servislerde KOAH atakları için sıcaklık yanı sıra hava kirliliği parametreleri yakından takip edilerek yoğunluktaki olası artışlar tahmin edilebilir.

Anahtar Kelimeler

• Kronik obstrüktif akciğer hastalığı
• KOAH atağı
• hava kirliliği
• sıcaklık
• acil tıp

Kaynakça

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