Asian Dust Storm Events are Associated With an Acute Increase in Pneumonia Hospitalization

Asian Dust Storm Events are Associated With an Acute Increase in Pneumonia Hospitalization
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DOI:
10.1016/j.annepidem.2012.02.008
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发表时间:
2012-04-01
影响因子:
5.6
通讯作者:
Lin, Herng-Ching
Lin, Herng-Ching
中科院分区:
医学3区
文献类型:
--
作者:
Kang, Jiunn-Horng;Keller, Joseph J.;Lin, Herng-Ching

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目得:本研究旨在探讨亚洲沙尘暴(ADS)事件与每日肺炎入院人数的关系,使用10年的人口为基础的数据在台北都会region.METHODS:我们确定了1,933,247入院与2000年和2009年之间的主要出院诊断为肺炎。采用自回归积分移动平均法(ARIMA)检验ADS事件与每日肺炎住院人数对数之间的相关性。结果:ADS事件日、ADS事件后日和非ADS事件日的每日肺炎住院人数平均值存在显著差异(P < .001); ADS事件日、ADS事件后日和非ADS事件日的平均每日入院人数分别为292.5、305.7和279.0。在调整了时间趋势效应、环境温度、SO2、CO和O-3后,ARIMA显示,与非ADS事件日相比,ADS事件日和ADS事件后第1天至第4天,总组的肺炎入院平均数显著较高。我们的研究结果表明,ADS事件日和ADS后第1天至第4天的平均肺炎入院人数明显高于非ADS日。Ann Epidemiol 2012;22:257-263. (C)2012 Elsevier Inc. All rights reserved.
PURPOSE: This study aims to examine the association of Asian dust storm (ADS) events with the daily number of pneumonia admissions using 10-year population-based data in the Taipei metropolitan region.METHODS: We identified 1,933,247 admissions with a principal discharge diagnosis of pneumonia between 2000 and 2009. The auto-regressive integrated moving average (ARIMA) method was used to examine the associations between ADS episodes and the logarithm of the daily number of pneumonia hospitalizations.RESULTS: There was a significant difference in the mean number of daily pneumonia admissions between ADS event days, post-ADS event days, and non-ADS event days (P < .001); the mean number of daily admissions for ADS event days, post-ADS event days, and non-ADS event days were 292.5, 305.7, and 279.0, respectively. After adjusting for the time-trend effect, ambient temperature, and SO2, CO, and O-3, the ARIMA showed that compared with non-ADS event days, ADS event clays and post-ADS event days 1 through 4 had a significantly higher mean number of pneumonia admissions for the total group.CONCLUSIONS: Our results suggest that ADS event days and post-ADS days 1 through 4 had significandy higher mean numbers of pneumonia admissions than non-ADS days. Ann Epidemiol 2012;22:257-263. (C) 2012 Elsevier Inc. All rights reserved.