The relationship between COPD attack applications and air pollution in the emergency department Acil serviste KOAH atağı başvuruları ile hava kirliliği arasındaki ilişki


Başer H. Y., Can H. N.

Pamukkale Medical Journal, cilt.17, sa.1, ss.17-25, 2024 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 17 Sayı: 1
  • Basım Tarihi: 2024
  • Doi Numarası: 10.31362/patd.1320033
  • Dergi Adı: Pamukkale Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.17-25
  • Anahtar Kelimeler: air pollution, Chronic obstructed pulmonary disease, COPD attack, emergency medicine, temperature
  • Van Yüzüncü Yıl Üniversitesi Adresli: Evet

Özet

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.