Lirit Levi, Amir Levi, Maxime Fieux, Esther Velasquez, Riley Hue Vo, David Grimm, Peter H Hwang
{"title":"美国野火与急性鼻窦炎医疗保健利用之间的关系。","authors":"Lirit Levi, Amir Levi, Maxime Fieux, Esther Velasquez, Riley Hue Vo, David Grimm, Peter H Hwang","doi":"10.1002/alr.23630","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Wildfires (WF), a major contributor to air pollution including ambient particulate matter 2.5 (PM2.5), have been shown to increase the risk of developing sinonasal diseases. This study assesses the impact of WF on health care claims for acute rhinosinusitis (ARS).</p><p><strong>Methods: </strong>Utilizing national WF geospatial records and EPA-based smoke-PM2.5 databases, we identified core-based statistical areas (CBSAs) affected by WF >50,000 acres, occurring between 2014 and 2019. We correlated WF events with MarketScan health care claims data, calculating daily outpatient visit proportions relative to total visits per CBSA for ARS, chronic rhinosinusitis (CRS), rhinitis, and asthma. We calculated risk ratios (RRs) by comparing visit proportions in pre-WF versus post-WF periods, adjusted for seasonality by comparison to non-WF periods in the same CBSAs. Cross-correlation (CC) analysis was conducted to determine the temporal relationship between daily smoke-PM2.5 and ARS-visit proportions.</p><p><strong>Results: </strong>Sixteen WFs events from nine CBSAs were captured, yielding 2.22 M claims. ARS visit proportions increased in the 2 months post-WF periods, with an RR of 1.17 (confidence interval = 1.12‒1.22). CRS and rhinitis showed no significant increase in RR. Control analysis (2.08 M claims) yielded an RR of 0.97 (0.93‒1.082) for non-WF ARS-visit proportions. CC analysis indicated a significant correlation (0.4 ± 0.04; p < 0.001) with a lag of 33 ± 3 days.</p><p><strong>Conclusion: </strong>WF smoke exposure is associated with increased health care utilization for ARS in the 2 months post-exposure.</p>","PeriodicalId":13716,"journal":{"name":"International Forum of Allergy & Rhinology","volume":" ","pages":"e23630"},"PeriodicalIF":7.2000,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Association between US Wildfires and Health Care Utilization for Acute Rhinosinusitis.\",\"authors\":\"Lirit Levi, Amir Levi, Maxime Fieux, Esther Velasquez, Riley Hue Vo, David Grimm, Peter H Hwang\",\"doi\":\"10.1002/alr.23630\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Wildfires (WF), a major contributor to air pollution including ambient particulate matter 2.5 (PM2.5), have been shown to increase the risk of developing sinonasal diseases. This study assesses the impact of WF on health care claims for acute rhinosinusitis (ARS).</p><p><strong>Methods: </strong>Utilizing national WF geospatial records and EPA-based smoke-PM2.5 databases, we identified core-based statistical areas (CBSAs) affected by WF >50,000 acres, occurring between 2014 and 2019. We correlated WF events with MarketScan health care claims data, calculating daily outpatient visit proportions relative to total visits per CBSA for ARS, chronic rhinosinusitis (CRS), rhinitis, and asthma. We calculated risk ratios (RRs) by comparing visit proportions in pre-WF versus post-WF periods, adjusted for seasonality by comparison to non-WF periods in the same CBSAs. Cross-correlation (CC) analysis was conducted to determine the temporal relationship between daily smoke-PM2.5 and ARS-visit proportions.</p><p><strong>Results: </strong>Sixteen WFs events from nine CBSAs were captured, yielding 2.22 M claims. ARS visit proportions increased in the 2 months post-WF periods, with an RR of 1.17 (confidence interval = 1.12‒1.22). CRS and rhinitis showed no significant increase in RR. Control analysis (2.08 M claims) yielded an RR of 0.97 (0.93‒1.082) for non-WF ARS-visit proportions. CC analysis indicated a significant correlation (0.4 ± 0.04; p < 0.001) with a lag of 33 ± 3 days.</p><p><strong>Conclusion: </strong>WF smoke exposure is associated with increased health care utilization for ARS in the 2 months post-exposure.</p>\",\"PeriodicalId\":13716,\"journal\":{\"name\":\"International Forum of Allergy & Rhinology\",\"volume\":\" \",\"pages\":\"e23630\"},\"PeriodicalIF\":7.2000,\"publicationDate\":\"2025-07-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Forum of Allergy & Rhinology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/alr.23630\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Forum of Allergy & Rhinology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/alr.23630","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
Association between US Wildfires and Health Care Utilization for Acute Rhinosinusitis.
Background: Wildfires (WF), a major contributor to air pollution including ambient particulate matter 2.5 (PM2.5), have been shown to increase the risk of developing sinonasal diseases. This study assesses the impact of WF on health care claims for acute rhinosinusitis (ARS).
Methods: Utilizing national WF geospatial records and EPA-based smoke-PM2.5 databases, we identified core-based statistical areas (CBSAs) affected by WF >50,000 acres, occurring between 2014 and 2019. We correlated WF events with MarketScan health care claims data, calculating daily outpatient visit proportions relative to total visits per CBSA for ARS, chronic rhinosinusitis (CRS), rhinitis, and asthma. We calculated risk ratios (RRs) by comparing visit proportions in pre-WF versus post-WF periods, adjusted for seasonality by comparison to non-WF periods in the same CBSAs. Cross-correlation (CC) analysis was conducted to determine the temporal relationship between daily smoke-PM2.5 and ARS-visit proportions.
Results: Sixteen WFs events from nine CBSAs were captured, yielding 2.22 M claims. ARS visit proportions increased in the 2 months post-WF periods, with an RR of 1.17 (confidence interval = 1.12‒1.22). CRS and rhinitis showed no significant increase in RR. Control analysis (2.08 M claims) yielded an RR of 0.97 (0.93‒1.082) for non-WF ARS-visit proportions. CC analysis indicated a significant correlation (0.4 ± 0.04; p < 0.001) with a lag of 33 ± 3 days.
Conclusion: WF smoke exposure is associated with increased health care utilization for ARS in the 2 months post-exposure.
期刊介绍：
International Forum of Allergy & Rhinologyis a peer-reviewed scientific journal, and the Official Journal of the American Rhinologic Society and the American Academy of Otolaryngic Allergy.
International Forum of Allergy Rhinology provides a forum for clinical researchers, basic scientists, clinicians, and others to publish original research and explore controversies in the medical and surgical treatment of patients with otolaryngic allergy, rhinologic, and skull base conditions. The application of current research to the management of otolaryngic allergy, rhinologic, and skull base diseases and the need for further investigation will be highlighted.
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