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The Risk of the Aggravation of Diabetic Foot According to Air Quality Factors in the Republic of Korea: A Nationwide Population-Based Study

Author

Listed:
  • Saintpee Kim

    (Department of Orthopedic Surgery, Gangbuk Etteum Hospital, Seoul 01170, Republic of Korea)

  • Sungho Won

    (RexSoft Corps, Seoul 08826, Republic of Korea
    Graduate School of Public Health, Seoul National University, Seoul 08826, Republic of Korea)

  • Young Yi

    (Department of Orthopedic Surgery Foot and Ankle Service, Inje University Paik Central Hospital, Seoul 04551, Republic of Korea)

Abstract

This study aims to examine the association between the occurrence of diabetic foot and air quality (SO 2 , CO, NO 2 , O 3 ). Open data were collected to conduct a big data study. Patient information was gathered from the National Health Insurance Service, and the National Institute of Environmental Science’s air quality data were used. A total study population of 347,543 cases were reviewed (case = 13,353, control = 334,190). The lag period from air quality changes to the actual amputation operation was calculated for each factor. The frequency of diabetic foot amputation in each region was identified and analyzed using a distributed lag non-linear model. Gangwon-do showed the highest relative risks (RRs) for SO 2 and CO, while Chungcheongnam-do exhibited the highest RR for NO 2 . Jeju had the highest RR for O 3 . Regions like Incheon, Busan, and the capital region also showed significant risk increases. These findings emphasize the importance of tailored air quality management to address diabetic foot complications effectively.

Suggested Citation

  • Saintpee Kim & Sungho Won & Young Yi, 2024. "The Risk of the Aggravation of Diabetic Foot According to Air Quality Factors in the Republic of Korea: A Nationwide Population-Based Study," IJERPH, MDPI, vol. 21(6), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:6:p:775-:d:1414890
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    References listed on IDEAS

    as
    1. Sung Hun Won & Hyung-Jin Chung & Jinyoung Lee & Ye Jin Jeon & Dong-Il Chun & Tae-Hong Min & Jaeho Cho & Sungho Won & Young Yi, 2021. "Diurnal Temperature Ranges in Relation to Lower Limb Amputation Rate of Diabetic Foot in South Korea: A Population Based Nationwide Study," IJERPH, MDPI, vol. 18(17), pages 1-9, August.
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    1. Hyung-Jin Chung & Dong-Il Chun & Eun Myeong Kang & Keonwoo Kim & Jinyoung Lee & Ye Jin Jeon & Jaeho Cho & Sungho Won & Young Yi, 2022. "Trend and Seasonality of Diabetic Foot Amputation in South Korea: A Population-Based Nationwide Study," IJERPH, MDPI, vol. 19(7), pages 1-11, March.

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