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陈 晴, 张 鹏, 陈 叙, 邹 雁, 廖 加, 张 勤, 彭 莉, 兰 亚, 姚 于, 何 秋. [Analysis of Risk Factors of Chronic Pulmonary Heart Disease in Patients With Pneumoconiosis]. SICHUAN DA XUE XUE BAO. YI XUE BAN = JOURNAL OF SICHUAN UNIVERSITY. MEDICAL SCIENCE EDITION 2024; 55:167-175. [PMID: 38322529 PMCID: PMC10839489 DOI: 10.12182/20240160107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Indexed: 02/08/2024]
Abstract
Objective To explore the risk factors for developing chronic pulmonary heart disease in patients with pneumoconiosis. Methods The medical records of pneumoconiosis patients admitted to an occupational disease hospital in Sichuan Province between January 2012 and November 2021 were collected. Kaplan-Meier (K-M) method, or product-limit method, was used to plot the incidence curves of pulmonary heart disease in the pneumoconiosis patients. Cox proportional hazard regression model was used to analyze the influencing factors associated with chronic pulmonary heart disease in patients with pneumoconiosis. Results A total of 885 pneumoconiosis patients were included in this study. The follow-up time was 12 to 115 months and the median follow-up time was 43 months. A total of 138 patients developed chronic pulmonary heart disease and the incidence density of pulmonary heart disease was 38.50/1000 person-years. Multivariate Cox proportional hazard regression analysis showed that the influencing factors of pneumoconiosis inpatients developing chronic pulmonary heart disease included the following, being 50 and older (hazard ratio [HR]=1.85, 95% confidence interval [CI]: 1.25-2.74), stage Ⅲ pneumoconiosis (HR=2.43, 95% CI: 1.48-4.01), resting heart rate≥100 beats/min (HR=2.62, 95% CI: 1.63-4.21), the complication of chronic obstructive pulmonary disease (COPD) (HR=4.52, 95% CI: 2.12-9.63), underweight (HR=2.40, 95% CI: 1.48-3.87), overweight and obesity (HR=0.54, 95% CI: 0.34-0.86), and triacylglycerol (TG) (HR=0.69, 95% CI: 0.49-0.99). Conclusion Old age, stage Ⅲ pneumoconiosis, high resting heart rate, low BMI, and the complication of COPD are risk factors for chronic pulmonary heart disease in pneumoconiosis patients, while overweight and obesity and TG are protective factors. Early identification of the risk factors and the adoption of the corresponding prevention measures are the key to preventing chronic pulmonary heart disease in patients with pneumoconiosis.
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Affiliation(s)
- 晴 陈
- 四川大学华西公共卫生学院/四川大学华西第四医院 劳动卫生与环境卫生学系 (成都 610041)Department of Occupational and Environmental Health, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
- 华西职业性尘肺病队列工作组 (成都 610041)West China Occupational Pneumoconiosis Cohort Study (WCOPCS) Work Group, Chengdu 610041, China
| | - 鹏 张
- 四川大学华西公共卫生学院/四川大学华西第四医院 劳动卫生与环境卫生学系 (成都 610041)Department of Occupational and Environmental Health, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
- 华西职业性尘肺病队列工作组 (成都 610041)West China Occupational Pneumoconiosis Cohort Study (WCOPCS) Work Group, Chengdu 610041, China
| | - 叙汐 陈
- 四川大学华西公共卫生学院/四川大学华西第四医院 劳动卫生与环境卫生学系 (成都 610041)Department of Occupational and Environmental Health, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
- 华西职业性尘肺病队列工作组 (成都 610041)West China Occupational Pneumoconiosis Cohort Study (WCOPCS) Work Group, Chengdu 610041, China
| | - 雁秋 邹
- 四川大学华西公共卫生学院/四川大学华西第四医院 劳动卫生与环境卫生学系 (成都 610041)Department of Occupational and Environmental Health, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
- 华西职业性尘肺病队列工作组 (成都 610041)West China Occupational Pneumoconiosis Cohort Study (WCOPCS) Work Group, Chengdu 610041, China
| | - 加强 廖
- 四川大学华西公共卫生学院/四川大学华西第四医院 劳动卫生与环境卫生学系 (成都 610041)Department of Occupational and Environmental Health, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
- 华西职业性尘肺病队列工作组 (成都 610041)West China Occupational Pneumoconiosis Cohort Study (WCOPCS) Work Group, Chengdu 610041, China
| | - 勤 张
- 四川大学华西公共卫生学院/四川大学华西第四医院 劳动卫生与环境卫生学系 (成都 610041)Department of Occupational and Environmental Health, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
- 华西职业性尘肺病队列工作组 (成都 610041)West China Occupational Pneumoconiosis Cohort Study (WCOPCS) Work Group, Chengdu 610041, China
| | - 莉君 彭
- 四川大学华西公共卫生学院/四川大学华西第四医院 劳动卫生与环境卫生学系 (成都 610041)Department of Occupational and Environmental Health, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
- 华西职业性尘肺病队列工作组 (成都 610041)West China Occupational Pneumoconiosis Cohort Study (WCOPCS) Work Group, Chengdu 610041, China
- 四川大学华西公共卫生学院/四川大学华西第四医院 流行病与卫生统计学系 (成都 610041)Department of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
| | - 亚佳 兰
- 四川大学华西公共卫生学院/四川大学华西第四医院 劳动卫生与环境卫生学系 (成都 610041)Department of Occupational and Environmental Health, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
- 华西职业性尘肺病队列工作组 (成都 610041)West China Occupational Pneumoconiosis Cohort Study (WCOPCS) Work Group, Chengdu 610041, China
- 四川大学华西公共卫生学院/四川大学华西第四医院 流行病与卫生统计学系 (成都 610041)Department of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
| | - 于勤 姚
- 四川大学华西公共卫生学院/四川大学华西第四医院 劳动卫生与环境卫生学系 (成都 610041)Department of Occupational and Environmental Health, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
- 华西职业性尘肺病队列工作组 (成都 610041)West China Occupational Pneumoconiosis Cohort Study (WCOPCS) Work Group, Chengdu 610041, China
- 四川大学华西公共卫生学院/四川大学华西第四医院 流行病与卫生统计学系 (成都 610041)Department of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
- 四川大学华西公共卫生学院/四川大学华西第四医院 卫生毒理与病理学系 (成都 610041)Department of Health Toxicology and Pathology, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
| | - 秋蓉 何
- 四川大学华西公共卫生学院/四川大学华西第四医院 劳动卫生与环境卫生学系 (成都 610041)Department of Occupational and Environmental Health, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
- 华西职业性尘肺病队列工作组 (成都 610041)West China Occupational Pneumoconiosis Cohort Study (WCOPCS) Work Group, Chengdu 610041, China
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