Influence of air pollution on the number of hospital admissions in a Pneumology service

Hernández, Alberto Verrier; Albi, Tomás Ruíz; Sedano, Andrea Crespo; González, Daniel Álvarez; López-Izquierdo, Raúl; García, Ana Gómez; Fernández, Noanca Alonso; Represa, C. López; Campo, Félix del

doi:10.1183/13993003.congress-2018.pa5076

Cited by 2 publications

(3 citation statements)

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“…Ambient air pollution is recognized to adversely affect health (Arbex et al 2012 ). Several studies conducted in almost all parts of the world have found that day-to-day increases in pollution levels are associated with different pathologies, respiratory tract disease (Kim et al 2018 ; Cerezo Hernández et al 2018 ), asthma (Zheng et al 2015 ), increased COPD exacerbations (Moore et al 2016 ), cardiovascular (Analitis et al 2006 ) and cerebrovascular diseases—stroke (Tian et al 2017 ), etc. Several theories on the pathogenesis of these effects of ambient pollution have been put forward (Bernstein et al 2004 ), but overall, the area remains poorly understood, and there is no consensus on which constituents (Kampa and Castanas 2008 ) of air pollution are most harmful (Brunekreef and Holgate 2002 ).…”

Section: Introductionmentioning

confidence: 99%

Impact of air pollution on hospital admissions with a focus on respiratory diseases: a time-series multi-city analysis

Slama

Śliwczyński

Woźnica

et al. 2019

Environ Sci Pollut Res

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Together with the growing availability of data from electronic records from healthcare providers and healthcare systems, an assessment of associations between different environmental parameters (e.g., pollution levels and meteorological data) and hospitalizations, morbidity, and mortality has become possible. This study aimed to assess the association of air pollution and hospitalizations using a large database comprising almost all hospitalizations in Poland. This time-series analysis has been conducted in five cities in Poland (Warsaw, Białystok, Bielsko-Biała, Kraków, Gdańsk) over a period of almost 4 years (2014–2017, 1255 days), covering more than 20 million of hospitalizations. The hospitalizations have been extracted from the National Health Fund registries as daily summaries. Correlation analysis and distributed lag nonlinear models have been used to investigate for statistically relevant associations of air pollutants on hospitalizations, trying by various methods to minimize potential bias from atmospheric parameters, days of the week, bank holidays, etc. A statistically significant increase of respiratory disease hospitalizations has been detected after peaks of particulate matter concentrations (particularly PM 2.5 , between 0.9 and 4.5% increase per 10 units of pollutant increase, and PM 10 , between 0.9 and 3.5% per 10 units of pollutant increase), with a typical time lag between the pollutant peak and the event of 2 to 6 days. For other pollution parameters and other types of hospitalizations (e.g., cardiovascular events, eye and skin diseases, etc.), a weaker and ununiform correlations were recorded. Ambient air pollution exposure increases are associated with a short-term increase of hospitalizations due to respiratory tract diseases. The most prominent effect was recorded with the correlation of PM 2.5 and PM 10 . There is only weak evidence indicating that such short-term associations exist between peaks of air pollution concentrations and increased hospitalizations for other (e.g., cardiovascular) diseases. The obtained information could be used to better predict hospitalization patterns and costs for the healthcare system and perhaps trigger additional vigilance on particulate matter pollution in the cities.

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Section: Introductionmentioning

confidence: 99%

Impact of air pollution on hospital admissions with a focus on respiratory diseases: a time-series multi-city analysis

Slama

Śliwczyński

Woźnica

et al. 2019

Environ Sci Pollut Res

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“…Poor air quality is particularly dangerous for people suffering from a number of chronic diseases associated with the malfunctioning of the respiratory system [9]. In the case of respiratory diseases, it has been observed that poor air quality is associated with the exacerbation of respiratory symptoms [10,11], primarily for the deterioration of the course and control of bronchial asthma [11,12] and chronic obstructive pulmonary disease (COPD) [11,13] even with the need for emergency hospitalization. It has recently been confirmed that air pollution is also associated with the deterioration of the quality of life of patients with bronchial asthma [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

“…The study did not analyze other causes of respiratory disease exacerbations. Previous studies were focused on analyzing the association between the air pollution and respiratory diseases hospitalization in Poland [20][21][22] and other countries [10,23,24] as well as globally [13]. The added value of the study relates to both comprehensiveness of the hospitalization data (solely emergency hospitalizations due to COPD and asthma, including patients age and sex data) as well as broader territorial scope (16 cities, which are the capitals of all Polish regions) and time-horizon (comparison of the 2019 to 2014) of the analyses.…”

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confidence: 99%

The association between air pollutions and emergency hospitalizations due to COPD and asthma across 16 Polish cities: population-based study

Ścibor,

Leoszkiewicz,

Micek

et al. 2024

Int J Occup Med Environ Health.

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Objectives: In recent years numerous initiatives aimed at reducing air pollution have been undertaken in Poland. The general objective was to examine the correlation between air pollution measured by the level of particulate matter ≤10 µm in diameter (PM 10 ) and emergency hospitalizations due to chronic obstructive pulmonary disease (COPD) and asthma in 16 Polish cities (capitals of the regions). Material and Methods: The authors aimed to diagnose the situation across 16 cities over a 5-year period (2014)(2015)(2016)(2017)(2018)(2019). Data on the number of hospitalizations was retrieved from the national public insurance system, the National Health Fund. A total number of 22 600 emergency hospitalizations was analyzed (12 000 and 10 600 in 2014 and 2019, respectively). The data on air pollution was accessed via the public register of the Chief Inspectorate for Environmental Protection air quality database. The authors of this article have used the data on PM 10 daily exposure in each of the 16 cities in 2014 and 2019. Statistical methods included: non-parametric tests, a 2-stage modelling approach for time-series data, and multivariate meta-analysis of the results. Results: The results indicated that there was a statistically significant decrease in PM 10 concentration in 2019 in comparison to 2014 in all cities, mainly in the autumn and winter season. However, the correlation between the improvement in the air quality and a decrease in emergency hospitalizations due to asthma and COPD turned out to not be as strong as expected. The authors observed a strong correlation between PM 10 concentrations and hospitalizations due to asthma and COPD, but only when air quality norms were significantly above acceptable levels. Conclusions: Air pollution measured by PM 10 concentration might be used as one of the predictors of the asthma and COPD emergency hospitalization risk, yet other factors like respiratory tract infection, health care organizational aspect, patient self-control, compliance and comorbidities should also be taken into consideration.

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Influence of air pollution on the number of hospital admissions in a Pneumology service

Cited by 2 publications

References 0 publications

Impact of air pollution on hospital admissions with a focus on respiratory diseases: a time-series multi-city analysis

Impact of air pollution on hospital admissions with a focus on respiratory diseases: a time-series multi-city analysis

The association between air pollutions and emergency hospitalizations due to COPD and asthma across 16 Polish cities: population-based study

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