미세먼지 농도에 따른 심·뇌혈관계 및호흡기계 환자의 119 구급 출동 분석
Analysis of 119 dispatch for patients with cardio-cerebrovascular and respiratory diseases according to particulate matter†
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Purpose: The purpose of this study was to provide basic data for improving the response capacity of 119 EMS systems by analyzing the effects of particulate matter on cardio-cerebrovascular and respiratory symptoms in the pre-hospital stage. Methods: We examined 46,389 patients who transferred to the hospital with complaints of cardiopulmonary arrest and cardio-cerebrovascular and respiratory symptoms by 119 ambulances in Incheon from 2016 to 2018. Results: The probability of 119 emergency dispatch for patients with cardiopulmonary arrest increased 2.8-4.0% from the day of symptom onset until two days before hospital presentation as particulate matter 10μm or less in diameter(PM10) increased by 10μg/m3 (OR=1.028; 95% CI=1.014–1.041, p=0.000, lag 0), (OR=1.040; 95% CI=1.024–1.056, p=0.000, lag 1), (OR=1.032; 95% CI=1.016–1.049, p=0.000, lag 2). Meanwhile, emergency dispatch increased 3.6-6.1% for PM2.5 in creased by 10μg/m3 (OR=1.046; 95% CI=1.024–1.068, p=0.000, lag 0), (OR=1.061; 95% CI=1.035–1.088, p=.000, lag 1), and (OR=1.036; 95% CI=1.010–1.063, p=0.006, lag 2). Conclusion: Emergency medical technicians (EMTs) who respond to 119 calls should rapidly and accurately evaluate patients and provide professional emergency care by identifying the characteristics of the vulnerable groups relative to particulate matter size. To prevent the occurrence and exacerbation of symptoms caused by particulate matter, EMTs should be prepared and equipped with a response system for high particulate matter in the EMS system.
Abstract
Purpose: The purpose of this study was to provide basic data for improving the response capacity of 119 EMS systems by analyzing the effects of particulate matter on cardio-cerebrovascular and respiratory symptoms in the pre-hospital stage. Methods: We examined 46,389 patients who transferred to the hospital with complaints of cardiopulmonary arrest and cardio-cerebrovascular and respiratory symptoms by 119 ambulances in Incheon from 2016 to 2018. Results: The probability of 119 emergency dispatch for patients with cardiopulmonary arrest increased 2.8-4.0% from the day of symptom onset until two days before hospital presentation as particulate matter 10μm or less in diameter(PM10) increased by 10μg/m3 (OR=1.028; 95% CI=1.014–1.041, p=0.000, lag 0), (OR=1.040; 95% CI=1.024–1.056, p=0.000, lag 1), (OR=1.032; 95% CI=1.016–1.049, p=0.000, lag 2). Meanwhile, emergency dispatch increased 3.6-6.1% for PM2.5 in creased by 10μg/m3 (OR=1.046; 95% CI=1.024–1.068, p=0.000, lag 0), (OR=1.061; 95% CI=1.035–1.088, p=.000, lag 1), and (OR=1.036; 95% CI=1.010–1.063, p=0.006, lag 2). Conclusion: Emergency medical technicians (EMTs) who respond to 119 calls should rapidly and accurately evaluate patients and provide professional emergency care by identifying the characteristics of the vulnerable groups relative to particulate matter size. To prevent the occurrence and exacerbation of symptoms caused by particulate matter, EMTs should be prepared and equipped with a response system for high particulate matter in the EMS system.
참고문헌 (27)
- "What is the particulat matter" (2016)[URL]
- "Particulate matter misunderstanding and truth, ask anything" (2019)[URL]
- 경선영, "미세먼지", 황사 건강피해 예방 및 권고지침: 호흡기질환, 2015, pp.58(11), 1060~1069[DOI]
- "Ambient(outdoor)air pollution" (2018)[URL]
- 하경화, "미세먼지 농도와 심뇌혈관계 질환으로 인한 사망과의 관련성", Clinical Hypertension, 17(2), pp.74~83 (2011), 대한고혈압학회
- 오지수, "대기 중 미세먼지 농도와 응급실을 방문하는 만성 폐쇄성 폐 질환 환자와의 상관관계", 대한응급의학회지, 28(1), pp.32~39 (2017), 대한응급의학회
- 윤성우, "주호소가 호흡곤란인 환자에 대한 119구급대원의 병원전 응급처치 현황", 한국응급구조학회지, 17(1), pp.41~50 (2013), 사단법인 한국응급구조학회
- National Medical Center, "Understanding and evaluating of cardiovascular emergency diseases", ~ (2019)
- Oh YH, "Korean Institute for Health and Social Affairs. Problems and policy directions of Korea's emergency medical system", Health·Welfare Issue&Focus, 105, pp.1~8 (2011)
- "Special act on the reduction and management of fine dust" (2019)[URL]
- "Enforcement decree of the clean air conservation act" (2019)[URL]
- "Enforcement rule of the clean air conservation act" (2019)[URL]
- Seo JB, "Spring air congestion and Chinese influence", Weekly donga, 1190, pp.44~46 (2019)
- National Fire Agency, "119 First aid service statistics annual report", pp.63~121 (2019), Duksungdm
- Silverman RA, "Association of ambient fine particles with out-of-hospital cardiac arrests in New York City", Am J Epidemiol, 172(8), pp.917~923 (2010)[DOI]
- Lee JY, "Relationships between PM10 level and emergency room visits for keratoconjunctivitis, ischemic heart disease and strokes", Master, pp.2017
- "Act on the prevention and management of cardio-cerebrovascular diseases" (2019)[URL]
- Sun Q, "Cardiovascular effects of ambient particulate air pollution exposure", Circulation, 121, pp.2755~2765 (2010)[DOI]
- Lee HW, "A study on the relationship between cardio-cerebrovascular disease and particulate matter", Master, pp.2018
- "Enforcement decree of the special act on the reduction and management of fine dust" (2019)[URL]
- Johnston FH, "Ambient particulate matter and paramedic assessment of acute diabetic", Epidemiology, 30(1), pp.11~19 (2019)[DOI]
- Forastiere F, "A case-crossover analysis of out-of-hospital coronary deaths and air pollution in Rome, Italy", Am J Respir Crit Care Med, 172(2), pp.1549~1555 (2005)[DOI]
- Teng TH, "A systematic review of air pollution and incidence of out-of-hospital cardiac arrest", J Epidemiol Community Health, 68, pp.37~43 (2014)[DOI]
- 김인수, "미세먼지", 황사 건강피해 예방 및 권고지침: 심혈관질환, 2015, pp.58(11), 1044~1059[DOI]
- Dominici F, "Fine particulate air pollution and hospital admission for cardiovascular and respiratory diseases", JAMA, 295(10), pp.1129~1161 (2006)[DOI]
- Jo HJ, "Health effects caused by particulate matter and guidelines for health care", Public Health Weekly Report, 11(15), pp.458~462 (2018)
- Andersen ZJ, "Association between short-term exposure to ultrafine particles and hospital admissions for stroke in Copenhagen, Denmark", Eur Heart J, 31, pp.2034~2040 (2010)[DOI]