Journal of Emergency Practice and Trauma

Air pollution and hospital admission in patients with chronic obstructive pulmonary disease in Tehran, Iran

Document Type : Original Article

Authors

Hassan Amiri 1
Ali Bidari 1
Samad Shams Vahdati 2
Nilofar Ghodrati 3
Tayeb Ramim 4
Masoumeh Emamverdy 2

1 Emergency Department, Iran University of Medical Sciences, Tehran, Iran

2 Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

3 Department of Hematology Oncology, Alborz University of Medical Sciences, Karaj, Iran

4 Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran

https://doi.org/10.15171/jept.2015.19
Abstract
Objective: There are many communities at risk by a series of air pollution episodes. Tehran is one of the most polluted cities in the world. The presence of one or more air pollutants with a certain concentration in a particular period of time can cause several adverse effects on human and animals’ well-being that can cause much morbidity. There are several pollutants in the air but some of them can cause severe adverse effects on the lungs and air ways.
Methods: In this retrospective cross-sectional study 1958 patients with exacerbation of chronic obstructive pulmonary disease (COPD) who were admitted in the emergency department (ED) of Rasol Akram hospital between March 2004 and March 2006 entered the study. Data such as number of admissions, air pollution particles (CO, SO2, O3, NO2, PM10) according to available documents were analyzed.
Results: From 1958 patients who enrolled in this study, 887 (53.5%) were male and 771 (46.5%) were female. According to statistical analysis, we could observe a significant correlation between the concentration of Co, PM10, So2 with ED admission rate of COPD exacerbation (P: 0.031, 0.008, and 0.001 respectively). The effect of PM10, So2 and Co was more significant respectively in logistic regression on ED admission.
Conclusion: There was significant correction between concentrations of air pollutants with number of ED admission for COPD exacerbation.

Keywords

Air pollution
SO2
No2
CO
PM10
O3
COPD
Subjects
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Journal of Emergency Practice and Trauma
Volume 2, Issue 2
July 2016
Pages 42-45

  • Receive Date 05 November 2015
  • Revise Date 08 November 2015
  • Accept Date 10 November 2015

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