HUBUNGAN POLUSI UDARA PM 2,5 TERHADAP JUMLAH PASIEN DENGAN PNEUMONIA BEKASI TAHUN 2019- 2023
Main Article Content
Abstract
Kata Kunci : PM 2,5, Pneumonia, Pasien Rawat Inap, Kota Bekasi
---
Pneumonia is the eighth leading cause of death in general and the leading infectious cause of death, with mortality rates reaching 23% for patients admitted to intensive care units for severe pneumonia. Air pollution has the potential to increase pneumonia respiratory complaints, emergency department visits, hospitalizations, and mortality risk. This study aimed to observe the relationship between PM 2.5 air pollution and pneumonia hospitalizations in hospitals in Bekasi City in 2019-2023. This study used an ecological study design with secondary data collection, specifically medical records of hospitalized pneumonia patients from 42 hospitals registered under the supervision of the Ministry of Health of the Republic of Indonesia. The sampling method used a total sample. The results showed a relationship between PM 2.5 air pollution and the number of pneumonia patients admitted in 2019 with a p-value of 0.05 and r = -0.576 and 2019-2023 with a p-value of 0.005 and r = -0.613, indicating a negative correlation between PM 2.5 levels and pneumonia admissions. In 2021, 2022, and 2023, there was no significant correlation. There is a relationship between the level of PM 2.5 and the number of pneumonia hospitalizations, so it is recommended to include COVID-19 variables to understand its effect on pneumonia patient hospitalization rates
Keywords : PM 2.5, Pneumonia, Patient Hospitalization, Bekasi City
Article Details
References
Almirall J, Boixeda R, de la Torre MC, Torres A. Aspiration pneumonia: A renewed perspective and practical approach. Respir Med [Internet]. 2021;185(February):106485. Available from: https://doi.org/10.1016/j.rmed.2021.106485
Lim WS. Pneumonia—Overview [Internet]. 2nd ed. Vol. 4, Encyclopedia of Respiratory Medicine, Second Edition. Elsevier Inc.; 2021. 185–197 p. Available from: http://dx.doi.org/10.1016/B978-0-12-801238-3.11636-8
Regunath H, Oba Y. Community-Acquired Pneumonia [Internet]. National Heart,Lung,and Blood Institute. 2024 [cited 2024 Feb 26]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430749/
World Health Organization. Pneumonia in children [Internet]. WHO. 2022 [cited 2024 Feb 26]. Available from: https://www.who.int/news-room/fact-sheets/detail/pneumonia
Riskesdas Kementrian Kesehatan RI. Laporan Riskesdas 2018 Nasional.pdf. Lembaga Penerbit Balitbangkes. 2018.
Dinas Kesehatan Kota Bekasi. Profil Kesehatan Kota Bekasi Tahun 2018. 2018;
Dinas Kesehatan Jawa Barat. Profil Kesehatan Jawa Barat Tahun 2022. 2022;(July):1–23.
Sava IB, Alfianah SR, Sadewo FXS. Upaya Masyarakat Dalam Penanggulangan Polusi Udara Pg Meritjan Kota Kediri. J Pendidik Sosiol Undiksha [Internet]. 2023;5(1):30–8. Available from: https://ejournal.undiksha.ac.id/index.php/JPSU/article/view/64987%0Ahttps://ejournal.undiksha.ac.id/index.php/JPSU/article/download/64987/26447
Susanto AD. Air pollution and human health. Med J Indones [Internet]. 2020;29(1):8–10. Available from: http://dx.doi.org/10.13181/mji.com.204572
Ritchie H, Roser M. Global Burden of Disease Study Air Pollution 2019. Our World in Data. 2019.
Thangavel P, Park D, Lee YC. Recent Insights into Particulate Matter (PM2.5)-Mediated Toxicity in Humans: An Overview. Int J Environ Res Public Health. 2022;19(12).
Rentschler J, Leonova N. Global air pollution exposure and poverty. Nat Commun. 2023;14(1):1–11.
WHO. Ambient (outdoor) air pollution [Internet]. World health Organization. 2022 [cited 2024 Feb 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/ambient-(outdoor)-air-quality-and-health
Indeks kualitas udara (AQI). Kualitas udara di Indonesia [Internet]. IQAir. 2020 [cited 2024 Feb 20]. Available from: https://www.iqair.com/id/indonesia
Fadhlurrahman I. Kualitas Udara Jakarta Kamis Malam di Level Sedang namun Konsentrasi PM2.5 masih 3,7 Kali Lipat Standar WHO [Internet]. Katadata Media Network. 2023 [cited 2024 Feb 20]. Available from: https://databoks.katadata.co.id/datapublish/2023/10/26/kualitas-udara-jakarta-kamis-malam-di-level-sedang-namun-konsentrasi-pm25-masih-37-kali-lipat-standar-who.
Mulia P, Nofrizal, Dewi WN. Analisis Dampak Kabut Asap Karhutla terhadap Gangguan Kesehatan Fisik. J Ners Indones. 2021;12(1).
Chen CC, Huang J Bin, Cheng SY, Wu KH, Cheng FJ. Association between particulate matter exposure and short-term prognosis in patients with pneumonia. Aerosol Air Qual Res. 2020;20(1):89–96.
Tegenu K, Geleto G, Tilahun D, Bayana E, Bereke B. Severe pneumonia: Treatment outcome and its determinant factors among under-five patients, Jimma, Ethiopia. SAGE Open Med. 2022;10.
Surit P, Wongtanasarasin W, Boonnag C, Wittayachamnankul B. Association between air quality index and effects on emergency department visits for acute respiratory and cardiovascular diseases. PLoS One [Internet]. 2023;18(11 November):1–12. Available from: http://dx.doi.org/10.1371/journal.pone.0294107
Yee J, Cho YA, Yoo HJ, Yun H, Gwak HS. Short-term exposure to air pollution and hospital admission for pneumonia: a systematic review and meta-analysis. Environ Heal A Glob Access Sci Source. 2021;20(1):1–10.
Tsai MT, Ho YN, Chiang CY, Chuang PC, Pan HY, Chiu IM, et al. Effects of fine particulate matter and its components on emergency room visits for pediatric pneumonia: A time-stratified case-crossover study. Int J Environ Res Public Health. 2021;18(20).
Tian Y, Liu H, Wu Y, Si Y, Li M, Wu Y, et al. Ambient particulate matter pollution and adult hospital admissions for pneumonia in urban China: A national time series analysis for 2014 through 2017. PLoS Med. 2019;16(12):1–18.
Alfinella Iswandi AA. Rencana aksi nasional penanggulangan pneumonia dan diare indonesia 2023-2030. Kementrian Kesehatan. 2023. 110 p.
Dinas Kesehatan Kabupaten Bekasi. Profil Kesehatan Bekasi 2021. 2022;29–30.
IQAir. World Air Quality Report 2023. IQAir [Internet]. 2023;1–45. Available from: https://www.iqair.com/id/world-most-polluted-countries
Sunyataningkamto S, Z I, T AR, I B, Surjono A, Wibowo T, et al. The role of indoor air pollution and other factors in the incidence of pneumonia in under-five children. Paediatr Indones. 2016;44(1):25.
Fagerli K, Ulziibayar M, Suuri B, Luvsantseren D, Narangerel D, Batsaikhan P, et al. Epidemiology of pneumonia in hospitalized adults ≥18 years old in four districts of Ulaanbaatar, Mongolia, 2015–2019. Lancet Reg Heal - West Pacific [Internet]. 2023;30:100591. Available from: https://doi.org/10.1016/j.lanwpc.2022.100591
Iqbal N, Zafar F, Iqbal M. Factors Influencing The Outcome Of Severe Pneumonia Among Children Having Age From 2 Months To 5 Years In A Tertiary Healthcare Hospital. Pakistan J Heal Sci. 2023;60–5.
Lewis MO, Tran PT, Huang Y, Desai RA, Shen Y, Brown JD. Disease Severity and Risk Factors of 30-Day Hospital Readmission in Pediatric Hospitalizations for Pneumonia. J Clin Med. 2022;11(5).
Ernyasih. Model Intervensi Potensi Risiko Eksposure So2, No2, Co Dan Pm2,5 Dari Emisi Kendaraan Serta Strategi Mitigasi Di Kota Tangerang Selatan. Universitas Hasanuddin; 2023.
Greenpeace Indonesia. Factsheet: The Indonesia and the World Health Organization’s Air Quality Guidelines Background. 2021;(September):1–6.
Santana DP, Santos VM, da Silva AMC, Shimoya-Bittencourt W. Influence of air pollutants on pneumonia hospitalizations among children in a town in the Brazilian legal amazon region: A time series study. Sao Paulo Med J. 2020;138(2):126–32.
Zhang N, Huang H, Duan X, Zhao J, Su B. Quantitative association analysis between PM2.5 concentration and factors on industry, energy, agriculture, and transportation. Sci Rep [Internet]. 2018;8(1):1–9. Available from: http://dx.doi.org/10.1038/s41598-018-27771-w
Chen Z, Chen D, Zhao C, Kwan M po, Cai J, Zhuang Y, et al. Influence of meteorological conditions on PM2.5 concentrations across China: A review of methodology and mechanism. Environ Int [Internet]. 2020;139(July 2019):105558. Available from: https://doi.org/10.1016/j.envint.2020.105558
Wu J, Wu Y, Tian Y, Wu Y, Wang M, Wang X, et al. Association between ambient fine particulate matter and adult hospital admissions for pneumonia in Beijing, China. Atmos Environ [Internet]. 2020;231(April):117497. Available from: https://doi.org/10.1016/j.atmosenv.2020.117497
Xing YF, Xu YH, Shi MH, Lian YX. The impact of PM2.5 on the human respiratory system. J Thorac Dis. 2016;8(1):E69–74.
Chandra I, Nisa K, Rosdiana E. Preliminary study: Health risk analysis of PM2.5 and PM10 mass concentrations in Bandung Metropolitan. IOP Conf Ser Earth Environ Sci. 2021;824(1).
Wang F, Liu J, Zeng H. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19 . The COVID-19 resource centre is hosted on Elsevier Connect , the company ’ s public news and information . 2020;(January).
Karimi B, Moradzadeh R, Samadi S. Air pollution and COVID-19 mortality and hospitalization: An ecological study in Iran. Atmos Pollut Res [Internet]. 2022;13(7):101463. Available from: https://doi.org/10.1016/j.apr.2022.101463