Gu Byung Mo, Ko Ho Hyun, Ra Yong Joon, Lee Hee Sung, Kim Hyoung Soo, Lee Hong Kyu
Department of Thoracic and Cardiovascular Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea.
Department of Thoracic and Cardiovascular Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.
J Chest Surg. 2021 Feb 5;54(1):53-58. doi: 10.5090/kjtcs.20.073.
We aimed to investigate the characteristics of primary spontaneous pneumothorax (PSP) in adolescents and to analyze the relationship between the occurrence of PSP and air pollutants.
Data pertaining to age, sex, body mass index, smoking status, initial pneumothorax volume, presence of bullae, treatment methods, and city of residence were retrospectively obtained from January 2010 to December 2014. We investigated the association between short-term exposure to air pollutants (SO, NO, O, CO, and PM) and the occurrence of PSP using a case-crossover design with conditional logistic regression.
We collected information from 598 patients who were admitted for PSP, with a mean follow-up duration of 62.9 months. The majority (91.1%) of the patients were male. In the case-crossover design, conditional logistic regression showed that no air pollutant was associated with the occurrence of pneumothorax. The results were consistent across all city subgroups (Anyang, Gunpo, Uiwang, and Gwacheon).
In our study, the incidence rate of pneumothorax was 153.8 per 100,000 person-years in male adolescents and 16.7 per 100,000 person-years in female adolescents. The case-crossover design showed that PSP in adolescents is unlikely to be related to air pollution.
我们旨在研究青少年原发性自发性气胸（PSP）的特征，并分析PSP的发生与空气污染物之间的关系。
回顾性收集2010年1月至2014年12月期间有关年龄、性别、体重指数、吸烟状况、初始气胸体积、肺大疱的存在、治疗方法和居住城市的数据。我们采用条件逻辑回归的病例交叉设计，研究短期暴露于空气污染物（SO、NO、O、CO和PM）与PSP发生之间的关联。
我们收集了598例因PSP入院患者的信息，平均随访时间为62.9个月。大多数患者（91.1%）为男性。在病例交叉设计中，条件逻辑回归显示没有空气污染物与气胸的发生相关。所有城市亚组（安阳、军浦、义王和果川）的结果均一致。
在我们的研究中，男性青少年气胸发病率为每10万人年153.8例，女性青少年为每10万人年16.7例。病例交叉设计表明，青少年PSP不太可能与空气污染有关。
