Pneumothorax and the environment: A systematic review of the impact of air pollution and meteorology, and a meta-analysis on meteorology factors

Marx, Tania; Bernard, Nadine; Kepka, Sabrina; Gérazime, Aurélie; Mauny, Frédéric; Desmettre, T.

doi:10.1016/j.envpol.2021.117089

Cited by 6 publications

(4 citation statements)

References 36 publications

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“…In several metropolitan areas, the lockdown did not relate to an improved level of air quality [29]. Furthermore, a recently published systematic review of the correlation between pneumothorax incidence and meteorologic factors showed that an increased temperature seems to be associated with pneumothorax incidence [30]. However, to the best of our knowledge, no study has shown the relationship between environmental factors and pneumothorax.…”

Section: Discussionmentioning

confidence: 89%

The Collateral Damage of the Pandemic on Non-COVID Related Pneumothorax Patients: A Retrospective Cohort Study

Woo

Kim

et al. 2022

JCM

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Background: Since the onset of the COVID-19 pandemic, there have been many reported cases showing the consequences—or the collateral damages—of COVID-19 on patients with non-COVID-related diseases. This study aimed to compare the clinical manifestations and treatment results of non-COVID-related pneumothorax patients before and during the pandemic. Methods: We retrospectively reviewed non-COVID-related pneumothorax patients who visited our hospital before the onset of the pandemic and during the pandemic. The primary outcome was the difference in the amount of pneumothorax between the two periods, and the secondary outcome was the difference in the treatment results between them. Multivariable logistic regression was conducted to find risk factors related to massive pneumothorax. Results: There were 122 and 88 patients in the pre-pandemic and pandemic groups, respectively. There was no significant difference between the two groups with respect to the preoperative demographic variables. However, the median amount of pneumothorax was significantly higher in the pandemic group (pre-pandemic: 34.75% [interquartile range (IQR) 18.30–62.95] vs. pandemic: 53.55% [IQR 33.58–88.80], p < 0.0001) and massive pneumothorax were more frequent in the pandemic group (52.3% vs. 30.3%, p = 0.002). Furthermore, more patients experienced re-expansion pulmonary edema after treatments during the pandemic (p = 0.0366). In multivariable analysis, the pandemic (OR: 2.70 [95% CI 1.49–4.90], p = 0.0011) was related to the occurrence of massive pneumothorax. Conclusion: During the pandemic, patients presented with a larger size of pneumothorax and had more re-expansion pulmonary edema, even in a country that handled the COVID-19 pandemic relatively well.

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Section: Discussionmentioning

confidence: 89%

The Collateral Damage of the Pandemic on Non-COVID Related Pneumothorax Patients: A Retrospective Cohort Study

Woo

Kim

et al. 2022

JCM

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“…C refers to incremental effect per unit increase in concentration of air pollutants for disease risk. O refers to the outcome of eczema, AR, and AD (Morgan et al 2018;Marx et al 2021) (Fig. S1).…”

Section: Search Strategymentioning

confidence: 99%

Ambient air pollutants increase the risk of immunoglobulin E–mediated allergic diseases: a systematic review and meta-analysis

Wang

Chu

et al. 2022

Environ Sci Pollut Res

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Immunoglobulin E (IgE)-mediated allergic diseases, including eczema, atopic dermatitis (AD), and allergic rhinitis (AR), have increased prevalence in recent decades. Recent studies have proved that environmental pollution might have correlations with IgE-mediated allergic diseases, but existing research findings were controversial. Thus, we performed a comprehensive meta-analysis from published observational studies to evaluate the risk of long-term and short-term exposure to air pollutants on eczema, AD, and AR in the population (per 10-μg/m 3 increase in PM 2.5 and PM 10 ; per 1-ppb increase in SO 2 , NO 2 , CO, and O 3 ). PubMed, Embase, and Web of Science were searched to identify qualified literatures. The Cochran Q test was used to assess heterogeneity and quantified with the I 2 statistic. Pooled effects and the 95% confidence intervals (CIs) were used to evaluate outcome effects. A total of 55 articles were included in the study. The results showed that long-term and shortterm exposure to PM 10 increased the risk of eczema (PM 10 , RR long = 1.583, 95% CI: 1.328, 1.888; RR short = 1.006, 95% CI: 1.003-1.008) and short-term exposure to NO 2 (RR short = 1.009, 95% CI: 1.008-1.011) was associated with eczema. Short-term exposure to SO 2 (RR short : 1.008, 95% CI: 1.001-1.015) was associated with the risk of AD. For AR, PM 2.5 (RR long = 1.058, 95% CI: 1.014-1.222) was harmful in the long term, and short-term exposure to PM 10 (RR short : 1.028, 95% CI: 1.008-1.049) and NO 2 (RR short : 1.018, 95% CI: 1.007-1.029) were risk factors. The findings indicated that exposure to air pollutants might increase the risk of IgE-mediated allergic diseases. Further studies are warranted to illustrate the potential mechanism for air pollutants and allergic diseases.

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“…C refers to incremental effect of per unit increased in concentration of air pollutants for diseases risk. O refers to the outcome of eczema, AR and AD (Morgan et al, 2018;Marx et al, 2021).…”

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

Ambient air pollutants increase the risk of Immunoglobulin E-mediated allergic diseases: a systematic review and meta-analysis

Wang

Chu

et al. 2022

Preprint

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Immunoglobulin E (IgE)-mediated allergic diseases, including eczema, atopic dermatitis (AD) and allergic rhinitis (AR), have increased prevalence in recent decades. Recent studies have proved that environmental pollution might have correlations with IgE-mediated allergic diseases, but existing research findings were controversial. Thus, we performed a comprehensive meta-analysis from published observational studies to evaluate the risk of long-term and short-term exposed to air pollutants on the eczema, AD and AR in the population (per 10 μg/m3 increase in PM2.5 and PM10; per 1 ppb increase in SO2, NO2, CO and O3). PubMed, Embase and Web of Science were searched to identify qualified literatures. Cochran Q test was used to assess heterogeneity and quantified with I2 statistic. Pooled effects and the 95% confidence intervals (CIs) were used to evaluate outcome effects. A total of 55 articles were included in the study. The results showed that long-term and short-term exposed to PM10 increased the risk of eczema (PM10, RRlong=1.583, 95% CI: 1.328, 1.888; RRshort=1.006, 95% CI: 1.003-1.008) and short-term exposed to NO2 (RRshort=1.009, 95% CI: 1.008-1.011) was associated with eczema. Short-term exposed to SO2 (RRshort: 1.008, 95% CI: 1.001-1.015) was associated with the risk of AD. For AR, PM2.5 (RRlong=1.058, 95% CI: 1.014-1.222) was harmful in long-term, and short-term exposed to PM10 (RRshort: 1.028, 95% CI: 1.008-1.049;) and NO2 (RRshort: 1.018, 95% CI: 1.007-1.029) were risk factors. The findings indicated that exposed to air pollutants might increase the risk of IgE-mediated allergic diseases. Further studies are warranted to illustrate potential mechanism for air pollutants and allergic diseases.

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Pneumothorax and the environment: A systematic review of the impact of air pollution and meteorology, and a meta-analysis on meteorology factors

Cited by 6 publications

References 36 publications

The Collateral Damage of the Pandemic on Non-COVID Related Pneumothorax Patients: A Retrospective Cohort Study

The Collateral Damage of the Pandemic on Non-COVID Related Pneumothorax Patients: A Retrospective Cohort Study

Ambient air pollutants increase the risk of immunoglobulin E–mediated allergic diseases: a systematic review and meta-analysis

Ambient air pollutants increase the risk of Immunoglobulin E-mediated allergic diseases: a systematic review and meta-analysis

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