Alp ÖZEL, Fatma ÖZTÜRK, Osman YAKŞİ, Mehmet ÜNAL, Ali KLILIÇGÜN

Pnömotoraks başlangıcı ile meteorolojik parametreler ve hava kirliliği arasındaki ilişki

Amaç: Bu çalışmada Türkiye’nin Bolu bölgesindeki meteorolojik parametreler ve hava kirletici partikül konsantrasyonlarının spontan pnömotoraks insidansı ile olan muhtemel ilişkisi araştırıldı.Ç a l ı ş m a p l a n ı :Ocak 2015 - Şubat 2019 tarihleri arasında spontan pnömotorakslı toplam 200 hasta (175 erkek, 25 kadın; ort. yaş 42.5±19.9 yıl; dağılım, 10-88 yıl) retrospektif olarak incelendi. Her gün için günlük ortalama sıcaklık, bağıl nem, rüzgar hızı, gerçek basınç ve günlük toplam yağış dahil olmak üzere standart hava parametreleri ve hava kirleticilerinin konsantrasyonu (PM10 ve SO2) kaydedildi.Bul gu lar: Çalışma süresince 178 günde spontan pnömotorakslı 200 olgu vardı. Spontan pnömotoraks olgularında gün sayısı, toplam gün sayısının %11.8'ini (1504 gün) temsil ediyordu. Çalışmada, spontan pnömotoraks olgusu olan günlerin %76.9’u kümelendirildi. Tüm meteorolojik (sıcaklık, nem, basınç, rüzgar hızı ve yağış) ve hava kirliliği parametreleri (PM10 ve SO2) sırasıyla 1438 gün (%95.61) ve 853 gün (%56.71) için mevcuttu. Spontan pnömotoraks ile hava sıcaklığı (r=-0.094, p=0.001) ve hava kirliliği arasında anlamlı bir ilişki vardı (PM10, r=-0.080, p=0.020; SO2, r=-0.067, p=0.045).S o n u ç :Çalışma sonuçlarımız spontan pnömotoraks ile hava sıcaklığı ve hava kirliliği arasında bir ilişki olduğunu göstermektedir. Bir halk sağlığı sorunu olan hava kirliliğinin önlenmesi, spontan pnömotoraksta azalmaya yol açabilir.A n a h t a rs ö z c ü k l e r :Hava kirliliği, meteoroloji, pnömotoraks, göğüs cerrahisi.

The association between pneumothorax onset and meteorological parameters and air pollution

Background:The aim of this study was to investigate the possible relation of meteorological parameters and air pollutant particle concentrations with the incidence of spontaneous pneumothorax in the Bolu region of Turkey.Methods: Between January 2015 and February 2019, a total of 200 patients (175 males, 25 females; mean age 42.5±19.9 years, range, 10 to 88 years) with spontaneous pneumothorax were retrospectively analyzed. For each day, standard weather parameters including daily average temperature, relative humidity, wind speed, actual pressure, and daily total precipitation and concentration of air pollutants (PM10 and SO2) were recorded.Results:During the study period, there were 200 cases with spontaneous pneumothorax within 178 days. The number of days with spontaneous pneumothorax represented 11.8% of the total number of days (1,504 days). In the study, 76.9% of the days with spontaneous pneumothorax were clustered. All meteorological (temperature, humidity, pressure, wind speed, and precipitation) and air pollution parameters (PM10 and SO2) were available for 1,438 days (95.61%) and 853 days (56.71%), respectively. There was a significant relationship between spontaneous pneumothorax and air temperature (r=-0.094, p=0.001), and air pollution (PM10, r=-0.080, p=0.020; SO2, r=-0.067, p=0.045).Conclusion:Our study results show a relationship between spontaneous pneumothorax and air temperature, and air pollution. Preventing air pollution, which is a public health problem, can lead to a reduction in spontaneous pneumothorax.Keywords:Air pollution; meteorology; pneumothorax; thoracic surgery.

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