Ambient air pollution and hospitalization for chronic obstructive pulmonary disease: Benefits from Three-Year Action Plan

Air quality self-management in asthmatic patients with COPD: An integrative review for developing nursing interventions to prevent exacerbations

“…Upon analyzing the full-text, we excluded 2 opinion papers, 3 articles on the pediatric population, and 68 articles irrelevant to air quality management. The final sample is composed of 5 articles [ [30] , [31] , [32] , [33] , [34] ] ( Fig. 1 ) from Canada, China, France, Romania, and Spain ( Table 2 ).…”

“…This finding suggests that issuing air quality alerts alone has a limited effect on public health and that implementing enforced public actions to reduce air pollution on high-pollution days could be warranted. Lu et al., 2021 [ 33 ] China Time-stratified case-crossover To investigate the benefits of the Three-Year Action Plan to Win the Battle for a Blue Sky for tackling COPD hospitalization due to ambient air pollution. 138,015 COPD hospitalizations aged ≥60 years.…”

“…Our analysis revealed that vigilance, monitoring, and educational interventions are crucial for supporting individuals with asthma and COPD in managing air quality [ [30] , [31] , [32] ]. The studies also showed that health policies are essential in controlling environmental risk factors [ 33 , 34 ]. Although not all interventions are conclusive, the results suggest that they facilitate behavior changes that help prevent exacerbations, reduce emergency healthcare visits, and minimize hospitalizations ( Fig.…”

Air pollution and long-term risk of hospital admission due to chronic obstructive pulmonary disease exacerbations in Poland: a time-stratified, case-crossover study

“…Lowering ambient air pollution has also been associated with reduced COPD admissions. A three-year action plan in China, which resulted in slightly reduced concentrations of PM2.5, PM10, and NO2, was associated with a reduced number of COPD hospitalizations among the elderly [46]. It is vital to achieve very low concentrations of ambient air pollutants because even low concentrations are harmful: the ELAPSE study carried out among nearly 27 million participants in Europe found that NO2 concentrations below 20 μg/m3 and PM10 concentrations below 10 μg/m3 were still associated with increased cardiovascular and respiratory mortality [47].…”

Environmental pollution in North-Eastern Italy and its influence on chronic obstructive pulmonary disease: time series modelling and analysis using visibility graphs

“…It has been demonstrated how the peaks of particulate contamination levels match the spikes in hospitalizations (Paolocci et al 2020 ; Pini et al 2021 ; De Marco et al 2018 ) and a change in PM 2,5 concentrations directly impacts on forced expiratory volume in 1 s (FEV 1 ), forced vital capacity (FVC), and forced expiratory flow 25–75% (FEF 25-75 ) levels. Indeed, long-term exposure to low-level air pollution, even below the current EU or US limit values, is associated with the development of COPD (Cohen et al 2017 ; Pozzer et al 2019 ; Zhang et al 2021a , b ; Bo et al 2021 ; Raji et al 2020 ; Lu et al 2021 ; Shin et al 2021 ; Yan et al 2021 ; Han et al 2020 ; Wang et al 2021 ; Doneva et al 2019 ). A correlation between contamination concentration peaks and the increase in hospitalization rates after a short period of time has also been found using different systems of analysis (Zhang et al 2021a , b ; Zhang et al 2019 ).…”