[Unusual attendance at Hospital Emergency Services for asthma and chronic obstructive pulmonary disease and SO2 air pollution in Cartagena (Spain)].
BACKGROUND
The objective of this investigation is to determine the influence of air pollution (SO2 and particulate matter) on the existence of days of unusual attendance at emergency services for asthma and chronic obstructive pulmonary lung disease (COPD). A registry of attendances for these diseases and the daily mean concentrations of SO2 and particles were used (1989-1991).


RESULTS
Unusual attendance days are establish by the fortnightly movable mean of the period that has that day as central one, under the hypothesis of a Poisson distribution with equal mean as the calculated one. In the logistic regression model, Odds Ratio (OR) between an excess of attendance of cases for asthma and SO2 levels greater than 80.60 m/m3 was 3.6 (CI95%: 1.1-11.7). For COPD, SO levels ten days before were introduced, and OR for SO2 levels more than 56.5m/m was 4.7 (CI95%: 1.5-15.1).


CONCLUSIONS
High SO2 levels are related with the appearances of days with an excessive use of emergencies for Asma and EPOC.
Departamento de Ciencias de la Salud, Universidad Pública de Navarra, Pamplona.
J J
JJ
Guillén Pérez
F
F
Guillén Grima
J
J
Medrano Tortosa
L
L
García-Marcos Alvarez
I
I
Aguinaga Ontoso
J C
JC
Níguez Carbonell
D000397:Air Pollution / Q000009:adverse effects*; D001249:Asthma / Q000453:epidemiology* / Q000209:etiology* / Q000534:rehabilitation; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D015386:Hazardous Substances; D006760:Hospitalization; D006801:Humans; D015994:Incidence; D008173:Lung Diseases, Obstructive / Q000453:epidemiology* / Q000209:etiology* / Q000534:rehabilitation; D010343:Patient Admission; D012621:Seasons; D013030:Spain / Q000453:epidemiology; D013458:Sulfur Dioxide / Q000009:adverse effects*
D015386:Hazardous Substances; D013458:Sulfur Dioxide
Afluencia inusual por asma y enfermedad pulmonar obstructiva crónica en urgencias hospitalarias y contaminación por SO2 en Cartagena.