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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 324 - 332 (9page)
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Objectives: The annual average of PM10 in Seoul was 45 μ/m3, which surpasses the WHO annual guidelines(20 μ/m3). Most previous analyses of the effects of PM exposure have been retrospective studies using singlehospital data, and fewer studies have attempted to address the relationship of PM10 and hospital costs. This studywas conducted to investigate the effects of the concentration of PM10 on hospital visits, admissions and hospitalcosts in patients with respiratory and cardiovascular diseases.
Methods: Medical data from the National Health Insurance Service and the monthly average of PM10 fromNational Institute of Environmental Research were used to identify the effects of PM10 on hospital visits,admissions and hospital costs. We applied Poisson regression and linear regression to perform the analysis.
Results: The relative risks for admissions per 10 μ/m3 increase in PM10 were 23.11%, 10.2% and 6.9% increasesfor acute bronchiolitis, asthma and bronchitis, respectively. The relative risk for hospital visits per 10 μ/m3 increasein PM10 were 10.4%, 6.7% and 5.9% for chronic obstructive pulmonary disease, asthma and chronic sinusitis,respectively. For cardiovascular disease, the relative risk for admissions per 10 μ/m3 increase in PM10 were 2.2%and 2.1% increases in angina and acute myocardial infarction, respectively. A 10 μ/m3 increase in the monthlyaverage of PM10 corresponded to 170,723,000 won (95% CI: 125,587,000-215,860,000 won), 123,636,000 won(95% CI: 47,784,000-199,487,000 won) and 78,571,000 won (95% CI: 29,062,000-128,081,000 won) increasesin hospital costs for asthma, acute tonsillitis and chronic sinusitis, respectively.
Conclusion: Hospital admissions for respiratory and cardiovascular disease were associated with PM10 levels.
PM10 exposure is also associated with increased costs for respiratory diseases.
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