Emergency Department, CHU Besançon, 3 Boulevard Alexandre Fleming, 25030, Besançon, France; Laboratory Chrono-environnement, UMR 6249 Centre National de La Recherche Scientifique, 16 Route de Gray, 25000, Besançon, France; Université Bourgogne Franche-Comté, 32 Avenue de L'Observatoire, 25000, Besançon, France.
Laboratory Chrono-environnement, UMR 6249 Centre National de La Recherche Scientifique, 16 Route de Gray, 25000, Besançon, France; Laboratory TheMA, UMR 6049 Centre National de La Recherche Scientifique, 16 Route de Gray, 25000, Besançon, France; Université Bourgogne Franche-Comté, 32 Avenue de L'Observatoire, 25000, Besançon, France.
Environ Pollut. 2021 Aug 15;283:117089. doi: 10.1016/j.envpol.2021.117089. Epub 2021 Apr 5.
A relationship between the occurrence of spontaneous pneumothorax (SP) and meteorological factors has been observed but with contradictory results. The objectives of this systematic review was to synthesis the current body of evidence to the relationships between the occurrence of SP and environmental determinants such as meteorological factors and air pollutants. We conducted a systematic search of MEDLINE, Scopus, Cochrane Library and gray literature from inception up to 31st December 2020, to find published scientific research articles based on the following eligibility criteria: original studies and population-based articles describing the relationship between meteorological factors or air pollutants and the occurrence of SP. For the meta-analysis, studies involving a quantitative analysis of the exposure variable (atmospheric pressure, temperature, humidity and wind speed) and the impact of the occurrence of SP with comparable methodology were selected. General characteristics and methodological information for each study were assessed. The quality was evaluated according to the Newcastle-Ottawa Scale. Fourty four and 13 studies were respectively included in the qualitative and quantitative analyses. The variability of the study design with moderate quality and the different measurements of the exposure variables highlight the contrasting results. The results of the meta-analyses are in favor of a higher temperature observed in the day with SP than in the days without SP (maximum: MD 0.25 (-0.08, 0.58) p = 0.14; I = 26%, p = 0.21; mean: MD 0.22 (-0.15, 0.59) p = 0.24; I = 45%, p = 0.07). The small number of studies focused on air pollution did not allow us to conclude to determine the potential impact of exposure to air pollutants on the occurrence of SP. Meteorological conditions seem to be related to SP occurrence, especially increased temperature.
自发性气胸（SP）的发生与气象因素之间存在一定关系，但结果却相互矛盾。本系统综述的目的是综合目前关于 SP 发生与环境决定因素（如气象因素和空气污染物）之间关系的证据。我们对 MEDLINE、Scopus、Cochrane 图书馆和灰色文献进行了系统检索，从建库至 2020 年 12 月 31 日，以查找基于以下纳入标准的已发表的科学研究文章：原始研究和基于人群的文章，描述气象因素或空气污染物与 SP 发生之间的关系。对于荟萃分析，选择了涉及暴露变量（气压、温度、湿度和风速）定量分析以及使用类似方法评估 SP 发生影响的研究。评估了每个研究的一般特征和方法学信息。根据纽卡斯尔-渥太华量表评估质量。定性和定量分析分别纳入了 44 项和 13 项研究。研究设计的可变性、中等质量以及暴露变量的不同测量方法突出了结果的差异。荟萃分析的结果支持 SP 发生日的日间温度高于无 SP 发生日（最高值：MD 0.25（-0.08，0.58），p=0.14；I=26%，p=0.21；平均值：MD 0.22（-0.15，0.59），p=0.24；I=45%，p=0.07）。关注空气污染的研究数量较少，无法确定暴露于空气污染物对 SP 发生的潜在影响。气象条件似乎与 SP 的发生有关，尤其是温度升高。
