Outdoor temperature changes and emergency department visits for asthma in Seoul, Korea: A time-series study.

作者: Jayeun Kim , Younhee Lim , Ho Kim

DOI: 10.1016/J.ENVRES.2014.07.032

关键词: Mean radiant temperatureDiurnal temperature variationTime series studyOutdoor temperatureMedicineDemographyEmergency departmentClimate changeAsthmaMedical emergencySeasonality

摘要: Abstract Background Extreme temperatures and temperature changes are known indicators of climate change, large variations for several consecutive days may affect human health such as exacerbating respiratory symptoms. The objective this study was to determine the association between outdoor change asthma-related emergency department visits. In particular, examined seasonality identified susceptible populations, elderly. Methods data visits were collected from July 1, 2007, December 31, 2010 in Seoul, Korea, through National Emergency Department Information System Medical Center we defined absolute difference mean current day previous day. We applied generalized linear models with an allowance over-dispersion quantifying estimated effects on visits, adjusting meteorological conditions, air pollution, time trend. Results general, adversely associated a 1-unit increase 3.5% (95% CI 0.7, 6.4%) addition, seasonal variation after diurnal range had adverse effect spring, summer, fall protective winter. Patients aged ≥65 years experienced most prominent during fall, 17.9% 4.1, 33.6%) per whereas other seasons showed no statistically significant association. Conclusions Along range, be alternative indicator change. Temperature variables well-known easy communicate public relative fluctuations.

参考文章(44)
Ralph J. Delfino, Jun Wu, Thomas Tjoa, Sevan K. Gullesserian, Bruce Nickerson, Daniel L. Gillen, Asthma morbidity and ambient air pollution: effect modification by residential traffic-related air pollution. Epidemiology. ,vol. 25, pp. 48- 57 ,(2014) , 10.1097/EDE.0000000000000016
Peter A.B. Wark, Melinda Tooze, Heather Powell, Kristy Parsons, Viral and bacterial infection in acute asthma and chronic obstructive pulmonary disease increases the risk of readmission Respirology. ,vol. 18, pp. 996- 1002 ,(2013) , 10.1111/RESP.12099
Kecia N. Carroll, Tina V. Hartert, The Impact of Respiratory Viral Infection on Wheezing Illnesses and Asthma Exacerbations Immunology and Allergy Clinics of North America. ,vol. 28, pp. 539- 561 ,(2008) , 10.1016/J.IAC.2008.03.001
Sunit Jariwala, Jennifer Toh, Mili Shum, Gabriele de Vos, Kun Zou, Sayantani Sindher, Payal Patel, Alexi Geevarghese, Anna Tavdy, David Rosenstreich, The association between asthma-related emergency department visits and pollen and mold spore concentrations in the Bronx, 2001-2008. Journal of Asthma. ,vol. 51, pp. 79- 83 ,(2014) , 10.3109/02770903.2013.853779
Wei Wu, Yize Xiao, Guangchun Li, Weilin Zeng, Hualiang Lin, Shannon Rutherford, Yanjun Xu, Yuan Luo, Xiaojun Xu, Cordia Chu, Wenjun Ma, Temperature–mortality relationship in four subtropical Chinese cities: A time-series study using a distributed lag non-linear model Science of The Total Environment. ,vol. 449, pp. 355- 362 ,(2013) , 10.1016/J.SCITOTENV.2013.01.090
Youn-Hee Lim, Ae Kyung Park, Ho Kim, Modifiers of diurnal temperature range and mortality association in six Korean cities International Journal of Biometeorology. ,vol. 56, pp. 33- 42 ,(2012) , 10.1007/S00484-010-0395-0
P TARGONSKI, V PERSKY, V RAMEKRISHNAN, Effect of environmental molds on risk of death from asthma during the pollen season The Journal of Allergy and Clinical Immunology. ,vol. 95, pp. 955- 961 ,(1995) , 10.1016/S0091-6749(95)70095-1
ROBERT E. DALES, SABIT CAKMAK, RICHARD T. BURNETT, STAN JUDEK, FRANCES COATES, JEFFREY R. BROOK, Influence of Ambient Fungal Spores on Emergency Visits for Asthma to a Regional Children's Hospital American Journal of Respiratory and Critical Care Medicine. ,vol. 162, pp. 2087- 2090 ,(2000) , 10.1164/AJRCCM.162.6.2001020
Sungroul Kim, Yongbae Kim, Mee-Ri Lee, Junhyoung Kim, Ara Jung, Jong Sook Park, An-Soo Jang, Sung-Woo Park, Soo-Taek Uh, Jae Sung Choi, Young Hoon Kim, Timothy Buckley, Choon-Sik Park, Winter Season Temperature Drops and Sulfur Dioxide Levels Affect on Exacerbation of Refractory Asthma in South Korea: A Time-Trend Controlled Case-Crossover Study Using Soonchunhyang Asthma Cohort Data Journal of Asthma. ,vol. 49, pp. 679- 687 ,(2012) , 10.3109/02770903.2012.702839
Vanessa E. Murphy, Heather Powell, Peter A.B. Wark, Peter G. Gibson, A Prospective Study of Respiratory Viral Infection in Pregnant Women With and Without Asthma Chest. ,vol. 144, pp. 420- 427 ,(2013) , 10.1378/CHEST.12-1956