The effect of meteorological variables on spontaneous pneumothorax in two regions with different altitudes
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ORIGINAL PAPER
The effect of meteorological variables on spontaneous pneumothorax in two regions with different altitudes Murat Daş 1 & Timuçin Alar 2 & Orhan Delice 3 Ali Bilal Ulaş 4 & Okhan Akdur 1
&
İsmail Ertuğrul Gedik 2
&
Okan Bardakci 1
&
Canan Akman 1
&
Received: 6 February 2020 / Revised: 6 February 2020 / Accepted: 27 October 2020 # ISB 2020
Abstract Spontaneous pneumothorax (SP) is defined as the presence of free air inside the pleural space. Many studies have reported that meteorological variables may trigger SP, but the mechanism is unknown. The aim of this study was to compare the effects of meteorological variables on the development of SP in two regions with different altitudes. The study was conducted in the Çanakkale (2 m above sea level) and the Erzurum region (1758 m). A total of 494 patients with SP who presented to the hospitals of the two regions between January 2011 and December 2016 were included in the study. The meteorological variables used included ambient temperature, atmospheric pressure, relative humidity, precipitation amount, wind speed, and wind direction (as north and south). The total 2192 days were divided into two as days with and without an SP case presentation. A 4-day period prior to the day a case presented was compared with the other days without any cases to investigate the presence of any lagged effect. Statistical significance was accepted at p < 0.05. Comparison of these two regions showed a significant difference between them. The meteorological variables of the regions that affect SP development were found to be low mean minimum temperature, high daily temperature change, low precipitation, low wind speed and north winds for Erzurum, and only rainy days for Çanakkale. The results have demonstrated that cold weather, sudden temperature changes, north winds, and low wind speed are risk factors for the development of SP at high altitudes. Keywords Meteorological conditions . Altitude . Wind . Spontaneous pneumothorax . Temperature
Introduction Spontaneous pneumothorax (SP) is defined as the presence of free air inside the pleural space and develops following rupture of the bullae in the lung parenchyma or the blebs under
the visceral pleura. Adult spontaneous pneumothorax has two types: primary spontaneous pneumothorax (PSP) and secondary spontaneous pneumothorax (SSP). There is no chronic pulmonary disorder in PSP cases, but an underlying lung disease such as chronic obstructive pulmonary disease (COPD),
* İsmail Ertuğrul Gedik [email protected]
Ali Bilal Ulaş [email protected] Okhan Akdur [email protected]
Murat Daş [email protected] Timuçin Alar [email protected]
1
Department of Emergency Medicine, Medical School, Çanakkale Onsekiz Mart University, Canakkale, Turkey
2
Department of Thoracic Surgery, Medical School, Çanakkale Onsekiz Mart University, Canakkale, Turkey
3
Department of Emergency Medicine, Erzurum Region Education and Research Hospital, University of Health Sciences, Erzurum, Turkey
4
Department of Thoracic Surge
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