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Tülüce K, Sevilgen G. Effect of meteorological factors on first episode and recurrence of primary spontaneous pneumothorax. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2022; 68:165-169. [PMID: 35239876 DOI: 10.1590/1806-9282.20210821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Accepted: 10/27/2021] [Indexed: 11/22/2022]
Abstract
OBJECTIVE In this study, we evaluated the clinical characteristics and seasonal distribution of patients with primary spontaneous pneumothorax and examined the relationships between meteorological factors and pneumothorax development overall and in terms of first episode and recurrence. METHODS The hospital records of 168 pneumothorax patients treated in our clinic between January 2016 and December 2020 were reviewed retrospectively. A cluster was defined as two or more patients with pneumothorax presenting within three consecutive days. Meteorological factors were compared between days with and without pneumothorax patients. This comparison was based on meteorological data from the day of symptom onset (D), the day before symptom onset (D1), and the difference between those days (D-D1). Meteorological data from the index day (D) were also compared between patients with first episode and recurrence of pneumothorax. RESULTS The study included 149 (88.7%) men and 19 (11.3%) women. The mean age was 25.02±6.97 (range, 17-35; median, 26) years. Of note, 73 (43.4%) patients underwent surgery. The highest number of patients presented in November (n=19, 11.3%). In terms of season, most presentations occurred in autumn. Humidity was significantly lower on recurrence days compared with first episode (p=0.041). CONCLUSION Our results indicated that meteorological factors (i.e., atmospheric pressure, humidity, wind speed, temperature, and precipitation) were not associated with pneumothorax development. By comparing the patients with first episode and recurrence, the humidity was significantly lower in the recurrence group.
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Affiliation(s)
- Kerim Tülüce
- Recep Tayyip Erdoğan University, Education and Research, Department Thoracic Surgery - Rize, Turkey
| | - Gokçen Sevilgen
- Recep Tayyip Erdoğan University, Education and Research, Department Thoracic Surgery - Rize, Turkey
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Marx T, Bernard N, Kepka S, Gérazime A, Mauny F, Desmettre T. Pneumothorax and the environment: A systematic review of the impact of air pollution and meteorology, and a meta-analysis on meteorology factors. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2021; 283:117089. [PMID: 33892373 DOI: 10.1016/j.envpol.2021.117089] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 03/25/2021] [Accepted: 04/02/2021] [Indexed: 05/22/2023]
Abstract
A relationship between the occurrence of spontaneous pneumothorax (SP) and meteorological factors has been observed but with contradictory results. The objectives of this systematic review was to synthesis the current body of evidence to the relationships between the occurrence of SP and environmental determinants such as meteorological factors and air pollutants. We conducted a systematic search of MEDLINE, Scopus, Cochrane Library and gray literature from inception up to 31st December 2020, to find published scientific research articles based on the following eligibility criteria: original studies and population-based articles describing the relationship between meteorological factors or air pollutants and the occurrence of SP. For the meta-analysis, studies involving a quantitative analysis of the exposure variable (atmospheric pressure, temperature, humidity and wind speed) and the impact of the occurrence of SP with comparable methodology were selected. General characteristics and methodological information for each study were assessed. The quality was evaluated according to the Newcastle-Ottawa Scale. Fourty four and 13 studies were respectively included in the qualitative and quantitative analyses. The variability of the study design with moderate quality and the different measurements of the exposure variables highlight the contrasting results. The results of the meta-analyses are in favor of a higher temperature observed in the day with SP than in the days without SP (maximum: MD 0.25 (-0.08, 0.58) p = 0.14; I2 = 26%, p = 0.21; mean: MD 0.22 (-0.15, 0.59) p = 0.24; I2 = 45%, p = 0.07). The small number of studies focused on air pollution did not allow us to conclude to determine the potential impact of exposure to air pollutants on the occurrence of SP. Meteorological conditions seem to be related to SP occurrence, especially increased temperature.
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Affiliation(s)
- Tania Marx
- Emergency Department, CHU Besançon, 3 Boulevard Alexandre Fleming, 25030, Besançon, France; Laboratory Chrono-environnement, UMR 6249 Centre National de La Recherche Scientifique, 16 Route de Gray, 25000, Besançon, France; Université Bourgogne Franche-Comté, 32 Avenue de L'Observatoire, 25000, Besançon, France.
| | - Nadine Bernard
- Laboratory Chrono-environnement, UMR 6249 Centre National de La Recherche Scientifique, 16 Route de Gray, 25000, Besançon, France; Laboratory TheMA, UMR 6049 Centre National de La Recherche Scientifique, 16 Route de Gray, 25000, Besançon, France; Université Bourgogne Franche-Comté, 32 Avenue de L'Observatoire, 25000, Besançon, France
| | - Sabrina Kepka
- Emergency Department, CHU Strasbourg, 3 Rue Koeberlé, 67000, Strasbourg, France
| | - Aurelie Gérazime
- UMETh - Centre Investigation Clinique 1431, CHU Besançon, 2 Place Saint-Jacques, 25030, Besançon, France
| | - Frédéric Mauny
- Laboratory Chrono-environnement, UMR 6249 Centre National de La Recherche Scientifique, 16 Route de Gray, 25000, Besançon, France; UMETh - Centre Investigation Clinique 1431, CHU Besançon, 2 Place Saint-Jacques, 25030, Besançon, France; Université Bourgogne Franche-Comté, 32 Avenue de L'Observatoire, 25000, Besançon, France
| | - Thibaut Desmettre
- Emergency Department, CHU Besançon, 3 Boulevard Alexandre Fleming, 25030, Besançon, France; Laboratory Chrono-environnement, UMR 6249 Centre National de La Recherche Scientifique, 16 Route de Gray, 25000, Besançon, France; Université Bourgogne Franche-Comté, 32 Avenue de L'Observatoire, 25000, Besançon, France
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