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Case Report
A case-crossover study between air pollution and hospital emergency room visits by asthma attack
Hyoung June Im, Sang Yun Lee, Ki Jung Yun, Young Su Ju, Dae Hee Kang, Soo Hon Cho
Korean Journal of Occupational and Environmental Medicine 2000;12(2):249-257.   Published online June 30, 2000
DOI: https://doi.org/10.35371/kjoem.2000.12.2.249
AbstractAbstract PDF
OBJECTIVES
This study, using case-crossover design, search a relationship between changing levels of air pollutants and asthma attack in asthma patients.
METHODS
We searched the daily total number of asthmatic patients at hospital' s emergency room in Seoul, Korea by investigating total 49 general hospitals emergency room records. Otherwise, We investigated medical records of asthmatic patients at one of the 49 hospitals we have searched. We investigated addresses that they are living, diagnosis, smoking history, whether respiratory infection or not, medications. We analyzed the data by 1:m conditional logistic regression used when matched case-control study is analyzed. Control periods were chosen by bidirectional paired matching technique 7, 14 days before and after case periods.
RESULTS
the relative risk of asthmatic attack by 100 ppm ozone increase between June and September were 1.348(95 % CI = 1.010~1.619). Between November and February, the relative risk by 100 /m TSP increase, 100ppb sulfur dioxide and nitrogen dioxide were respectively 1.278(1.010~1.619), 1.237(1.019~1.502), 1.285(1.006~1.640). In stratified analysis, the relative risk were significant when the asthmatic patients were children aged 15 years or below, when there were respiratory infection, and when the patients took medications irregularly CONCLUSIONS: There was statistically significant association between ambient levels of air pollutants and asthmatic attack. So, we have to exert our efforts to minimize the air pollution effectively, to protect public health from air pollution.

Citations

Citations to this article as recorded by  
  • Review of Epidemiological Research and Perspectives for Future Environmental Health Progress in Korea
    Kyoung-Mu Lee, Moon-Young Park
    Journal of Environmental Health Sciences.2022; 48(3): 138.     CrossRef
  • Hybrid Deep Learning Algorithm with Open Innovation Perspective: A Prediction Model of Asthmatic Occurrence
    Min-Seung Kim, Jeong-Hee Lee, Yong-Ju Jang, Chan-Ho Lee, Ji-Hye Choi, Tae-Eung Sung
    Sustainability.2020; 12(15): 6143.     CrossRef
  • Effect of outdoor air pollution on asthma exacerbations in children and adults: Systematic review and multilevel meta-analysis
    Pablo Orellano, Nancy Quaranta, Julieta Reynoso, Brenda Balbi, Julia Vasquez, Qinghua Sun
    PLOS ONE.2017; 12(3): e0174050.     CrossRef
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Original Article
A Survey on the Air Pollution of Expressway Tollgates in Korea
Young Man Roh, Chung Yill Park, Chee Kyung Chung, Kwang Mook Lee, Byung Ki Min, Seung Han Lee
Korean Journal of Occupational and Environmental Medicine 1990;2(2):142-152.   Published online August 31, 1990
DOI: https://doi.org/10.35371/kjoem.1990.2.2.142
AbstractAbstract PDF
This survey was carried out from October 16 through October 27, 1989 to evaluate the working environment of expressway tollgate. We measured and analyzed 9 parameters such as total dust, sulfur dioxide, carbon monoxide, nitrogen dioxide and lead in the air together with climatic conditions and traffic volumes at 10 major highway tollgates. The results obtained were as follows: 1. The concentrations of air pollutants at inside and outside of toll booth were 0.7824 and 1.5460 mg/m3 for total dust, 0.034 and 0.094 ppm for sulfur dioxide, 2.2 and 4.3 ppm for carbon monoxide, 0.031 and 0.068 ppm for nitrogen dioxide, 0.0018 and 0.0027 mg/m3 for lead, respectiveively. 2. All air pollutants showed significant association each other except lead and nitrogen dioxide. 3. No relation was observed between air pollutants and traffic volume. 4. Generally speaking, climatic conditions showed no effect on the value of air pollutants both at inside and outside of toll booth. The exceptions were humidity that was related with carbon monoixide outside and air current that was related with lead outside.

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