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The association between air pollution parameters and emergency department visits and hospitalizations due to cardiovascular and respiratory diseases: a time-series analysis

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International Archives of Occupational and Environmental Health Aims and scope Submit manuscript

Abstract

Objective

In this study, the association between cardiovascular and respiratory Emergency Department (ED) visits and hospitalizations and Sulfur Dioxide (SO2) and particulate matter with an aerodynamic diameter ≤ 10 µm (PM10) was determined.

Methods

The records of a total of 632,223 people diagnosed with cardiovascular diseases (ICD-10 code I00-I99) and respiratory diseases (ICD-10 code J00-J99) at and over the age of 18 between 2012 and 2018 in three hospitals in Karaman in Turkey were examined in the present study. The daily 24-h averages for SO2 and PM10 concentrations were acquired in National Air Quality Monitoring. A time-series analysis with Poisson Generalized Linear Model was used.

Results

Among the air pollution parameters, the mean ± standard deviation of SO2 and PM10 were 16.2 ± 22.1 and 75.8 ± 48.2 μg/m3, respectively. An increase of 10 μg/m3 in SO2 was associated with a 3% [Relative Risk (RR), 95% Confidence Interval (CI): 2–4)] increase in cardiovascular ED visit and 2% (RR, 95% CI 2–3) increase in respiratory ED visit, and 1% (RR, 95% CI 1–3) increase in respiratory hospitalizations. An increase of 10 μg/m3 in PM10 was associated with a 1% (RR, 95% CI 1–2) increase in cardiovascular hospitalizations.

Conclusions

Increases in SO2 are a risk factor for cardiovascular and respiratory ED visits, and respiratory hospitalizations. Increases in PM10 are a risk factor for cardiovascular hospitalizations.

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Acknowledgements

This article was based on the master thesis and was presented as an oral presentation in Turkey in 2019, and its full text was published in the proceedings book.

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Authors and Affiliations

  1. Department of Public Health, Kirklareli University Institute of Health Sciences, Kirklareli, Turkey

    Hasan Saygin & Yeliz Mercan

  2. Karaman Provincial Health Directorate Health Services Unit, 70110, Karaman, Turkey

    Hasan Saygin

  3. Faculty of Health Science, Department of Health Management, Kirklareli University, 39000, Kirklareli, Turkey

    Yeliz Mercan

  4. Faculty of Medicine, Department of Public Health, Trakya University, Edirne, Turkey

    Faruk Yorulmaz

Authors
  1. Hasan Saygin
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  2. Yeliz Mercan
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Correspondence to Yeliz Mercan.

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The author declares no conflict of interest.

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To conduct this retrospective research, ethics approval was obtained from the Ethics Committee of the Institute of Health Sciences at Kirklareli University (14/12/2018-P0118R00), and official permission from the relevant institutions.

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Saygin, H., Mercan, Y. & Yorulmaz, F. The association between air pollution parameters and emergency department visits and hospitalizations due to cardiovascular and respiratory diseases: a time-series analysis. Int Arch Occup Environ Health 95, 599–606 (2022). https://doi.org/10.1007/s00420-021-01769-w

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  • DOI: https://doi.org/10.1007/s00420-021-01769-w

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