Temperature, air pollution, and hospitalization for cardiovascular diseases among elderly people in Denver.
Temperature, air pollution, and hospitalization for cardiovascular diseases among elderly people in Denver.
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DOI：
10.1289/ehp.5957
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发表时间：
2003-08
影响因子：
10.4
通讯作者：
Portier CJ
中科院分区：
文献类型：
--
作者：
Koken PJ;Piver WT;Ye F;Elixhauser A;Olsen LM;Portier CJ
1993年至1997年7月和8月，科罗拉多州丹佛市收集了最高温度、空气动力学直径小于或等于10微米的颗粒物(PM10)和气态污染(臭氧、二氧化氮、二氧化硫和一氧化碳)的每日测量数据。然后，我们将这些暴露与65岁的男性和女性每天因心血管疾病住院的数量的同步数据进行了比较。假设选定的心血管疾病住院患者为泊松误差结构，构建了广义线性模型，以评估与空气污染和温度的关系。在调整了年趋势、星期效应、环境最高温度和露点温度的入库数据后，我们研究了单污染物模型中污染物与0-4天滞后时间的关系。结果表明，臭氧与急性心肌梗死、冠状动脉粥样硬化和肺心病的住院风险增加有关。二氧化硫似乎与心律失常的住院时间增加有关，而一氧化碳与充血性心力衰竭显著相关。没有发现颗粒物或NO2与任何健康后果之间的联系。除充血性心力衰竭外，在所有选定的心血管疾病中，男性的住院率往往高于女性。较高的温度似乎是增加急性心肌梗死和充血性心力衰竭住院频率的一个重要因素，并与冠状动脉粥样硬化和肺心病就诊频率的减少有关。
Daily measures of maximum temperature, particulate matter less than or equal to 10 micro m in aerodynamic diameter (PM10), and gaseous pollution (ozone, nitrogen dioxide, sulfur dioxide, and carbon monoxide) were collected in Denver, Colorado, in July and August between 1993 and 1997. We then compared these exposures with concurrent data on the number of daily hospital admissions for cardiovascular diseases in men and women > 65 years of age. Generalized linear models, assuming a Poisson error structure for the selected cardiovascular disease hospital admissions, were constructed to evaluate the associations with air pollution and temperature. After adjusting the admission data for yearly trends, day-of-week effects, ambient maximum temperature, and dew point temperature, we studied the associations of the pollutants in single-pollutant models with lag times of 0-4 days. The results suggest that O3 is associated with an increase in the risk of hospitalization for acute myocardial infarction, coronary atherosclerosis, and pulmonary heart disease. SO2 appears to be related to increased hospital stays for cardiac dysrhythmias, and CO is significantly associated with congestive heart failure. No association was found between particulate matter or NO2 and any of the health outcomes. Males tend to have higher numbers of hospital admissions than do females for all of the selected cardiovascular diseases, except for congestive heart failure. Higher temperatures appear to be an important factor in increasing the frequency of hospitalization for acute myocardial infarction and congestive heart failure, and are associated with a decrease in the frequency of visits for coronary atherosclerosis and pulmonary heart disease.
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影响因子：
10.4
作者：
Braga AL;Zanobetti A;Schwartz J
通讯作者：
Schwartz J
DOI：
10.1080/00039899909603371
发表时间：
1999-11-01
期刊：
ARCHIVES OF ENVIRONMENTAL HEALTH
影响因子：
--
作者：
Atkinson, RW;Bremner, SA;de Leon, AP
通讯作者：
de Leon, AP
影响因子：
5.9
作者：
KEATINGE, WR;COLESHAW, SRK;CHELLIAH, R
通讯作者：
CHELLIAH, R
影响因子：
6.3
作者：
Ballester, F;Tenías, JM;Pérez-Hoyos, S
通讯作者：
Pérez-Hoyos, S
影响因子：
5.4
作者：
Hoek, G;Brunekreef, B;van Wijnen, J
通讯作者：
van Wijnen, J