Online ISSN: 3007-0244,
Print ISSN:  2410-4280
THE INVESTIGATION OF RELATIONSHIP BETWEEN METEOROLOGICAL AND AIR POLLUTION PARAMETERS WITH COPD EXACERBATION
Aim: The aim of the present study was to determine the relationship between meteorological and air pollution parameters [temperature, humidity, wind, sulfur dioxide (SO2), PM (10] with COPD exacerbation Materials and Methods: Our study was conducted by retrospectively screening the files of the patients followed up due to COPD exacerbation in the emergency department between 01.06.2016 and 01.06.2017. The chi-square test was used to compare the categorical variables. Mann-Whitney ???? test was used to compare numerical variables between COPD exacerbation admission and non-admission days and chi-square test was used to investigate relationship between admission and event (rain). The lag analysis was used to determine the factors affecting the development of COPD exacerbation during the last four days. Results: The temperature level was statistically significantly lower on the days of admission due to COPD attack (p<0.05). On the other hand, there was no statistically significant difference in humidity and wind levels between the days with and without admission (p>0.05) The SO2 level was statistically significantly lower on the days of admission due to COPD attack (p<0.05). In PM 10 levels, there was no statistically significant difference between the days with and without admission (p>0.05) Conclusion: On days with COPD admission, the air temperature was lower and the SO2 level was higher. Humidity, wind and PM levels on admission days were similar to those in non-admission patients
Faruk Kurt1, Cemil Kavalci2, Tamer Colak1, Kaan Celik1, Beliz Oztok Tekten1, Bahattin Isık3 1 Abant Izzet Baysal University, Faculty of Medicine, Emergency Medicine Department, Bolu, Türkiye; 2 Health Science University of Türkiye, Antalya Training and Research Hospital, Emergency Medicine, Antalya, Türkiye; 3 Diskapi Yildirim Beyazit Training and Research Hospital, Emergency Medicine Department, Ankara, Türkiye.
1. 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 // Am J Epidemiol. 2008. 168(12):1397-408 2. Ayres J.G., Forsberg B., Annesi-Maesano I., Dey R., Ebi K.L., Helms P.J. et al. İklim Değişikliği ve Solunum Hastalıkları: Avrupa Solunum Derneği Durum Değerlendirmesi // Eur Res J. 2009. 34:295-302 3. Bingöl Z., Çağatay T. Exacerbation Causes İn Patients With Chronic Obstructive Pulmonary Disease (COPD) Diagnosis, Treat ment, And Awareness Of Risk Group Patients // Klinik Tıp Aile Hekimliği Dergisi. 2016. 8(3):21-3. 4. Borges I.C., Andrade D.C., Cardoso M.-R.A., Meinke A., Barral A., Käyhty H. et al. Seasonal patterns and association of meteorological factors with infection caused by Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis in childhood community-acquired pneumonia in a tropical region // Infect Dis. 2017. 49:2(147-150). 5. Colucci M., Maione F., Bonito M.C., Piscopo A., Di Giannuario A., Pieretti S. New insights of dimethyl sulphoxide effects (DMSO) on experimental in vivo models of nociception and inflammation // Pharmacol Res. 2008. 57(6):419-25. 6. Connors A.F., Dawson N.V., Thomas C., Harrell F.E., Desbiens N., Fulkerson W.J. et al. Outcomes following acute exacerbation of severe chronic obstructive lung disease. The SUPPORT investigators (Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments) // American Journal of Respiratory and Critical Care Medicine. 1996, 154:959-67. 7. Cote C.G., Dordelly L.J., Celli B.R. Impact of COPD exacerbations on patient-centered outcomes // Chest, 2007. 131:696-704 8. de’ Donato F., Michelozzi P., Goffredo S., Dubinsky Z. Climate Change, Extreme Weather Events and Health Effects // The Mediterranean Sea. Springer, Dordrecht. 2014. https://doi.org/10.1007/978-94-007-6704-1_38 9. Deniz S., Özhan M.H. Infective Exacerbations of Chronic Obstructive Pulmonary Disease with or without Pneumonia // Eurasian J Pulmonol. 2014. 16(1):32-5. 10. Ehelepola N.D.B., Ariyaratneb K., Jayaratnea A. The association between local meteorological changes and exacerbation of acute wheezing in Kandy, Sri Lanka // Global health action. 2018. 11: 1482998. 11. Ferrari U., Exner T., Wanka E.R., Bergemann C., Meyer-Arnek J., Hildenbrand B. et al. Influence of air pressure, humidity, solar radiation, temperature, and wind speed on ambulatory visits due to chronic obstructive pulmonary disease in Bavaria, Germany // Int J Biometorol. 2012. 56(1):137-43. 12. Fisk W.J., Lei‐Gomez Q., Mendell M.J. Meta‐analyses of the associations of respiratory health effects with dampness and mold in homes // Indoor air. 2007. 17(4):284-96. 13. Gautret P., Gray G.C., Charrel R.N., Odezulu N.G., Al-Tawfiq J.A., Zumla A. et al. Emerging viral respiratory tract infections—environmental risk factors and transmission // Lancet Infect Dis. 2014. 14(11):1113-22. 14. Göçmen H., Ediger D., Uzaslan E., Ege E. The Relationship between Hospitalization with Spirometric Findings and Emphysema Pattern in Patients with Stable COPD // Fırat Tıp Dergisi. 2009. 14(4):254-9. 15. Gunen H., Hacievliyagil S.S., Kosar F., Mutlu L.C., Gulbas G., Pehlivan E. et al. Factors affecting survival of hospitalised patients with COPD // Europ Resp J. 2005. 26:234-41. 16. Gunnbjörnsdóttir M.I., Franklin K.A., Norbäck D., Björnsson E., Gislason D., Lindberg E. et al. Prevalence and incidence of respiratory symptoms in relation to indoor dampness: the RHINE study // Thorax. 2006. 61(3):221-5. 17. Happo M.S., Uski O., Jalava P.I., Kelz J., Brunner T., Hakulinen P. et al. Pulmonary inflammation and tissue damage in the mouse lung after exposure to PM samples from biomass heating appliances of old and modern technologies // Sci Total Environ. 2013. 443:256-66. 18. Hurst J.R., Vestbo J., Anzueto A., Locantore N., Mullerova H., Tal-Singer R. et al. Susceptibility to exacerbation in chronic obstructive pulmonary disease // New Eng J Med. 2010. 363:1128-38. 19. Jacob B., Ritz B., Gehring U., Koch A., Bischof W., Wichmann H.E. et al. Indoor exposure to molds and allergic sensitization // Environmental health perspectives. 2002. 110(7):647-53. 20. Jain S., Williams D.J., Arnold S.R., Ampofo K., Bramley A.M., Reed C. et al. Community-acquired pneumonia requiring hospitalization among US children // New Eng J Med. 2015. 372(9):835-45. 21. Karlıkaya C., Türe M., Yıldırım E. Kronik Obstruktif Akciğer Hastalığı (KOAH) Alevlenmelerinin Mevsimsel Özelliği // Balkan Med J. 2000. 17(3):171-6. 22. Lin H., Ma W., Qiu H., Vaughn M.G., Nelson E.J., Qian Z. et al. Is standard deviation of daily PM 2.5 concentration associated with respiratory mortality? // Environ Pollut. 2016. 216:208-14. 23. Lin Z., Gu Y., Liu C., Song Y., Bai C., Chen R. et al. Effects of ambient temperature on lung function in patients with chronic obstructive pulmonary disease: A time-series panel study // The Science of the total environment. 2017. 619-620:360-5. 24. Liu Y., Liu J., Chen F., Shamsi B.H., Wang Q., Jiao F. et al. Impact of meteorological factors on lower respiratory tract infections in children // J Int Med Res, 2016. 44:30-41. DOI: 10.1177/0300060515586007 25. Martin K.L., Hanigan I.C., Morgan G.G., Henderson S.B., Johnston F.H. Air pollution from bushfires and their association with hospital admissions in Sydney, Newcastle and Wollongong, Australia 1994-2007 // ANZJPH. 2013. 37(3):238-43. 26. Meng Li Shengqi Chen, Hanqing Zhao, Chengxiang Tang, Yunfeng Lai, Carolina Oi Lam Ung, Jinya Su, Hao Hu. The short‑term associations of chronic obstructive pulmonary disease hospitalizations with meteorological factors and air pollutants in Southwest China: a time‑series study // Nature reports. Sci Rep. 202 11:12914 https://doi.org/10.1038/s41598-021-92380-z 27. Meszaros D., Markos J., Fitzgerald D.G., Walters E.H., Wood-Baker R. An observational study of PM 10 and hospital admissions for acute exacerbations of chronic respiratory disease in Tasmania, Australia 1992-2002 // BMJ Open Respiratory Research. 2015;2(1):e000063. 28. Mourtzoukou E.G., Falagas M.E. Exposure to cold and respiratory tract infections // Int J Tuberculosis Lung Dis, 2007. 11:938–943. 29. Mu Z., Chen P.L., Geng F.H., Ren L., Gu W.C., Ma J.Y. et al. Synergistic effects of temperature and humidity on the symptoms of COPD patients // Int J Biometeorol. 2017. 61(11):1919-25. 30. Pica N., Bouvier N.M. Ambient temperature and respiratory virus infection // Pediatr Infect Dis J 2014. 33(3):311-3. 31. Roberts C., Lowe D., Bucknall C., Ryland I., Kelly Y., Pearson M. Clinical audit indicators of outcome following admission to hospital with acute exacerbation of chronic obstructive pulmonary disease // Thorax. 2002.57(2):137-41 32. Seemunga T.A., Donaldson G.C., Paul E.A., Bestall J.C., Jeffries D.J., Wedzicha J.A. Effect of exacerbation on quality of life in patients with chronic obstructive pulmonary disease // American Journal of Respiratory and Critical Care Med. 1998. 157:1418-22. 33. Sercan E.Ö. KOAH’ta Alevlenme Nedenleri ve Alevlenmenin Değerlendirilmesi // Solunum Dergisi. 2009. Ek sayı:7-10. 34. Stafoggia M., Forastiere F., Agostini D., Caranci N., De’Donato F., Demaria M. et al. Factors affecting in-hospital heat-related mortality: a multi-city case-crossover analysis // JECH. 2008. 62(3):209-15. 35. Taşçı C., Çanakçı Z., Deniz Ö., Özkan M., Bilgiç H. The properties of the patients admitting to the emergency service of Eskişehir Military Hospital with a pulmonary disease // Gülhane Tıp Deg. 2009. 51:220-2. 36. Taşçı S.S., Kavalci C., Kayipmaz A.E. Relationship of Meteorological and Air Pollution Parameters with Pneumonia in Elderly Patients // Emerg Med Int. 2018 Mar 21;2018:4183203. doi: 10.1155/2018/4183203. eCollection 2018. 37. Tuan T.S., Venâncio T.S., Nascimento L.F.C. Air pollutants and hospitalization due to pneumonia among children. An ecological time series study // Sao Paulo Med J. 2015. 133(5):408-13. 38. Tam P.Y.I., Madoff L.C., O'Connell M., Pelton S.I. Seasonal variation in penicillin susceptibility and invasive pneumococcal disease // Pediatr infect Dis J. 2015. 34(4):456-7. 39. Tutuk S.P.M., Altun Ö.Ş. Determination of Hospital Anxiety and Depression Levels of Patients Admitted to Hospitals with COPD Diagnosis // Sted. 2014. 23(6):216-21. 40. Trianti S.M., Samoli E., Rodopoulou S., Katsouyanni K., Papiris S.A., Karakatsani A. Desert dust outbreaks and respiratory morbidity in Athens, Greece // Environmental health. 2017;16(1):72. DOI 10.1186/s12940-017-0281-x 41. Vestbo J., Hurd S.S., Agusti A.G., Jones P.W., Vogelmeier C., Anzueto A. et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary // Am J Resp Crit Care Med. 2013. 187:347-65. 42. Wang K.Y., Chau T.T. An association between air pollution and daily outpatient visits for respiratory disease in a heavy industry area // PloS One. 2013;8(10):e75220 43. Wedzicha J.A. Exacerbations: Etiology and Pathophysiologic Mechanisms // Chest. 2002. 121:136-41. 44. Wong A.W., Gan W.Q., Burns J., Sin D.D., van Eeden S.F. Acute exacerbation of chronic obstructive pulmonary disease: influence of social factors in determining length of hospital stay and readmission rates // Can Respir J. 2008. 15:361-4. 45. Yang C.Y., Chen C.J. Air pollution and hospital admissions for chronic obstructive pulmonary disease in a subtropical city: Taipei, Taiwan // J Toxicol Environ Health A. 2007 Jul. 70(14):1214-9. doi: 10.1080/15287390701380880. PMID: 17573635. 46. Yentürk E., Alkan N., Bahar Y., Toraman Y.A., Tuncay E. Akut atak nedeniyle hospitalize edilen KOAH olgularının özellikleri ve yatış süresini etkileyen faktörler // Akciğer. 2007. 13:16-21. 47. Yüzer H. Determination of relationship between hospitalization rate, air pollution and meteorological factors with the chronic obstructive pulmonary disease patients who apply for an emergency service. https://tez.yok.gov.tr/UlusalTezMerkezi/tezDetay.jsp?id=Jt7oA75Nf13fSKRPHW4eKw&no=1WFItEwS9ZkDnnHJj6jkqg 48. Zanobetti A., Schwartz J., Dockery D.W. Airborne particles are a risk factor for hospital admissions for heart and lung disease // Environ Health Perspect 2000; 108(11):1071-7. 49. Zeger S.L., Thomas D., Dominici F., Samet J.M., Schwartz J., Dockery D. et al. Exposure measurement error in time-series studies of air pollution: concepts and consequences // Environ Health Perspect. 2000. 108(5):419-26.
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Kurt F., Kavalci C., Colak T., Celik K., Tekten B.O., Isık B. The investigation of relationship between meteorological and air pollution parameters with COPD exacerbation // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 3, pp. 178-184. doi 10.34689/SH.2023.25.3.024

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