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Spatial distribution of unscheduled hospital admissions for chronic obstructive pulmonary disease in the central area of Asturias, Spain.
Martínez-Pérez, Isabel; González-Iglesias, Verónica; Suárez, Valentín Rodríguez; Fernández-Somoano, Ana.
Afiliação
  • Martínez-Pérez I; Departamento de Medicina, IUOPA-Área de Medicina Preventiva y Salud Pública, Universidad de Oviedo, C/Julián Clavería s/n, Oviedo (Asturias), 33006, Spain.
  • González-Iglesias V; Departamento de Medicina, IUOPA-Área de Medicina Preventiva y Salud Pública, Universidad de Oviedo, C/Julián Clavería s/n, Oviedo (Asturias), 33006, Spain.
  • Suárez VR; Dirección General de Salud Pública. Consejería de Salud, Principado de Asturias. C/Ciriaco Miguel Vigil, 9, Oviedo, 33006, Spain.
  • Fernández-Somoano A; Departamento de Medicina, IUOPA-Área de Medicina Preventiva y Salud Pública, Universidad de Oviedo, C/Julián Clavería s/n, Oviedo (Asturias), 33006, Spain. fernandezsana@uniovi.es.
BMC Pulm Med ; 23(1): 101, 2023 Mar 28.
Article em En | MEDLINE | ID: mdl-36978049
ABSTRACT

BACKGROUND:

Chronic obstructive pulmonary disease (COPD) is one of the major causes of mortality worldwide and also reports high morbidity rates and the global burden COPD has continued to rise over the last several decades. The best-known COPD risk factors are tobacco smoke and air pollution, but genetics, age, sex, and socioeconomic status are additional factors. This study aimed to assess the spatial distribution of unscheduled COPD hospital admissions of men and women in the central area of Asturias during 2016-2018 and identify trends, spatial patterns, or clusters in the area.

METHODS:

Unscheduled COPD hospital admissions in the central area of Asturias were registered, geocoded, and grouped by census tracts (CTs), age, and sex. Standardized admission ratio, smoothed relative risk, posterior risk probability, and spatial clusters between relative risks throughout the study area were calculated and mapped.

RESULTS:

The spatial distribution of COPD hospital admissions differed between men and women. For men, high-risk values were located primarily in the northwestern area of the study, whereas for women the cluster pattern was not as clear and high-risk CTs also reached central and southern areas. In both men and women, the north-northwest area included the majority of CTs with high-risk values.

CONCLUSIONS:

The present study showed the existence of a spatial distribution pattern of unscheduled COPD hospital admissions in the central area of Asturias that was more pronounced for men than for women. This study could provide a starting point for generating knowledge about COPD epidemiology in Asturias.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doença Pulmonar Obstrutiva Crônica / Poluição do Ar Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: Europa Idioma: En Revista: BMC Pulm Med Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Espanha

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doença Pulmonar Obstrutiva Crônica / Poluição do Ar Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: Europa Idioma: En Revista: BMC Pulm Med Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Espanha