Öz
Objective: The aim of this study is to evaluate the importance of socio-demographic risk factors such as age, gender, residence, insurance status and season that are significant for asthma-cardiovascular disease diagnoses. Material and Methods: In this study, we analyzed 47981 different patients’ data who had been diagnosed by clinics in both the cardiology and respiratory departments of a public hospital, in the province of Konya, between the years of 2008 – 2010 and asthma – cardiovascular diseases’ diagnoses were profiled by logistic regression. Seasonal patterns and odds ratios were considered together with two facts: Turkish Statistical Institute Air Quality Reports, that showing short term toxicity of particular materials PM10 in the air, and first step early warning threshold values of Konya province, were observed to be over the threshold between the observed dates. Cardiovascular diseases were second by 17,23 % as per diagnosis in Konya province as reported by the Ministry of Health. Results: The results demonstrated that the parameters of logistic models of asthma and cardiovascular diseases were statistically significant p
Anahtar Kelimeler
asthma cardiovascular diseases air pollution logistic regression
Kaynakça
- Skinner Erik R., G. Octo B., Daniel ES, Albert GM, Robert AL, Susan AS, et al. Use of Logistic Regression in diagnostic and prognostic prediction in a medical intensive care unit. Proc. Annual Symp. Comput. Appl. Med. Care 1980;1:222-7.
- J.R Wingard, Curbow B., Baker F, Piantadosi S. Health, Functional Status and Employment of Adult Survivors of Bone-Marrow Transplantation. Annals of Internal Medicine 1991;114:113-8.
- S. Shea, Misra D., Ehrlich MH, Leslie F., Charles KF. Predisposing factors for severe, uncontrolled hypertension in an iner-city minority population. New England Journal of Medicine 1992; 327:776-81.
- Barbone F., Bovenzi M., Cavallieri F., Stanta G. Air-Pollution and Lung-Cancer in Trieste, Italy. American Jornal of Epidemiology 1995;141:1161-9.
- Stewart B.F., Siscovick D., Lind BK, Gardin JM, Gottdiener JS, Smith VE, et al. Clinical Factors Associated with Calcific Aortic Valve Disease. Journal of the American College of Cardiology 1997;29:630-4.
- Faulkner L.A., Schauffler H.H. The effect of health insurance coverage on the appropriate use of recommended clinical preventive services. American Journal of Preventive Medicine 1997;13:453-8.
- Macleod M.C.M., Finlayson A., Pell J., I. Findlay. Geographic Demographic and Socioeconomic Variations in the investigation and the management of coronary heart disease in Scotland. Heart 1999;81:252-6.
- Alter D.A, Austin P.C. Community factors, hospital characteristics and inter-regional outcome variations following acute myocardial infarction in Canada. Canadian Journal of Cardiology 2005;21:247-55.
- Hoffmann B., Moebus S., Stang A., Beck E.M., Dragano N., Möhlenkamp S., et al. Residence close to high traffic and prevalence of coronary heart disease. European Heart Journal 2006;27:2696-702.
- S.S. Demirkok, Basaranoglu M., Akinci E.D., Karayel T. Analysis of 275 patients with sarcoidosis over a 38 year period; a single-institution experience. Respiratory Medicine 2006;101:1147-54.
- B.K. Padhi, P.K. Padhy. Asseessment of Intra-urban variabiliity in Outdoor Air Quality and its Health Risks. Inhalation Toxicology 2008;20:973-9.
- Schwartz J., Slater D.,Larson V.L., Pierson W.E., Koenig J.Q. Particulate Air Pollution and Hospital Emergency Room Visits for Asthma in Seattle. American Review of Respiratory Disease 1993;147:826-31.
- Jordi Sunyer, J, Ballester F, Tertre A.L, Atkinson R, Ayres J.G et al. The association of daily sulfur dioxide air pollution levels with hospital admissions for cardiovascular diseases in Europe. European Heart Journal 2003;24:752-60.
- American Lung Association. State of Lung Disease in Diverse Communities. American Lung Association Report 2010.
- Heart Protection Study Collaborative Group. MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20, 536 high-risk individuals: A randomised placebo-controlled trial. Lancet 2002;360:7-22.
- Field, A. Discovering statistics using SPSS. 2nd ed. London: Sage, 2005.
- T.C. Çevre ve Şehircilik Bakanlığı. Hava Kalitesi İndeksi. Available at: http://www.havaizleme.gov.tr. Erişim tarihi: 13.02.2015
- Han Y-Y, Lee Y-L, Guo YL. Indoor environmental risk factors and seasonal variation of childhood asthma, Pediatr Allergy Immunol 2009:20:748–56.
- Stephen T. Holgate. A Brief History of Asthma and Its Mechanisms to Modern Concepts of Disease Pathogenesis. Allergy, Asthma & Immunology Research 2010;2:165-71.
- Chen, CH., Xirasagar, S., Lin, HC., Chen, C-H. Xirasagar S, Lin H-C. Seasonality in adult asthma admissions, air pollutant levels, and climate: a population-based study. J Asthma 2006:43:287–92.
- Hamood, Ur-Rehman Malik, Krishan, Kumar, Marianne, Frieri. Minimal Difference in the Prevalence of Asthma in the Urban and Rural Environment, Clinical Medicine Insights Pediatrics 2012;6:33-9.
- Lawson, JA., Janssen, I., Bruner, MW., Madani, K., Pickett, W. Urban- rural differences in asthma prevalence among young people in Canada: the roles of health behaviors and obesity. American College of Allergy, Asthma & Immunology 2011;107:220-8.
- Jie, Y., Isa, ZM., Jie, X., Ju, ZL., Ismail, NH. Urban vs. rural factors that affect adult asthma. Reviews of Environmental Contamination and Toxicology 2013;226:33-63.
- Joel, Schwartz, Daniel, Slater, Timothy, V. Larson, William, E. Pierson, Jane, Q. Koenig. Particulate Air Pollution and Hospital Emergency Room Visits for Asthma in Seattle. American Review of Respiratory Disease 1993;147:826-31.
- Shilpa, Dogra, Chris, I. Ardern, Joseph, Baker. The Relationship between Age of Asthma Onset and Cardiovascular Disease in Canadians. Journal of Asthma 2007;44:849-54.
- Postma, DS. Gender Differences in Asthma Development and Progression. Gender Medicine 2007;4:133-46.
- Redline, S., Gold, D. Challenges in interpreting gender differences in asthma. American Journal of Respiratory and Critical Care Medicine 1994;150:1219-21.
- Yixing Du, Xiaohan, Xu, Ming, Chu, Yan, Guo, Junhong, Wang. Air particulate matter and cardiovascular disease: the epidemiological, biomedical and clinical evidence. Journal of Thoracic Disease 2016;8:8-19.
- Tsai, FC., Smith, KR., Vichit, Vadakan, N. Indoor/outdoor PM10 and PM2.5 in Bangkok, Thailand. J Expo Anal Environ. Epidemiology 2000;10:15-26.
- Brook R.D, Rajagopalan S, Pope C.A, Brook J.R, Bhatnagar A, et al. Particulate Matter Air Pollution and Cardiovascular Disease: An Update to the Scientific Statement From the American Heart Association. Circulation 2010;2331-78.
- American Hearth Association. Risk Factors and Coronary Hearth Disease Report 2016. http://www.heart.org/
- Kulshreshtha A., Goyal A., Dabhadkar K., Veledar E., Vaccarino V. Urban-Rural Differences n Coronary Heart Disease Mortality in the United States: 1999-2009. Publich Health Rep. 2014;129:19-29.
- Barnett E. ,Halverson J.A., Elmes G.A., Braham V.E. Metropolitan and non-metropolitan trends in coronary hearth disease mortality within Appalachia, 1980-1997. Annals of Epidemiology 2000;10:370-9.
Öz
Amaç: Bu çalışmanın amacı; astım ve kardiyovasküler hastalıkların teşhisi açısından önemli olan yaş, cinsiyet, ikamet yeri, sigorta durumu ve mevsim gibi sosyo-demografik risk faktörlerinin öneminin tespit edilmesidir. Gereç ve Yöntemler: Çalışmada, 2008-2010 yılları arası Konya ili sınırları içerisinde bir devlet hastanesinin kardiyoloji ve göğüs hastalıkları kliniklerinde teşhis alan toplam 47981 farklı hastanın sosyo-demografik verileri lojistik regresyon ile değerlendirilmiştir. Ayrıca, Türkiye İstatistik Kurumu TÜİK hava kalitesi verilerine göre, 2008-2010 yılları arası Konya İlinin, havada bulunan partiküler maddeler miktarının PM10 kısa vadeli sınır değeri KVS ve ilk seviye uyarı eşiği ortalama değerlerinin normalin üstünde bulunduğu ve ayrıca, aynı yıllar arası Sağlık Bakanlığı İstatistiklerine göre Konya’da vakalara konan ön tanılarda Kardiyovasküler hastalıkların KVH %17,23 ile ikinci sırada bulunduğu istatistiği dikkate alınarak, söz konusu hastalıklara ilişkin odds oranları mevsimsel örüntü ile ele alınmıştır. Bulgular: Astım ve kardiyolojik rahatsızlık tahminlenmesinde kullanılacak lojistik modelin parametrelerinin istatistiksel olarak anlamlı olduğu p
Anahtar Kelimeler
astım kardiyovasküler hastalıklar hava kirliliği lojistik regresyon
Kaynakça
- Skinner Erik R., G. Octo B., Daniel ES, Albert GM, Robert AL, Susan AS, et al. Use of Logistic Regression in diagnostic and prognostic prediction in a medical intensive care unit. Proc. Annual Symp. Comput. Appl. Med. Care 1980;1:222-7.
- J.R Wingard, Curbow B., Baker F, Piantadosi S. Health, Functional Status and Employment of Adult Survivors of Bone-Marrow Transplantation. Annals of Internal Medicine 1991;114:113-8.
- S. Shea, Misra D., Ehrlich MH, Leslie F., Charles KF. Predisposing factors for severe, uncontrolled hypertension in an iner-city minority population. New England Journal of Medicine 1992; 327:776-81.
- Barbone F., Bovenzi M., Cavallieri F., Stanta G. Air-Pollution and Lung-Cancer in Trieste, Italy. American Jornal of Epidemiology 1995;141:1161-9.
- Stewart B.F., Siscovick D., Lind BK, Gardin JM, Gottdiener JS, Smith VE, et al. Clinical Factors Associated with Calcific Aortic Valve Disease. Journal of the American College of Cardiology 1997;29:630-4.
- Faulkner L.A., Schauffler H.H. The effect of health insurance coverage on the appropriate use of recommended clinical preventive services. American Journal of Preventive Medicine 1997;13:453-8.
- Macleod M.C.M., Finlayson A., Pell J., I. Findlay. Geographic Demographic and Socioeconomic Variations in the investigation and the management of coronary heart disease in Scotland. Heart 1999;81:252-6.
- Alter D.A, Austin P.C. Community factors, hospital characteristics and inter-regional outcome variations following acute myocardial infarction in Canada. Canadian Journal of Cardiology 2005;21:247-55.
- Hoffmann B., Moebus S., Stang A., Beck E.M., Dragano N., Möhlenkamp S., et al. Residence close to high traffic and prevalence of coronary heart disease. European Heart Journal 2006;27:2696-702.
- S.S. Demirkok, Basaranoglu M., Akinci E.D., Karayel T. Analysis of 275 patients with sarcoidosis over a 38 year period; a single-institution experience. Respiratory Medicine 2006;101:1147-54.
- B.K. Padhi, P.K. Padhy. Asseessment of Intra-urban variabiliity in Outdoor Air Quality and its Health Risks. Inhalation Toxicology 2008;20:973-9.
- Schwartz J., Slater D.,Larson V.L., Pierson W.E., Koenig J.Q. Particulate Air Pollution and Hospital Emergency Room Visits for Asthma in Seattle. American Review of Respiratory Disease 1993;147:826-31.
- Jordi Sunyer, J, Ballester F, Tertre A.L, Atkinson R, Ayres J.G et al. The association of daily sulfur dioxide air pollution levels with hospital admissions for cardiovascular diseases in Europe. European Heart Journal 2003;24:752-60.
- American Lung Association. State of Lung Disease in Diverse Communities. American Lung Association Report 2010.
- Heart Protection Study Collaborative Group. MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20, 536 high-risk individuals: A randomised placebo-controlled trial. Lancet 2002;360:7-22.
- Field, A. Discovering statistics using SPSS. 2nd ed. London: Sage, 2005.
- T.C. Çevre ve Şehircilik Bakanlığı. Hava Kalitesi İndeksi. Available at: http://www.havaizleme.gov.tr. Erişim tarihi: 13.02.2015
- Han Y-Y, Lee Y-L, Guo YL. Indoor environmental risk factors and seasonal variation of childhood asthma, Pediatr Allergy Immunol 2009:20:748–56.
- Stephen T. Holgate. A Brief History of Asthma and Its Mechanisms to Modern Concepts of Disease Pathogenesis. Allergy, Asthma & Immunology Research 2010;2:165-71.
- Chen, CH., Xirasagar, S., Lin, HC., Chen, C-H. Xirasagar S, Lin H-C. Seasonality in adult asthma admissions, air pollutant levels, and climate: a population-based study. J Asthma 2006:43:287–92.
- Hamood, Ur-Rehman Malik, Krishan, Kumar, Marianne, Frieri. Minimal Difference in the Prevalence of Asthma in the Urban and Rural Environment, Clinical Medicine Insights Pediatrics 2012;6:33-9.
- Lawson, JA., Janssen, I., Bruner, MW., Madani, K., Pickett, W. Urban- rural differences in asthma prevalence among young people in Canada: the roles of health behaviors and obesity. American College of Allergy, Asthma & Immunology 2011;107:220-8.
- Jie, Y., Isa, ZM., Jie, X., Ju, ZL., Ismail, NH. Urban vs. rural factors that affect adult asthma. Reviews of Environmental Contamination and Toxicology 2013;226:33-63.
- Joel, Schwartz, Daniel, Slater, Timothy, V. Larson, William, E. Pierson, Jane, Q. Koenig. Particulate Air Pollution and Hospital Emergency Room Visits for Asthma in Seattle. American Review of Respiratory Disease 1993;147:826-31.
- Shilpa, Dogra, Chris, I. Ardern, Joseph, Baker. The Relationship between Age of Asthma Onset and Cardiovascular Disease in Canadians. Journal of Asthma 2007;44:849-54.
- Postma, DS. Gender Differences in Asthma Development and Progression. Gender Medicine 2007;4:133-46.
- Redline, S., Gold, D. Challenges in interpreting gender differences in asthma. American Journal of Respiratory and Critical Care Medicine 1994;150:1219-21.
- Yixing Du, Xiaohan, Xu, Ming, Chu, Yan, Guo, Junhong, Wang. Air particulate matter and cardiovascular disease: the epidemiological, biomedical and clinical evidence. Journal of Thoracic Disease 2016;8:8-19.
- Tsai, FC., Smith, KR., Vichit, Vadakan, N. Indoor/outdoor PM10 and PM2.5 in Bangkok, Thailand. J Expo Anal Environ. Epidemiology 2000;10:15-26.
- Brook R.D, Rajagopalan S, Pope C.A, Brook J.R, Bhatnagar A, et al. Particulate Matter Air Pollution and Cardiovascular Disease: An Update to the Scientific Statement From the American Heart Association. Circulation 2010;2331-78.
- American Hearth Association. Risk Factors and Coronary Hearth Disease Report 2016. http://www.heart.org/
- Kulshreshtha A., Goyal A., Dabhadkar K., Veledar E., Vaccarino V. Urban-Rural Differences n Coronary Heart Disease Mortality in the United States: 1999-2009. Publich Health Rep. 2014;129:19-29.
- Barnett E. ,Halverson J.A., Elmes G.A., Braham V.E. Metropolitan and non-metropolitan trends in coronary hearth disease mortality within Appalachia, 1980-1997. Annals of Epidemiology 2000;10:370-9.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Research Article |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Haziran 2017 |
| Yayımlandığı Sayı | Yıl 2017Sayı: 2 |