Effects of meteorological factor and air pollution on sudden sensorineural hearing loss using the health claims data in Busan, Republic of Korea

Am J Otolaryngol. 2019 May-Jun;40(3):393-399. doi: 10.1016/j.amjoto.2019.02.010. Epub 2019 Feb 18.

Abstract

Purpose: Specific meteorological factors, including air pollution in the form of particulate matter (PM), affect the development of otologic disease and have adverse effects on the cardiovascular and respiratory systems. This study investigated relationships between the development of sudden sensorineural hearing loss(SSNHL) and meteorological factor with air pollution including PM.

Materials and methods: The daily patient number in 2015 admitted to the hospital with SSNHL were extracted from the Health Insurance Review and Assessment Service Bigdata in Busan. The meteorological factors and air pollution data of Busan area were obtained from meteorological stations in Busan. The relationship between the number of hospitalizations and the climatic factors was checked.

Results: SSNHL patient group showed more common in women, and the highest rates were observed in patients in their 50s. The daily mean patient numbers were 2.27. The number of SSNHL patients in spring was statistically significantly higher than that in summer. The mean daily PM10 and PM2.5 concentrations were 48.0 and 29.4 μg/m3, respectively. The mean wind speed, maximum wind speed and daily atmospheric pressure range was weakly positively associated with SSNHL patient number. There were weak negative correlations between maximum PM2.5 and SSNHL admissions. The mean temperature and wind chill index showed non-significantly negative relationships with SSNHL admissions.

Conclusions: In Busan area, statistically significant weak relationships were detected between the daily numbers of patients admitted to the hospital with SSNHL and meteorological data, including PM level. Further investigation of these associations is required.

Keywords: Air pollution; Meteorological factor; Particulate matter; South Korea; Sudden sensorineural hearing loss.

MeSH terms

  • Age Factors
  • Air Pollution / adverse effects*
  • Air Pollution / analysis
  • Air Pollution / statistics & numerical data*
  • Female
  • Hearing Loss, Sensorineural / epidemiology*
  • Hearing Loss, Sensorineural / etiology*
  • Hearing Loss, Sudden / epidemiology*
  • Hearing Loss, Sudden / etiology*
  • Hospitalization / statistics & numerical data*
  • Humans
  • Male
  • Meteorological Concepts*
  • Particulate Matter / adverse effects*
  • Particulate Matter / analysis
  • Republic of Korea / epidemiology
  • Sex Factors

Substances

  • Particulate Matter