Evidence map›Paper›PMID 31372286›Full record

ArticleJournal of thoracic disease2019

Chronic obstructive pulmonary disease exacerbations and progression in relation to ambient air pollutants exposure.

Miglena Doneva, Guenka Petrova, Daniela Petrova, Maria Kamusheva, Valentina Petkova, Konstantin Tachkov, Ventsislava Pencheva, Ognyan Georgiev

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. RuralEuropean respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Observational
  3. Article
  4. Article
  5. Environmental Awareness for Patients with COPD Undergoing Pulmonary Rehabilitation: Is It of Added Value?International journal of environmental research and public health · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Miglena DonevaFaculty of Pharmacy, Medical University of Sofia, Sofia, Bulgaria.
Guenka PetrovaFaculty of Pharmacy, Medical University of Sofia, Sofia, Bulgaria.
Daniela PetrovaUMBAL "Alexandrovska", Department of Propaedeutic of Internal Medicine, Medical University of Sofia, Sofia, Bulgaria.
Maria KamushevaFaculty of Pharmacy, Medical University of Sofia, Sofia, Bulgaria.
Valentina PetkovaFaculty of Pharmacy, Medical University of Sofia, Sofia, Bulgaria.
Konstantin TachkovFaculty of Pharmacy, Medical University of Sofia, Sofia, Bulgaria.
Ventsislava PenchevaUMBAL "Alexandrovska", Department of Propaedeutic of Internal Medicine, Medical University of Sofia, Sofia, Bulgaria.
Ognyan GeorgievUMBAL "Alexandrovska", Department of Propaedeutic of Internal Medicine, Medical University of Sofia, Sofia, Bulgaria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe information for the impact of air pollutants on the severity of chronic obstructive pulmonary disease (COPD) and hospital admissions in Bulgaria is scarce. The aim of the study is to assess the relationship between some ambient air pollution and exacerbations levels as well as hospital admissions of patients with COPD in Bulgaria.

methodsA multi-center, prospective, one-year observational study was conducted among 426 COPD patients. Data from pollution monitoring are collected from the Executive Environment Agency (EEA).

resultsThe results showed that the pollution with sulfur dioxide (SO

conclusionsThe study confirms that air pollution leads to increased number of exacerbations and hospital stay. The patients with mild level of COPD have 0.86 exacerbations and 2.61 days in hospital per year, while in case of very severe COPD these values increase 4 times. Outside pollutions lead to worsening of the disease severity and hospitalizations due to a higher rate of COPD exacerbations.

Indexed as

Air pollutionchronic obstructive pulmonary disease (COPD)exacerbationshospital stayparticulate matter

Identifiers

PMID31372286
PMCPMC6626810

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.