Air pollution and hospital admissions for congestive heart failure in a tropical city: Kaohsiung, Taiwan
Air pollution and hospital admissions for congestive heart failure in a tropical city: Kaohsiung, Taiwan
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DOI：
10.1080/08958370701479406
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发表时间：
2007-01-01
影响因子：
2.1
通讯作者：
Yang, ChunYuh
中科院分区：
文献类型：
--
作者：
Lee, I-Ming;Tsai, Shang-Shyue;Yang, ChunYuh
本研究旨在确定台湾高雄的空气污染物水平与充血性心力衰竭 (CHF) 住院之间是否存在关联。获得了 1996 年至 2004 年期间高雄市因 CHF 住院的情况和环境空气污染数据。使用病例交叉方法估计入院的相对风险，控制天气变量、星期几、季节性和长期时间趋势。在单一污染物模型中，在温暖的日子（> 25 摄氏度），除二氧化硫 (SO2) 之外的所有污染物均发现统计显着的正相关关系。在凉爽的日子（< 25 摄氏度），所有污染物都与 CHF 入院显着相关。对于两种污染物模型，在温暖的日子里，CO 和 O-3 与其他四种污染物的组合都很显着。在凉爽的日子里，二氧化氮在所有两种污染物模型中仍然具有统计显着性。这项研究提供的证据表明，较高水平的环境空气污染物会增加因CHF入院的风险，并且空气污染物对CHF入院的影响与温度有关。
This study was undertaken to determine whether there was an association between air pollutant levels and hospital admissions for congestive heart failure (CHF) in Kaohsiung, Taiwan. Hospital admissions for CHF and ambient air pollution data for Kaohsiung were obtained for the period 1996-2004. The relative risk of hospital admission was estimated using a case-crossover approach, controlling for weather variables, day of the week, seasonality, and long- term time trends. In the single- pollutant models, on warm days (> 25 degrees C) statistically significant positive associations were found in all pollutants except sulfur dioxide (SO2). On cool days (< 25 degrees C), all pollutants were significantly associated with CHF admissions. For the two-pollutant model, CO and O-3 were significant in combination with each of the other four pollutants on warm days. On cool days, NO2 remained statistically significant in all the two-pollutant models. This study provides evidence that higher levels of ambient air pollutants increase the risk of hospital admissions for CHF and that the effects of air pollutants on hospital admissions for CHF were temperature dependent.