- 期刊
- OpenAccess
Association between Air Pollution and Risk of Hospital Admission for Pediatric Pneumonia in a Tropical City, Kaohsiung, Taiwan
摘要
Recent evidences have shown that particulate matter (PM) and other air pollutants are associated with pulmonary and systemic inflammation; however, the relationship between air pollutants and the risk of admission for pediatric pneumonia has not been well surveyed. This study aimed to estimate the hazards of air pollutants on the risk of pediatric pneumonia emergency department (ED) visits and hospitalization. Data on PM_(2.5) (PM with an aerodynamic diameter smaller than 2.5 μm), PM_(10) (PM with an aerodynamic diameter smaller than 10 μm), sulfur dioxide (SO_2), nitrogen dioxide (NO_2), and ozone (O_3) in each of the 11 air monitoring stations in Kaohsiung city were collected. The medical records of non-traumatic patients under 17 years of age who had visited the ED between 2008 to 2013, with a principal diagnosis of pneumonia were extracted. We evaluated the relationship between air pollutant exposure and the risk of admission and length of hospital stay (LOS). An interquartile range increments of PM_(2.5) (odds ratio [OR]: 1.677, 95% confidence interval [CI]: 1.381-2.041), PM_(10) (OR: 1.568, 95% CI: 1.312-1.880), NO_2 (OR: 1.383, 95% CI: 1.179-1.625), SO_2 (OR: 1.261, 95% CI: 1.170-1.361), and O_3 (OR: 1.182, 95% CI: 1.024-1.366) were statistically significantly associated with the risk of pediatric pneumonia hospitalization on lag 0-3. In the two-pollutant model, after adjusting for NO_2 (OR: 1.534, 95% CI: 1.206-1.958), SO_2 (OR: 1.534, 95% CI: 1.206-1.958), or O_3 (OR: 1.741, 95% CI: 1.385-2.196), PM_(2.5) was still statistically significantly associated with pediatric pneumonia hospitalization. Furthermore, higher PM_(2.5) concentration (＞ 45 μg m^(-3)) was associated with prolonged hospital LOS (OR: 0.217, 95% CI: 0.03-0.404, P = 0.023), especially for younger children (≤ 5 years). In conclusion, we found that PM_(2.5), PM_(10), and SO_2 exposure were risk factors for hospitalization due to pediatric pneumonia.
延伸閱讀
- Tsui, H. C. (2015). The effect of early life exposure to air pollution on lung function in non-asthmatic Taiwan school children born in 1996-2004 [master's thesis, National Taiwan University]. Airiti Library. https://doi.org/10.6342/NTU.2015.01568
- Widiana, D. R., Wang, Y. F., You, S. J., Yang, H. H., Wang, L. C., Tsai, J. H., & Chen, H. M. (2019). Air Pollution Profiles and Health Risk Assessment of Ambient Volatile Organic Compounds above a Municipal Wastewater Treatment Plant, Taiwan. Aerosol and Air Quality Research, 19(2), 375-382. https://doi.org/10.4209/aaqr.2018.11.0408
- 林宜靜（2017）。Fine Particulate Air Pollution and Outpatient for Acute Bronchitis：A Case-Crossover Study in Taiwan〔碩士論文，逢甲大學〕。華藝線上圖書館。https://doi.org/10.6341/fcu.M0419261
- Ardian, D. R. (2019). Health Risk Assessment of Long-Term Ambient PM2.5 Exposure in Taoyuan, Taichung, and Kaohsiung City, Taiwan [master's thesis, Chung Yuan Christian University]. Airiti Library. https://doi.org/10.6840/cycu201900633
- 丁培修（2017）。Effect of urban air pollution and climate on patients with Chronic Obstructive Pulmonary Disease in Taipei〔博士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU201702437