Effect of atmospheric pressure changes on the development of pulmonary embolism: a retrospective analysis of 8 years of data.

IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Annals of Saudi Medicine Pub Date : 2023-07-01 Epub Date: 2023-08-03 DOI:10.5144/0256-4947.2023.204
Alperen Aksakal, Bugra Kerget, Gizem Cil, Dursun Erol Afsin, Metin Akgun, Elif Yilmazel Ucar, Leyla Saglam
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引用次数: 0

Abstract

Background: Pulmonary embolism (PE) is a condition with high mortality, and determining its etiology is as important as its treatment. There are limited studies in the literature examining the effect of atmospheric pressure (AP) change on PE.

Objectives: Analyze the effect of AP level and the change in AP level on the development of PE according to year, season and months.

Design: Retrospective SETTING: Department of tertiary care center PATIENTS AND METHODS: Patients with diagnosed or presumed PE who were followed up in the Erzurum Atatürk University Medicine Chest Diseases Clinic between 2012 and 2020 (8 years) were retrospectively screened for inclusion in the study by examining hospital records. Daily AP values were obtained electronically through official correspondence with the Erzurum Regional Meteorological Directorate. Patients diagnosed with PE were recorded using the hospital database and anamnesis forms. The dates of admission to hospital were recorded. Risk factors leading to the development of PE were identified using the records.

Main outcome measures: Relationship between AP values and the incidence of PE.

Sample size: 592 RESULTS: APmin, APmax, and APmean were significantly lower on days with PE cases compared to days without PE cases (P<.001 for all). ΔAPmin, ΔAPmax, and ΔAPmean values were all negative on days with PE, but only the difference in ΔAPmin was significant (P=.04).

Conclusions: This study showed that lower AP values were significantly associated with the incidence of PE. In particular, a drop in APmin compared to the previous day seemed to be most associated with PE development.

Limitations: Retrospective design and only applicable to region.

Conflict of interest: None.

大气压变化对肺栓塞发展的影响:8年数据的回顾性分析。
背景:肺栓塞(PE)是一种高死亡率的疾病,确定其病因与治疗同等重要。文献中关于大气压(AP)变化对PE的影响的研究有限。目的:根据年份、季节和月份分析AP水平和AP水平变化对PE发展的影响。设计:回顾性设置:三级护理中心患者和方法:通过检查医院记录,对2012年至2020年(8年)在埃尔祖鲁姆阿塔图克大学医学胸科疾病诊所随访的诊断或推定PE患者进行回顾性筛选,以纳入研究。每日AP值是通过与埃尔祖鲁姆地区气象局的正式通信以电子方式获得的。使用医院数据库和病历表记录被诊断为PE的患者。记录入院日期。使用记录确定了导致PE发展的风险因素。主要观察指标:AP值与PE发生率的关系。样本量:592,与无PE病例的天数相比,有PE病例的日子的AP平均值显著降低(有PE的日子的Pmin、ΔAPmax和ΔAP平均值均为阴性,但只有ΔAPmin的差异是显著的(P=0.04)。结论:本研究表明,较低的AP值与PE的发生率显著相关。特别是,与前一天相比,APmin的下降似乎与PE的发展最为相关。限制:回顾性设计,仅适用于地区。利益冲突:无。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Saudi Medicine
Annals of Saudi Medicine 医学-医学:内科
CiteScore
2.80
自引率
0.00%
发文量
44
审稿时长
4-8 weeks
期刊介绍: The Annals of Saudi Medicine (ASM) is published bimonthly by King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. We publish scientific reports of clinical interest in English. All submissions are subject to peer review by the editorial board and by reviewers in appropriate specialties. The journal will consider for publication manuscripts from any part of the world, but particularly reports that would be of interest to readers in the Middle East or other parts of Asia and Africa. Please go to the Author Resource Center for additional information.
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