Correlation of Primary Spontaneous Pneumothorax and Air Pollution in Adolescents

Autor: Byung Mo Gu, Ho Hyun Ko, Yong Joon Ra, Hee Sung Lee, Hyoung Soo Kim, Hong Kyu Lee
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Chest Surgery, Vol 54, Iss 1, Pp 53-58 (2021)
Druh dokumentu: article
ISSN: 2765-1606
2765-1614
DOI: 10.5090/kjtcs.20.073
Popis: Background: We aimed to investigate the characteristics of primary spontaneous pneumothorax (PSP) in adolescents and to analyze the relationship between the occurrence of PSP and air pollutants. Methods: Data pertaining to age, sex, body mass index, smoking status, initial pneumothorax volume, presence of bullae, treatment methods, and city of residence were retrospectively obtained from January 2010 to December 2014. We investigated the association between short-term exposure to air pollutants (SO2, NO2, O3, CO, and PM10) and the occurrence of PSP using a case-crossover design with conditional logistic regression. Results: We collected information from 598 patients who were admitted for PSP, with a mean follow-up duration of 62.9 months. The majority (91.1%) of the patients were male. In the case-crossover design, conditional logistic regression showed that no air pollutant was associated with the occurrence of pneumothorax. The results were consistent across all city subgroups (Anyang, Gunpo, Uiwang, and Gwacheon). Conclusion: In our study, the incidence rate of pneumothorax was 153.8 per 100,000 person-years in male adolescents and 16.7 per 100,000 person-years in female adolescents. The case-crossover design showed that PSP in adolescents is unlikely to be related to air pollution.
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