Effect of Ambient Air Pollution on Hospitalization for Heart Failure in 26 of China's Largest Cities

被引:61
作者
Liu, Hui [1 ,2 ]
Tian, Yaohua [2 ]
Song, Jing [2 ]
Cao, Yaying [2 ]
Xiang, Xiao [2 ]
Huang, Chao [2 ]
Li, Man [2 ]
Hu, Yonghua [2 ]
机构
[1] Peking Univ, Med Informat Ctr, Beijing, Peoples R China
[2] Peking Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Beijing, Peoples R China
关键词
ADMISSIONS; DISEASES; MORTALITY;
D O I
10.1016/j.amjcard.2017.11.039
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There is growing interest in the association between ambient air pollution and congestive heart failure (CHF), but research data from developing countries are very limited. The primary aim of this study was to examine the association between short-term exposure to air pollution and hospital admission for CHF in China. A time-stratified case-crossover study was conducted between 2014 and 2015 in 26 large Chinese cities among 105,501 CHF hospitalizations. Conditional logistic regression models were applied to estimate the percentage changes in CHF admissions in relation to per interquartile range increases in air pollutant concentrations. Air pollution was positively associated with CHF hospitalizations. An interquartile range increase in fine particulate, particulate matter less than 10 gm in aerodynamic diameter, sulfur dioxide, nitrogen dioxide, carbon monoxide, and ozone concentrations on the current day corresponded to 1.2% (95% confidence interval [CI] 0.5%, 1.8%), 1.3% (95% CI 0.5%, 2.0%), 1.0% (95% CI 0.2%, 1.7%), 1.6% (95% CI 0.6%, 2.5%), 1.2% (95% CI 0.5%, 1.9%), and 0.4% (95% CI 0.9%, 1.7%) increases in CHF admissions, respectively. In conclusion, our findings contribute to the limited scientific literature concerning the effects of air pollution on CHF risk for high-exposure settings typical in developing countries, which may have significant public health implications for prevention of CHF in China. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:628 / 633
页数:6
相关论文
共 21 条
[1]   Statistics Notes - Interaction revisited: the difference between two estimates [J].
Altman, DG ;
Bland, JM .
BMJ-BRITISH MEDICAL JOURNAL, 2003, 326 (7382) :219-219
[2]   The effects of air pollution on hospitalizations for cardiovascular disease in elderly people in Australian and New Zealand cities [J].
Barnett, Adrian G. ;
Williams, Gail M. ;
Schwartz, Joel ;
Best, Trudi L. ;
Neller, Anne H. ;
Petroeschevsky, Anna L. ;
Simpson, Rod W. .
ENVIRONMENTAL HEALTH PERSPECTIVES, 2006, 114 (07) :1018-1023
[3]   Who is sensitive to the effecs of particulate air pollution on mortality? A case-crossover analysis of effect modifiers [J].
Bateson, TF ;
Schwartz, J .
EPIDEMIOLOGY, 2004, 15 (02) :143-149
[4]   Estimating the Health Effects of Exposure to Multi-Pollutant Mixture [J].
Billionnet, Cecile ;
Sherrill, Duane ;
Annesi-Maesano, Isabella .
ANNALS OF EPIDEMIOLOGY, 2012, 22 (02) :126-141
[5]   Case-Crossover Analysis of Air Pollution Health Effects: A Systematic Review of Methodology and Application [J].
Carracedo-Martinez, Eduardo ;
Taracido, Margarita ;
Tobias, Aurelio ;
Saez, Marc ;
Figueiras, Adolfo .
ENVIRONMENTAL HEALTH PERSPECTIVES, 2010, 118 (08) :1173-1182
[6]  
Cohen AJ, 2017, LANCET, V389, P1907, DOI [10.1016/S0140-6736(17)30505-6, 10.1016/s0140-6736(17)30505-6]
[7]   Particulate Air Pollution and Hospital Admissions for Cardiac Diseases in Potentially Sensitive Subgroups [J].
Colais, Paola ;
Faustini, Annunziata ;
Stafoggia, Massimo ;
Berti, Giovanna ;
Bisanti, Luigi ;
Cadum, Ennio ;
Cernigliaro, Achille ;
Mallone, Sandra ;
Pacelli, Barbara ;
Serinelli, Maria ;
Simonato, Lorenzo ;
Vigotti, Maria Angela ;
Forastiere, Francesco .
EPIDEMIOLOGY, 2012, 23 (03) :473-481
[8]   The short-term influence of temperature on daily mortality in the temperate climate of Montreal, Canada [J].
Goldberg, Mark S. ;
Gasparrini, Antonio ;
Armstrong, Ben ;
Valois, Marie-France .
ENVIRONMENTAL RESEARCH, 2011, 111 (06) :853-860
[9]   Impact of exposure measurement error in air pollution epidemiology: effect of error type in time-series studies [J].
Goldman, Gretchen T. ;
Mulholland, James A. ;
Russell, Armistead G. ;
Strickland, Matthew J. ;
Klein, Mitchel ;
Waller, Lance A. ;
Tolbert, Paige E. .
ENVIRONMENTAL HEALTH, 2011, 10
[10]   Air pollution and hospital admissions for congestive heart failure: Are there potentially sensitive groups? [J].
Lee, I-Ming ;
Tsai, Shang-Shyue ;
Ho, Chi-Kung ;
Chiu, Hui-Fen ;
Wu, Trong-Neng ;
Yang, Chun-Yuh .
ENVIRONMENTAL RESEARCH, 2008, 108 (03) :348-353