Impacts of air pollution on health: evidence from longitudinal cohort data of patients with cardiovascular diseases
Impacts of air pollution on health: evidence from longitudinal cohort data of patients with cardiovascular diseases
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DOI：
10.1007/s10198-020-01198-5
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发表时间：
2020-05-15
影响因子：
4.4
通讯作者：
Byrnes, Joshua
中科院分区：
文献类型：
--
作者：
Afoakwah, Clifford;Nghiem, Son;Byrnes, Joshua
这项研究使用纵向队列数据来估计空气污染对首次住院心脏病患者健康结果的影响。尽管澳大利亚的污染水平普遍较低，但我们发现，急性暴露于污染会增加出院后3-12个月内的再入院率，在心力衰竭患者中更为明显。我们进一步表明，长期暴露于空气污染会增加72个月内死亡、住院和全科医生（GP）就诊的风险。冠心病或脑血管病患者是最受影响的群体。最后，如果PM10和CO的月浓度分别降低到15.49 μ g/m3和122.99 μ g/m3，将为卫生部门节省13亿美元的成本。我们的研究结果强调，需要制定政策，以显著减少环境PM10和CO，以减少对心脏病稀缺医疗资源的需求。
This study uses longitudinal cohort data to estimate the impacts of air pollution on health outcomes among people first hospitalised with heart diseases. Despite the generally low level of pollution in Australia, we find that acute exposure to pollution increases readmissions to hospitals within 3-12 months after discharge and is more evident among those suffering from heart failure. We further show that chronic exposure to air pollution increases the risk of death within 72 months, hospital admissions and general practitioner (GP) visits. Patients with coronary heart disease or cerebrovascular disease are the most affected groups. Finally, a cost saving of $1.3 billion will be generated to the health sector, if the monthly concentration of PM10 and CO was lowered to 15.49 mu g/m(3) and 122.99 mu g/m(3), respectively. The findings from our study emphasize the need for policies that target significant reduction in ambient PM10 and CO to decrease the demand for scarce healthcare resources for cardiac diseases.