Ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in Ganzhou, China

Xingye Zhou; Chenwei Li; Yanfang  Gao; Chuanfei   Zhou; Lei  Huang; Xiaokang  Zhang

doi:10.11606/s1518-8787.2022056004324

Autores

Xingye Zhou Gannan Medical University. School of Public Health and Health Management. Ganzhou, China https://orcid.org/0000-0001-9218-2945
Chenwei Li Gannan Medical University. School of Public Health and Health Management. Ganzhou, China https://orcid.org/0000-0003-2199-2398
Yanfang Gao Gannan Medical University. School of Public Health and Health Management. Ganzhou, China https://orcid.org/0000-0003-0894-5394
Chuanfei Zhou Gannan Medical University. School of Public Health and Health Management. Ganzhou, China https://orcid.org/0000-0003-1546-1590
Lei Huang Gannan Medical University. School of Public Health and Health Management. Ganzhou, China https://orcid.org/0000-0002-5422-5470
Xiaokang Zhang Gannan Medical University. School of Public Health and Health Management. Ganzhou, China http://orcid.org/0000-0002-8343-3754

DOI:

https://doi.org/10.11606/s1518-8787.2022056004324

Palavras-chave:

Pulmonary Disease, Chronic Obstructive, epidemiology, Hospitalization, Air Pollution, adverse effects, Air Quality Standards, Models, Statistical

Resumo

OBJECTIVE To evaluate the relationship between ambient air pollutants and chronic obstructive pulmonary disease in relatively low-polluted areas in China. METHODS Atmospheric pollutants levels and meteorological data were obtained from January 2016 to December 2020. The medical database including daily hospital admissions for chronic obstructive pulmonary disease (ICD10: J44) was derived from the First Affiliated Hospital of Gannan Medical University. The generalized additive model was used to analyze the percentage change with 95% confidence interval in daily hospital admissions for chronic obstructive pulmonary disease associated with a 10 µg/m3 increase in atmospheric pollutants levels. RESULTS In total, occurred 4,980 chronic obstructive pulmonary disease hospital admissions (not including emergency department visits) during 2016–2020. The mean concentrations of daily PM2.5, PM10, SO2, NO2, O3, and CO were 37.5 μg/m3, 60.1 μg/m3, 18.7 μg/m3, 23.5 μg/m3, 70.0 μg/m3, and 1.2 mg/m3 in Ganzhou. Each 10 µg/m3 increment of PM2.5, PM10, NO2, and O3 were significantly associated with 2.8% (95%CI: 1.0–4.7), 1.3% (95%CI: 0.3–2.4), 2.8% (95%CI: 0.4–5.4), and 1.5% (95%CI: 0.2–2.7) elevation in daily chronic obstructive pulmonary disease hospital admissions. The estimates of delayed effects of PM2.5, PM10, NO2, and O3 were observed at lag6, lag6, lag8, lag1, respectively. The health effects of particulate pollutants (PM2.5 and PM10) may be independent of other pollutants. The adverse effects of air pollutants were more evident in the warm season (May–Oct) than in the cold season (Nov–Apr). CONCLUSION Our study demonstrated that elevated concentrations of atmospheric pollutant (PM2.5, PM10, NO2, and O3), especially particulate pollutants, can be associated with increased daily count of hospital admissions for chronic obstructive pulmonary disease , which may promote further understanding of the potential hazards of relatively low levels of air pollution on chronic obstructive pulmonary disease and other respiratory disorders.

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Ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in Ganzhou, China

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