Araştırma Makalesi
BibTex RIS Kaynak Göster

Examining association between air pollution and emergency department visits and hospitalizations with acute exacerbations of people with COPD

Yıl 2022, Cilt: 5 Sayı: 2, 53 - 61, 30.08.2022
https://doi.org/10.56150/tjhsl.1084916

Öz

Background: Air pollution is an important environmental risk factor affecting COPD and other respiratory system diseases.
Objectives: The aim of this study is to determine the relationship of air pollution in the northernmost part of Turkey with acute exacerbation, admission to the emergency department and hospitalization of individuals with COPD.
Methods: Between January 01-December 31, 2016, outpatients and hospitalized patients admitted to the state hospital due to COPD exacerbation were retrospectively analyzed. The measured values of air pollutants from the measurement stations located in the city center were obtained from the web page of the Ministry of Environment and Urbanization.
Results: The mean age of the patients (n=2737) participating in the study was 67.5±13.3%, and 69.8% of them were male. It has been determined that the patients with COPD apply to the hospital the most during the winter and autumn periods. Air pollutants measurement values were found to be significantly higher in the spring and winter seasons (p<0.05). When the distribution of hospitalizations of the patients according to the seasons was examined, the rates of hospitalization (4.7%) in the spring and winter seasons were found to be significantly higher (p<0.05). When examined in terms of risk, the probability of hospitalization increases 2.44 times compared to summer and autumn seasons in patients who apply to the hospital in the spring and winter seasons.
Conclusion: It has been determined that the emissions that cause air pollution are higher in the spring-winter seasons, which increases the probability of hospitalization of the patients who apply to the hospital in these seasons. According to the results obtained from our study, it has been suggested to combat air pollution, protect individuals with COPD from indoor and outdoor air pollution, and add it to the literature by making more studies on the subject.

Destekleyen Kurum

This research received no grant from any funding agency/sector.

Proje Numarası

-

Teşekkür

This study is produced from a master’s thesis and presented at First International Health Sciences and Life Congress.

Kaynakça

  • Referans1. Kumar R., Joseph AE. Air pollution concentrations of PM2.5, PM10 and NO2 at ambient and Kerbsite and their correlation in Metro City - Mumbai. Environmental Monitoring Assessment, 119, (2006), 191-199. https://doi.org/10.1007/s10661-005-9022-7
  • Referans2. Landrigan P.J. Air pollution and health. The Lancet Public Health, 2(1), (2017), e4-5. http://doi.org/10.1016/S2468-2667(16)30023-8
  • Referans3. Global Strategy for Prevention, Diagnosis and Management of COPD, (2022), Available at https://goldcopd.org/2022-gold-reports-2/ (Accessed Jan 12, 2022).
  • Referans4. Pini L., Giordani J., Gardini G., Concoreggi C., Pini A., Perger E., et al. Emergency department admission and hospitalization for COPD exacerbation and particulate matter short-term exposure in Brescia, a highly polluted town in northern Italy. Respiratory Medicine, 179, (2021), 106334. https://doi.org/10.1016/j.rmed.2021.106334
  • Referans5. Li R., Jiang N., Liu Q., Huang J., Guo X., Liu F., et al. Impact of air pollutants on outpatient visits for acute respiratory outcomes. International Journal of Environmental Research Public Health, 14(47), (2017), 1-14. https://doi.org/10.3390/ijerph14010047
  • Referans6. Chang J.H., Hsu S.C., Bai K.J., Huang S.K., Hsu C.W. Association of time-serial changes in ambient particulate matters (PMs) with respiratory emergency cases in Taipei’s Wenshan District. PLoS One, 12(7), (2017), 1-12. https://doi.org/10.1371/journal.pone.0181106
  • Referans7. Kloog I., Nordio F., Zanobetti A., Coull B.A., Koutrakis P., Schwartz J.D. Short term effects of particle exposure on hospital admissions in the mid-atlantic states: A population estimate. PLoS One, 9(2), (2014), 1-7. https://doi.org/10.1371/journal.pone.0088578
  • Referans8. Sint T., Donohue J.F., Ghio A.J. Ambient air pollution particles and the acute exacerbation of chronic obstructive pulmonary disease. Inhalation Toxicology, 20(1), (2008), 25-29. https://doi.org/10.1080/08958370701758759
  • Referans9. Schikowski T., Sugiri D., Ranft U., Gehring U., Heinrich J., Wichmann H.E., et al. Long-term air pollution exposure and living close to busy roads are associated with COPD in women. Respiratory Research, 6(2), (2005), 1-11. https://doi.org/10.1186/1465-9921-6-152
  • Referans10. Pirozzi C., Sturrock A., Carey P., Whipple S., Haymond H., Baker J., et al. Respiratory effects of particulate air pollution episodes in former smokers with and without chronic obstructive pulmonary disease: a panel study. COPD Research and Practice, 1(1), (2015), 1-10. http://doi.org/10.1186/s40749-015-0004-z
  • Referans11. Koç Y., Karagöz N., Sevea A.S. Hava kirliliğinin Sivas Göğüs Hastalıkları Hastanesi'ne yatışlar üzerine etkisi. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi, 13(2), (2002), 75-78.
  • Referans12. Tecer L.H. Balıkesir’de hava kirliliğinin çocuk ve yetişkinlerde solunum hastalıklarına etkilerinin belirlenmesi üzerine bir alan çalışması. Hava Kirliliği Araştırmaları Dergisi, 2, (2013), 11-20.
  • Referans13. Du W, Zhang W, Hu H, Zhang M, He Y, Li Z. Associations between ambient air pollution and hospitalizations for acute exacerbation of chronic obstructive pulmonary disease in Jinhua, 2019. Chemosphere, 267, (2021), 128905 https://doi.org/10.1016/j.chemosphere.2020.128905
  • Referans14. Kılınç A.S., Çatak B., Badıllıoğlu O., Sütlü S., Dikme Ö., Aydın O. et al. Acil servise başvuran yaşlıların başvuru nedenlerinin ve sonuçlarının değerlendirilmesi. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi, 19(4), 2012, 139-143.
  • Referans15. Ünsal A., Çevik A.A., Metintaş S., Arslantaş D., İnan O.Ç. Yaşlı Hastaların Acil Servis Başvuruları. Türk Geriatri Dergisi, 6(3), (2003), 83-88.
  • Referans16. Marchetti N., Criner G.J., Albert R.K. Preventing acute exacerbations and hospital admissions in COPD. Chest, 143(5), (2013), 1444-1454. https://doi.org/10.1378/chest.12-1801
  • Referans17. Kıraklı C., Kömürcüoğlu A., Hekimgil F., Tibet G. Akut alevlenme nedeni ile acil servise başvuran KOAH olgularında serum teofilin düzeyleri 14, (2003), 79-83.
  • Referans18. Holmér I. Strategies for prevention of cold stress in the elderly. International Journal of Circumpolar Health, 59(3-4), (2000), 267-272.
  • Referans19. Lindemann J., Sannwald D., Wiesmiller K. Age-related changes in intranasal air conditioning in the Elderly. Laryngoscope, 118(8), (2008), 1472-1475. https://doi.org/10.1097/MLG.0b013e3181758174
  • Referans20. Miravitlles M., Ferrer M., Pont À., Zalacain R., Alvarez-Sala J.L., Masa F., et al. Effect of exacerbations on quality of life in patients with chronic obstructive pulmonary disease: A 2 year follow up study. Thorax, 59(5), (2004), 387-395. https://doi.org/10.1136/thx.2003.008730
  • Referans21. De Miguel-Díez J., Jiménez-García R., Hernández-Barrera V., Puente-Maestu L., Rodríguez-Rodríguez P., López De Andrés A., et al. Trends in hospital admissions for acute exacerbation of COPD in Spain from 2006 to 2010. Respiratory Medicine, 107(5), (2013), 717-723. http://dx.doi.org/10.1016/j.rmed.2013.01.007
  • Referans22. Tseng C.M., Chen Y.T., Ou S.M., Hsiao Y.H., Li S.Y., Wang S.J., et al. The effect of cold temperature on ıncreased exacerbation of chronic obstructive pulmonary disease: a nationwide study. PLoS One, 8(3), (2013), 1-7. http://doi.org/10.1371/journal.pone.0057066
  • Referans23. Koskela H., Koskela A., Tukiaineu, H.O. Broncho constriction due to cold weather in COPD. Theroles of direct air way effects and cutaneous reflex mechanisms. Chest, 110(3), (1996), 632-636. http://doi.org/10.1378/chest.110.3.632
  • Referans24. Analitis A., Katsouyanni K., Biggeri A., Baccini M., Forsberg B., Bisanti L., et al. Effects of cold weather on mortality: Results from 15 European cities within the PHEWE project. American Journal of Epidemiology, 168(12), (2008), 1397-1408. http://doi.org/10.1093/aje/kwn266
  • Referans25. Ling S.H., Van Eeden S.F., Hogg J. Particulate matter air pollution exposure: role in the development and exacerbation of chronic obstructive pulmonary disease. International Journal of COPD. 4, (2009), 233-243.
  • Referans26. Ding P.H, Wang G.S, Guo Y.L, Chang S.C WGH. Urban air pollution and meteorological factors affect emergency department visits of elderly patients with chronic obstructive pulmonary disease in Taiwan. Environ Pollut. 224, (2017), 751-758. http://dx.doi.org/10.1016/j.envpol.2016.12.035
  • Referans27. Qiu H.,Tak Sun Yu I., Wang X., Tian L., Ah Tse L., Wai Wong T. Season and humidity dependence of the effects of airpollution on COPD hospitalizations in Hong Kong. Atmos Environ. 76, (2013), 74-80. http://dx.doi.org/10.1016/j.atmosenv.2012.07.026
Yıl 2022, Cilt: 5 Sayı: 2, 53 - 61, 30.08.2022
https://doi.org/10.56150/tjhsl.1084916

Öz

Proje Numarası

-

Kaynakça

  • Referans1. Kumar R., Joseph AE. Air pollution concentrations of PM2.5, PM10 and NO2 at ambient and Kerbsite and their correlation in Metro City - Mumbai. Environmental Monitoring Assessment, 119, (2006), 191-199. https://doi.org/10.1007/s10661-005-9022-7
  • Referans2. Landrigan P.J. Air pollution and health. The Lancet Public Health, 2(1), (2017), e4-5. http://doi.org/10.1016/S2468-2667(16)30023-8
  • Referans3. Global Strategy for Prevention, Diagnosis and Management of COPD, (2022), Available at https://goldcopd.org/2022-gold-reports-2/ (Accessed Jan 12, 2022).
  • Referans4. Pini L., Giordani J., Gardini G., Concoreggi C., Pini A., Perger E., et al. Emergency department admission and hospitalization for COPD exacerbation and particulate matter short-term exposure in Brescia, a highly polluted town in northern Italy. Respiratory Medicine, 179, (2021), 106334. https://doi.org/10.1016/j.rmed.2021.106334
  • Referans5. Li R., Jiang N., Liu Q., Huang J., Guo X., Liu F., et al. Impact of air pollutants on outpatient visits for acute respiratory outcomes. International Journal of Environmental Research Public Health, 14(47), (2017), 1-14. https://doi.org/10.3390/ijerph14010047
  • Referans6. Chang J.H., Hsu S.C., Bai K.J., Huang S.K., Hsu C.W. Association of time-serial changes in ambient particulate matters (PMs) with respiratory emergency cases in Taipei’s Wenshan District. PLoS One, 12(7), (2017), 1-12. https://doi.org/10.1371/journal.pone.0181106
  • Referans7. Kloog I., Nordio F., Zanobetti A., Coull B.A., Koutrakis P., Schwartz J.D. Short term effects of particle exposure on hospital admissions in the mid-atlantic states: A population estimate. PLoS One, 9(2), (2014), 1-7. https://doi.org/10.1371/journal.pone.0088578
  • Referans8. Sint T., Donohue J.F., Ghio A.J. Ambient air pollution particles and the acute exacerbation of chronic obstructive pulmonary disease. Inhalation Toxicology, 20(1), (2008), 25-29. https://doi.org/10.1080/08958370701758759
  • Referans9. Schikowski T., Sugiri D., Ranft U., Gehring U., Heinrich J., Wichmann H.E., et al. Long-term air pollution exposure and living close to busy roads are associated with COPD in women. Respiratory Research, 6(2), (2005), 1-11. https://doi.org/10.1186/1465-9921-6-152
  • Referans10. Pirozzi C., Sturrock A., Carey P., Whipple S., Haymond H., Baker J., et al. Respiratory effects of particulate air pollution episodes in former smokers with and without chronic obstructive pulmonary disease: a panel study. COPD Research and Practice, 1(1), (2015), 1-10. http://doi.org/10.1186/s40749-015-0004-z
  • Referans11. Koç Y., Karagöz N., Sevea A.S. Hava kirliliğinin Sivas Göğüs Hastalıkları Hastanesi'ne yatışlar üzerine etkisi. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi, 13(2), (2002), 75-78.
  • Referans12. Tecer L.H. Balıkesir’de hava kirliliğinin çocuk ve yetişkinlerde solunum hastalıklarına etkilerinin belirlenmesi üzerine bir alan çalışması. Hava Kirliliği Araştırmaları Dergisi, 2, (2013), 11-20.
  • Referans13. Du W, Zhang W, Hu H, Zhang M, He Y, Li Z. Associations between ambient air pollution and hospitalizations for acute exacerbation of chronic obstructive pulmonary disease in Jinhua, 2019. Chemosphere, 267, (2021), 128905 https://doi.org/10.1016/j.chemosphere.2020.128905
  • Referans14. Kılınç A.S., Çatak B., Badıllıoğlu O., Sütlü S., Dikme Ö., Aydın O. et al. Acil servise başvuran yaşlıların başvuru nedenlerinin ve sonuçlarının değerlendirilmesi. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi, 19(4), 2012, 139-143.
  • Referans15. Ünsal A., Çevik A.A., Metintaş S., Arslantaş D., İnan O.Ç. Yaşlı Hastaların Acil Servis Başvuruları. Türk Geriatri Dergisi, 6(3), (2003), 83-88.
  • Referans16. Marchetti N., Criner G.J., Albert R.K. Preventing acute exacerbations and hospital admissions in COPD. Chest, 143(5), (2013), 1444-1454. https://doi.org/10.1378/chest.12-1801
  • Referans17. Kıraklı C., Kömürcüoğlu A., Hekimgil F., Tibet G. Akut alevlenme nedeni ile acil servise başvuran KOAH olgularında serum teofilin düzeyleri 14, (2003), 79-83.
  • Referans18. Holmér I. Strategies for prevention of cold stress in the elderly. International Journal of Circumpolar Health, 59(3-4), (2000), 267-272.
  • Referans19. Lindemann J., Sannwald D., Wiesmiller K. Age-related changes in intranasal air conditioning in the Elderly. Laryngoscope, 118(8), (2008), 1472-1475. https://doi.org/10.1097/MLG.0b013e3181758174
  • Referans20. Miravitlles M., Ferrer M., Pont À., Zalacain R., Alvarez-Sala J.L., Masa F., et al. Effect of exacerbations on quality of life in patients with chronic obstructive pulmonary disease: A 2 year follow up study. Thorax, 59(5), (2004), 387-395. https://doi.org/10.1136/thx.2003.008730
  • Referans21. De Miguel-Díez J., Jiménez-García R., Hernández-Barrera V., Puente-Maestu L., Rodríguez-Rodríguez P., López De Andrés A., et al. Trends in hospital admissions for acute exacerbation of COPD in Spain from 2006 to 2010. Respiratory Medicine, 107(5), (2013), 717-723. http://dx.doi.org/10.1016/j.rmed.2013.01.007
  • Referans22. Tseng C.M., Chen Y.T., Ou S.M., Hsiao Y.H., Li S.Y., Wang S.J., et al. The effect of cold temperature on ıncreased exacerbation of chronic obstructive pulmonary disease: a nationwide study. PLoS One, 8(3), (2013), 1-7. http://doi.org/10.1371/journal.pone.0057066
  • Referans23. Koskela H., Koskela A., Tukiaineu, H.O. Broncho constriction due to cold weather in COPD. Theroles of direct air way effects and cutaneous reflex mechanisms. Chest, 110(3), (1996), 632-636. http://doi.org/10.1378/chest.110.3.632
  • Referans24. Analitis A., Katsouyanni K., Biggeri A., Baccini M., Forsberg B., Bisanti L., et al. Effects of cold weather on mortality: Results from 15 European cities within the PHEWE project. American Journal of Epidemiology, 168(12), (2008), 1397-1408. http://doi.org/10.1093/aje/kwn266
  • Referans25. Ling S.H., Van Eeden S.F., Hogg J. Particulate matter air pollution exposure: role in the development and exacerbation of chronic obstructive pulmonary disease. International Journal of COPD. 4, (2009), 233-243.
  • Referans26. Ding P.H, Wang G.S, Guo Y.L, Chang S.C WGH. Urban air pollution and meteorological factors affect emergency department visits of elderly patients with chronic obstructive pulmonary disease in Taiwan. Environ Pollut. 224, (2017), 751-758. http://dx.doi.org/10.1016/j.envpol.2016.12.035
  • Referans27. Qiu H.,Tak Sun Yu I., Wang X., Tian L., Ah Tse L., Wai Wong T. Season and humidity dependence of the effects of airpollution on COPD hospitalizations in Hong Kong. Atmos Environ. 76, (2013), 74-80. http://dx.doi.org/10.1016/j.atmosenv.2012.07.026
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Hasan Sağır 0000-0001-6091-702X

Bilge Bal Özkaptan 0000-0001-9388-8333

Proje Numarası -
Yayımlanma Tarihi 30 Ağustos 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 5 Sayı: 2

Kaynak Göster

APA Sağır, H., & Bal Özkaptan, B. (2022). Examining association between air pollution and emergency department visits and hospitalizations with acute exacerbations of people with COPD. Turkish Journal of Health Science and Life, 5(2), 53-61. https://doi.org/10.56150/tjhsl.1084916