Fine Particulate Air Pollution and First Hospital Admissions for Ischemic Stroke in Beijing, China

Abstract The primary objective of this study was to assess the association between short-term changes in ambient fine particulate matter (PM2.5) and first hospital admissions for ischemic stroke. We identified 63,956 first hospital admissions for ischemic stroke from the Beijing Medical Claim Data f...

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Autores principales: Yaohua Tian, Xiao Xiang, Yiqun Wu, Yaying Cao, Jing Song, Kexin Sun, Hui Liu, Yonghua Hu
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Lenguaje:EN
Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/6336a3691e5747a7abb0113b54b11959
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spelling oai:doaj.org-article:6336a3691e5747a7abb0113b54b119592021-12-02T12:32:26ZFine Particulate Air Pollution and First Hospital Admissions for Ischemic Stroke in Beijing, China10.1038/s41598-017-04312-52045-2322https://doaj.org/article/6336a3691e5747a7abb0113b54b119592017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-04312-5https://doaj.org/toc/2045-2322Abstract The primary objective of this study was to assess the association between short-term changes in ambient fine particulate matter (PM2.5) and first hospital admissions for ischemic stroke. We identified 63,956 first hospital admissions for ischemic stroke from the Beijing Medical Claim Data for Employees from January 1, 2010, through June 30, 2012. A generalized additive Poisson model was applied to explore the association between PM2.5 and admissions for ischemic stroke. We also explore the effect modification of risk by age and gender. The exposure–response relationship between PM2.5 and admissions for ischemic stroke was approximately linear, with a relatively stable response at lower concentrations (<100 μg/m3) and a steeper response at higher concentrations. A 10 μg/m3 increase in the same-day PM2.5 concentration was associated with 0.31% (95% CI, 0.17–0.45%, P < 1.57 × 10−5) increase in the daily admissions for ischemic stroke. The association was also statistically significant at lag 1, 2, 3, 0–2 and 0–4 days. Subgroup analyses showed that the association was not different between patients ≥65 years and <65 years old or between males and females. In conclusion, short-term exposure to PM2.5 was positively associated with first hospital admissions for ischemic stroke in Beijing, China.Yaohua TianXiao XiangYiqun WuYaying CaoJing SongKexin SunHui LiuYonghua HuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yaohua Tian
Xiao Xiang
Yiqun Wu
Yaying Cao
Jing Song
Kexin Sun
Hui Liu
Yonghua Hu
Fine Particulate Air Pollution and First Hospital Admissions for Ischemic Stroke in Beijing, China
description Abstract The primary objective of this study was to assess the association between short-term changes in ambient fine particulate matter (PM2.5) and first hospital admissions for ischemic stroke. We identified 63,956 first hospital admissions for ischemic stroke from the Beijing Medical Claim Data for Employees from January 1, 2010, through June 30, 2012. A generalized additive Poisson model was applied to explore the association between PM2.5 and admissions for ischemic stroke. We also explore the effect modification of risk by age and gender. The exposure–response relationship between PM2.5 and admissions for ischemic stroke was approximately linear, with a relatively stable response at lower concentrations (<100 μg/m3) and a steeper response at higher concentrations. A 10 μg/m3 increase in the same-day PM2.5 concentration was associated with 0.31% (95% CI, 0.17–0.45%, P < 1.57 × 10−5) increase in the daily admissions for ischemic stroke. The association was also statistically significant at lag 1, 2, 3, 0–2 and 0–4 days. Subgroup analyses showed that the association was not different between patients ≥65 years and <65 years old or between males and females. In conclusion, short-term exposure to PM2.5 was positively associated with first hospital admissions for ischemic stroke in Beijing, China.
format article
author Yaohua Tian
Xiao Xiang
Yiqun Wu
Yaying Cao
Jing Song
Kexin Sun
Hui Liu
Yonghua Hu
author_facet Yaohua Tian
Xiao Xiang
Yiqun Wu
Yaying Cao
Jing Song
Kexin Sun
Hui Liu
Yonghua Hu
author_sort Yaohua Tian
title Fine Particulate Air Pollution and First Hospital Admissions for Ischemic Stroke in Beijing, China
title_short Fine Particulate Air Pollution and First Hospital Admissions for Ischemic Stroke in Beijing, China
title_full Fine Particulate Air Pollution and First Hospital Admissions for Ischemic Stroke in Beijing, China
title_fullStr Fine Particulate Air Pollution and First Hospital Admissions for Ischemic Stroke in Beijing, China
title_full_unstemmed Fine Particulate Air Pollution and First Hospital Admissions for Ischemic Stroke in Beijing, China
title_sort fine particulate air pollution and first hospital admissions for ischemic stroke in beijing, china
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/6336a3691e5747a7abb0113b54b11959
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