Short-term effects of exposure to particulate matter on hospital admissions for asthma and chronic obstructive pulmonary disease

• Published in: Medicine (Baltimore) 2022-09, Vol.101 (35), p.e30165-e30165
• Main Authors: Han, Chang Hoon, Pak, Haeyong, Lee, Jung Mo, Chung, Jae Ho
• Format: Article
• Language: English
• Subjects: Observational Study
• ISSN: 1536-5964; 0025-7974; 1536-5964
• DOI: 10.1097/MD.0000000000030165

We investigated the effects of particulate matter (PM) factors on hospitalization rates for asthma and chronic obstructive pulmonary disease (COPD). We obtained data on pollutants—PM 10 , PM 2.5 —in Seoul, South Korea. We also investigated data for asthma and COPD exacerbation that required hospitalization from 2006 to 2016. We used a time-stratified case-crossover design and generalized additive models with log transformation to assess adjusted risk, and conditional logistic regression was performed to analyze these data. Our study showed that PM 10 and PM 2.5 , on different best lag days, were associated with increased risks of COPD or asthma hospitalization. The odds ratios (ORs) for each per-unit increase in PM 10 and PM 2.5 were higher in patients with male asthma (PM 10 : OR, 1.012; 95% confidence interval [CI], 1.008–1.016 and PM 2.5 : OR, 1.015; 95% CI, 1008–1.023), preschool asthma (PM 10 : OR, 1.015; 95% CI, 1.006–1.015 and PM 2.5 : OR, 1.015; 95% CI, 1.009–1.024), male COPD (PM 10 : OR, 1.012; 95% CI, 1.005–1.019 and PM 2.5 : OR, 1.013; 95% CI, 1.000–1.026), and senior COPD (PM 10 : OR, 1.016; 95% CI, 1.008–1.024 and PM 2.5 : OR, 1.022; 95% CI, 1.007–1.036). Increasing PM levels increased hospitalizations for asthma and COPD. Additionally, the consequences may be different according to age and sex, and PM 2.5 may have a more significant effect on airway disease patients than PM 10 .