Ambient Coarse Particulate Matter and Hospital Admissions for Ischemic Stroke
| Autor: | Chen Wei, Xiaowen Wang, Pei Gao, Hui Liu, Xiao Xiang, Yaying Cao, Jing Song, Yonghua Hu, Zuolin Zhao, Libo Chen, Yao Wu, Man Li, Yaohua Tian, Juan Juan |
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| Rok vydání: | 2019 |
| Předmět: |
Advanced and Specialized Nursing
Acute effects medicine.medical_specialty business.industry Potential effect Random effects model Medical insurance symbols.namesake Emergency medicine Ischemic stroke medicine symbols Neurology (clinical) Poisson regression Cardiology and Cardiovascular Medicine business Moderate Response |
| Zdroj: | Stroke. 50:813-819 |
| ISSN: | 1524-4628 0039-2499 |
| DOI: | 10.1161/strokeaha.118.022687 |
| Popis: | Background and Purpose— Evidence on the effects of coarse particulate matter (PM 10–2.5 ) on ischemic stroke is limited and inconsistent. We evaluated the acute effects of PM 10–2.5 exposure on hospital admissions for ischemic stroke in China. Methods— We conducted a national time-series analysis of associations between daily PM 10–2.5 concentrations and daily hospital admissions for ischemic stroke in China between January 2014 and December 2016. Hospital admissions for ischemic stroke were identified from the database of Urban Employee Basic Medical Insurance, which contains data from 0.28 billion beneficiaries. We applied a city-specific Poisson regression to examine the associations of PM 10–2.5 and daily ischemic stroke admissions. We combined the city-specific effect estimates with a random effects meta-analysis, and further evaluated the exposure-response relationship curve and potential effect modifiers. Results— We identified >2 million hospital admissions for ischemic stroke in 172 Chinese cities. A 10 μg/m 3 increase in PM 10–2.5 concentrations (lag day 0) was associated with a 0.91% (95% CI, 0.73–1.10) increase in hospital admissions for ischemic stroke. The association remained significant after adjusting for PM 2.5 (percentage change, 0.96%; 95% CI, 0.75–1.18). The exposure-response relationship was approximately linear, with a moderate response at lower levels (3 ) and a steeper response at higher levels. The association was stronger in cities with lower PM 10–2.5 concentrations, higher temperatures, or higher relative humidity. Conclusions— This nationwide study provides robust evidence of the short-term association between exposure to PM 10–2.5 and increased hospital admissions for ischemic stroke and supports the hypothesis that the association differs by city characteristics. |
| Databáze: | OpenAIRE |
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