Fine particulate air pollution and hospital admission for cardiovascular and respiratory diseases
Fine particulate air pollution and hospital admission for cardiovascular and respiratory diseases
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DOI：
10.1001/jama.295.10.1127
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发表时间：
2006-03-08
影响因子：
120.7
通讯作者：
Samet, JM
中科院分区：
文献类型：
--
作者：
Dominici, F;Peng, RD;Samet, JM
与短期接触细颗粒物相关的健康风险的证据（颗粒物20万），1150万名医疗保险登记者主要结果指标每日因脑血管、外周和缺血性心脏病、心律、心力衰竭、心功能不全、慢性阻塞性肺疾病，呼吸道感染，受伤作为对照output.Results有一个短期的增加与PM2.5的所有的健康结果，除了受伤的入院率。最大的关联是心力衰竭，同一天PM2.5每增加10 μ g/m3，其风险增加1.28%（95%置信区间，0.78%-1.78%）。心血管疾病的风险往往是较高的县位于东部地区的美国，其中包括东北部，东南部，中西部，和South.Conclusion短期暴露于PM2.5增加住院心血管和呼吸系统疾病的风险。
Context Evidence on the health risks associated with short-term exposure to fine particles (particulate matter 200 000) with 11.5 million Medicare enrollees (aged >65 years) living an average of 5.9 miles from a PM2.5 monitor.Main Outcome Measures Daily counts of county-wide hospital admissions for primary diagnosis of cerebrovascular, peripheral, and ischemic heart diseases, heart rhythm, heart failure, chronic obstructive pulmonary disease, and respiratory infection, and injuries as a control outcome.Results There was a short-term increase in hospital admission rates associated with PM2.5 for all of the health outcomes except injuries. The largest association was for heart failure, which had a 1.28% (95% confidence interval, 0.78%-1.78%) increase in risk per 10-mu g/m(3) increase in same-day PM2.5. Cardiovascular risks tended to be higher in counties located in the Eastern region of the United States, which included the Northeast, the Southeast, the Midwest, and the South.Conclusion Short-term exposure to PM2.5 increases the risk for hospital admission for cardiovascular and respiratory diseases.