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The Effect of Cold Temperature on Increased Exacerbation of Chronic Obstructive Pulmonary Disease: A Nationwide Study

Author

Listed:
  • Ching-Min Tseng
  • Yung-Tai Chen
  • Shuo-Ming Ou
  • Yi-Han Hsiao
  • Szu-Yuan Li
  • Shuu-Jiun Wang
  • Albert C Yang
  • Tzeng-Ji Chen
  • Diahn-Warng Perng

Abstract

Background: Seasonal variations in the acute exacerbation of chronic obstructive pulmonary disease (COPD) have been reported. However, the influence of air temperature and other meteorological factors on COPD exacerbation remains unclear. Methods: National Health Insurance registry data from January 1, 1999 to December 1, 2009 and meteorological variables from the Taiwan Central Weather Bureau for the same period were analyzed. A case-crossover study design was used to investigate the association between COPD exacerbation and meteorological variables. Results: A total of 16,254 cases who suffered from COPD exacerbation were enrolled. We found that a 1°C decrease in air temperature was associated with a 0.8% increase in the exacerbation rate on event-days (95% confidence interval (CI), 1.015–1.138, p = 0.015). With a 5°C decrease in mean temperature, the cold temperature (28-day average temperature) had a long-term effect on the exacerbation of COPD (odds ratio (OR), 1.106, 95% CI 1.063–1.152, p

Suggested Citation

  • Ching-Min Tseng & Yung-Tai Chen & Shuo-Ming Ou & Yi-Han Hsiao & Szu-Yuan Li & Shuu-Jiun Wang & Albert C Yang & Tzeng-Ji Chen & Diahn-Warng Perng, 2013. "The Effect of Cold Temperature on Increased Exacerbation of Chronic Obstructive Pulmonary Disease: A Nationwide Study," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-7, March.
    • Handle: RePEc:plo:pone00:0057066
    DOI: 10.1371/journal.pone.0057066
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    Cited by:

    1. Kingsley Katleho Mokoena & Crystal Jane Ethan & Yan Yu & Asenso Theophilus Quachie, 2020. "Interaction Effects of Air Pollution and Climatic Factors on Circulatory and Respiratory Mortality in Xi’an, China between 2014 and 2016," IJERPH, MDPI, vol. 17(23), pages 1-15, December.
    2. Oluyemi Toyinbo & Markus Matilainen & Mari Turunen & Tuula Putus & Richard Shaughnessy & Ulla Haverinen-Shaughnessy, 2016. "Modeling Associations between Principals’ Reported Indoor Environmental Quality and Students’ Self-Reported Respiratory Health Outcomes Using GLMM and ZIP Models," IJERPH, MDPI, vol. 13(4), pages 1-12, March.
    3. Hikari Saho & Noriko Takeuchi & Daisuke Ekuni & Manabu Morita, 2019. "Incidence of the Acute Symptom of Chronic Periodontal Disease in Patients Undergoing Supportive Periodontal Therapy: A 5-Year Study Evaluating Climate Variables," IJERPH, MDPI, vol. 16(17), pages 1-11, August.
    4. Donna Green & Hilary Bambrick & Peter Tait & James Goldie & Rosalie Schultz & Leanne Webb & Lisa Alexander & Andrew Pitman, 2015. "Differential Effects of Temperature Extremes on Hospital Admission Rates for Respiratory Disease between Indigenous and Non-Indigenous Australians in the Northern Territory," IJERPH, MDPI, vol. 12(12), pages 1-14, December.

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