Association of meteorological factors and ambient air pollution on medical care utilization for urolithiasis: a population-based time-series study
Abstract Background To identify the association of meteorological factors/ambient air pollutants with medical care utilization for urolithiasis and estimate the effect size/time lags. Methods This is a population-based time-series analysis of 300,000 urolithiasis cases from eight large metropolitan...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-12-01
|
| Series: | BMC Nephrology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12882-021-02614-5 |
| _version_ | 1818983187303366656 |
|---|---|
| author | Tae Il Noh Jinwook Hong Seok Ho Kang Jaehun Jung |
| author_facet | Tae Il Noh Jinwook Hong Seok Ho Kang Jaehun Jung |
| author_sort | Tae Il Noh |
| collection | DOAJ |
| description | Abstract Background To identify the association of meteorological factors/ambient air pollutants with medical care utilization for urolithiasis and estimate the effect size/time lags. Methods This is a population-based time-series analysis of 300,000 urolithiasis cases from eight large metropolitan areas in Korea. Seventeen meteorological factors and ambient air pollutants were measured daily during 2002–2017 for each metropolis. Data on daily medical utilization owing to urolithiasis were collected. A generalized additive model was used while factoring in the nonlinear relationship between meteorological factors/ambient air pollutants and urolithiasis and a time lag of ≤10 days. A multivariate analysis was performed. Backward elimination with an Akaike information criterion was used for fitting the multivariate model. Results Urolithiasis was significantly associated with average temperature, diurnal temperature range, sunshine duration, particulate matter (PM) ≤2.5 μm, and carbon monoxide (CO) levels. The incidence of ureteral stones was positively correlated with average temperature, PM ≤2.5 μm level, and CO level (time lags 0–9, 2–4, and 0–9 days, respectively). The incidence of renal stones was positively correlated with PM ≤2.5 μm and CO levels (time lags 2–4 and 0–9 days, respectively). PM ≤2.5 μm (0.05 and 0.07% per 10 μg/m3) and CO (2.05 and 2.25% per 0.1 ppm) conferred the highest excess risk on ureteral and renal stones. Conclusions Urolithiasis is affected by various meteorological factors and ambient air pollutants, PM ≤2.5 μm, and CO levels may be novel potential risk factors for this condition. |
| first_indexed | 2024-12-20T17:59:07Z |
| format | Article |
| id | doaj.art-7fec366aa7174bfa8d08b4dedee69db8 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-12-20T17:59:07Z |
| publishDate | 2021-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-7fec366aa7174bfa8d08b4dedee69db82022-12-21T19:30:41ZengBMCBMC Nephrology1471-23692021-12-012211910.1186/s12882-021-02614-5Association of meteorological factors and ambient air pollution on medical care utilization for urolithiasis: a population-based time-series studyTae Il Noh0Jinwook Hong1Seok Ho Kang2Jaehun Jung3Department of Urology, Korea University School of MedicineArtificial Intelligence and Big-Data Convergence Center, Gachon University Gil Medical CenterDepartment of Urology, Korea University School of MedicineArtificial Intelligence and Big-Data Convergence Center, Gachon University Gil Medical CenterAbstract Background To identify the association of meteorological factors/ambient air pollutants with medical care utilization for urolithiasis and estimate the effect size/time lags. Methods This is a population-based time-series analysis of 300,000 urolithiasis cases from eight large metropolitan areas in Korea. Seventeen meteorological factors and ambient air pollutants were measured daily during 2002–2017 for each metropolis. Data on daily medical utilization owing to urolithiasis were collected. A generalized additive model was used while factoring in the nonlinear relationship between meteorological factors/ambient air pollutants and urolithiasis and a time lag of ≤10 days. A multivariate analysis was performed. Backward elimination with an Akaike information criterion was used for fitting the multivariate model. Results Urolithiasis was significantly associated with average temperature, diurnal temperature range, sunshine duration, particulate matter (PM) ≤2.5 μm, and carbon monoxide (CO) levels. The incidence of ureteral stones was positively correlated with average temperature, PM ≤2.5 μm level, and CO level (time lags 0–9, 2–4, and 0–9 days, respectively). The incidence of renal stones was positively correlated with PM ≤2.5 μm and CO levels (time lags 2–4 and 0–9 days, respectively). PM ≤2.5 μm (0.05 and 0.07% per 10 μg/m3) and CO (2.05 and 2.25% per 0.1 ppm) conferred the highest excess risk on ureteral and renal stones. Conclusions Urolithiasis is affected by various meteorological factors and ambient air pollutants, PM ≤2.5 μm, and CO levels may be novel potential risk factors for this condition.https://doi.org/10.1186/s12882-021-02614-5Air pollutionClimate, meteorological factorsUrolithiasis |
| spellingShingle | Tae Il Noh Jinwook Hong Seok Ho Kang Jaehun Jung Association of meteorological factors and ambient air pollution on medical care utilization for urolithiasis: a population-based time-series study BMC Nephrology Air pollution Climate, meteorological factors Urolithiasis |
| title | Association of meteorological factors and ambient air pollution on medical care utilization for urolithiasis: a population-based time-series study |
| title_full | Association of meteorological factors and ambient air pollution on medical care utilization for urolithiasis: a population-based time-series study |
| title_fullStr | Association of meteorological factors and ambient air pollution on medical care utilization for urolithiasis: a population-based time-series study |
| title_full_unstemmed | Association of meteorological factors and ambient air pollution on medical care utilization for urolithiasis: a population-based time-series study |
| title_short | Association of meteorological factors and ambient air pollution on medical care utilization for urolithiasis: a population-based time-series study |
| title_sort | association of meteorological factors and ambient air pollution on medical care utilization for urolithiasis a population based time series study |
| topic | Air pollution Climate, meteorological factors Urolithiasis |
| url | https://doi.org/10.1186/s12882-021-02614-5 |
| work_keys_str_mv | AT taeilnoh associationofmeteorologicalfactorsandambientairpollutiononmedicalcareutilizationforurolithiasisapopulationbasedtimeseriesstudy AT jinwookhong associationofmeteorologicalfactorsandambientairpollutiononmedicalcareutilizationforurolithiasisapopulationbasedtimeseriesstudy AT seokhokang associationofmeteorologicalfactorsandambientairpollutiononmedicalcareutilizationforurolithiasisapopulationbasedtimeseriesstudy AT jaehunjung associationofmeteorologicalfactorsandambientairpollutiononmedicalcareutilizationforurolithiasisapopulationbasedtimeseriesstudy |