Abstract
Objective
To investigate the impact of short-term exposure to air pollutants and meteorological
variation on ED visits for primary spontaneous pneumothorax (PSP).
Material and methods
We retrospectively identified PSP cases that presented at the ED of our tertiary center
between January 2015 and September 2016. We classified the days into three types:
no PSP day (0 case/day), sporadic days (1–2 cases/day), and cluster days (PSP, ≥3 cases/day).
Association between the daily incidence of PSP with air pollutants and meteorological
data were determined using Poisson generalized-linear-model to calculate incidence
rate ratio (IRRs) and the use of time-series (lag-1 [the cumulative air pollution
level on the previous day of PSP], lag-2 [two days ago], and lag-3 [three days ago]).
Results
Using multivariate logistic regression analysis, O3 (p = 0.010), NO2 (p = 0.047), particulate matters (PM)10 (p = 0.021), and PM2.5 (p = 0.008) were significant factors of PSP occurrence. When the concentration of O3, NO2, PM10, and PM2.5 were increased, PSP IRRs increased approximately 15, 16, 3, and 5-fold, respectively.
With the time-series analyses, atmospheric pressure in lag-3 was significantly lower
and in lag-2, was significantly higher in PSP days compared with no PSP days. Among
air pollutant concentrations, O3 in lag-1 (p = 0.017) and lag-2 (p = 0.038), NO2 in lag-1 (p = 0.015) and lag-2 (p = 0.009), PM10 in lag-1 (p = 0.012), and PM2.5 in lag-1 (p = 0.021) and lag-2 (p = 0.032) were significantly different between no PSP and PSP days.
Conclusion
Increased concentrations of air pollutants and abrupt change in atmospheric pressure
were significantly associated with increased IRR of PSP.
Keywords
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Article Info
Publication History
Published online: April 14, 2018
Accepted:
April 11,
2018
Received in revised form:
April 10,
2018
Received:
February 13,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
