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| Effect of air pollutant exposure on the number of children hospitalized for common respiratory diseases |
| ZHOU Fang1 CUI Yuxia1 LIU Ye2 CHEN Heng3 ZHOU Hao1 |
1.Department of Pediatrics, Guizhou Provincial People′s Hospital, Guizhou Province, Guiyang 550002, China;
2.Department of Otolaryngology, Guizhou Provincial People′s Hospital, Guizhou Province, Guiyang 550002, China;
3.College of Medical, Guizhou University, Guizhou Province, Guiyang 550025, China |
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Abstract Objective To understand the impact of air pollutant exposure on the number of children hospitalized for common respiratory diseases. Methods The clinical data of pediatric hospitalized children for common respiratory diseases from January 2009 to December 2016 in Guizhou Provincial People′s Hospital and air pollutant monitoring data at various environmental monitoring points in Guiyang City including: PM2.5, PM10, nitric oxide (NO) and the concentration of sulfur dioxide (SO2) were collected. A typical correlation analysis method was used to analyze the impact of air pollutants on the number of children hospitalized for common respiratory diseases. Results A total of 10 876 hospitalized children with respiratory diseases were included in the study, and the diagnosis was mainly bronchopneumonia (76.31%), with an average hospital stay (9.56±6.05) d. The correlation coefficient between air pollutants and bronchial pneumonia was the highest (r = 0.33, P ＜ 0.001), followed by bronchitis (r = 0.21, P ＜ 0.001) and acute tonsillitis (r = 0.20, P ＜ 0.001). PM10 was the main air pollutant component that affected the number of children for common respiratory diseases. Air pollution one day before hospitalization had the greatest impact on the number of children for common respiratory diseases. Conclusion Ambient air pollutants can affect the number of children hospitalizations for common respiratory diseases, of which the number of hospitalizations for bronchopneumonia is the greatest. Among them, PM10 is the most common pollutant that affects the number of children hospitalizations for common respiratory diseases, and the largest effect is one day before hospitalization.
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[1] Beelen R，Raaschou-Nielsen O，Stafoggia M，et al. Effects of long-term exposure to air pollution on natural-cause mortality：an analysis of 22 European cohorts within the multicentre ESCAPE project [J]. Lancet，2014，383（9919）：785-795.
[2] Phillips D，Osmond C，Southall H，et al. Evaluating the long-term consequences of air pollution in early life： geographical correlations between coal consumption in 1951/1952 and current mortality in England and Wales [J]. BMJ Open，2018，8（4）：e18231.
[3] Tao Y，Mi S，Zhou S，et al. Air pollution and hospital admissions for respiratory diseases in Lanzhou，China [J]. Environ Pollut，2014，185：196-201.
[4] Chi R，Li H，Wang Q，et al. Association of emergency room visits for respiratory diseases with sources of ambient PM2.5 [J]. J Environ Sci，2019，86：154-163.
[5] Guan WJ，Zheng XY，Chung KF，et al. Impact of air pollution on the burden of chronic respiratory diseases in China：time for urgent action [J]. Lancet，2016，388（10054）：1939-1951.
[6] Zhou H，Wang T，Zhou F，et al. Ambient Air Pollution and Daily Hospital Admissions for Respiratory Disease in Children in Guiyang，China [J]. Front Pediatr，2019，7：400.
[7] Xu M，Zhu Z，Zhang X，et al. Canonical Correlation Analysis With L2,1-Norm for Multiview Data Representation [J]. IEEE Trans Cybern，2019.
[8] Chai G，He H，Sha Y，et al. Effect of PM2.5 on daily outpatient visits for respiratory diseases in Lanzhou，China [J]. Sci Total Environ，2019，649：1563-1572.
[9] Liang L，Cai Y，Barratt B，et al. Associations between daily air quality and hospitalisations for acute exacerbation of chronic obstructive pulmonary disease in Beijing，2013-17：an ecological analysis [J]. Lancet Planet Health，2019， 3（6）：e270-e279.
[10] 苏志华，王建华.贵阳市大气颗粒物的污染特征及其影响因素分析[J].中山大学学报：自然科学版，2015，54（5）：77-84.
[11] Jo EJ，Lee WS，Jo HY，et al. Effects of particulate matter on respiratory disease and the impact of meteorological factors in Busan，Korea [J]. Respir Med，2017，124：79-87.
[12] 安爱萍，郭琳芳，董蕙青.我国大气污染及气象因素对人体健康影响的研究进展[J].环境与职业医学，2005，22（3）：279-282.
[13] 张莹.我国典型城市空气污染特征及其健康影响和预报研究[D].兰州：兰州大学，2016.
[14] Zeng Q，Wu Z，Jiang G，et al. The association between ambient inhalable particulate matter and the disease burden of respiratory disease：An ecological study based on ten-year time series data in Tianjin，China [J]. Environ Res，2017，157：71-77.
[15] Li Y，Duan J，Yang M，et al. Transcriptomic analyses of human bronchial epithelial cells BEAS-2B exposed to atmospheric fine particulate matter PM2.5 [J]. Toxicol In Vitro，2017，42：171-181.
[16] 李泓冰，朱琳，崔国权，等.哈尔滨市空气污染对小学生呼吸系统疾病的影响[J].中国学校卫生，2015，36（6）：884-886.
[17] 孙赛男.苏州市空气污染物对儿童呼吸道病原体流行的影响[D].苏州：苏州大学，2018.
[18] Polezer G，Tadano YS，Siqueira HV，et al. Assessing the impact of PM2.5 on respiratory disease using artificial neural networks [J]. Environ Pollut，2018，235：394-403.
[19] Chen H，Uddin LQ，Guo X，et al. Parsing brain structural heterogeneity in males with autism spectrum disorder reveals distinct clinical subtypes [J]. Hum Brain Mapp，2019，40（2）：628-637. |
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