Effect of Air Pollution and Hospital Admission: A Systematic Review

Introduction Many epidemiological studies have demonstrated associations between air pollution levels and human health in terms of hospital admissions. The aim of this paper is to gather evidence concerning air pollution effects on the risk of hospital admission. We hypothesised that increase in: pa...

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Autores principales: Norfazillah Ab Manan, Azimatun Noor Aizuddin, Rozita Hod
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Lenguaje:EN
Publicado: Ubiquity Press 2018
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spelling oai:doaj.org-article:6b9bef3aa1944d90a583aaff10320a1f2021-12-02T01:29:16ZEffect of Air Pollution and Hospital Admission: A Systematic Review2214-999610.29024/aogh.2376https://doaj.org/article/6b9bef3aa1944d90a583aaff10320a1f2018-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2376https://doaj.org/toc/2214-9996Introduction Many epidemiological studies have demonstrated associations between air pollution levels and human health in terms of hospital admissions. The aim of this paper is to gather evidence concerning air pollution effects on the risk of hospital admission. We hypothesised that increase in: particulate matter (PM), ozone (O3), carbon monoxide (CO), nitrogen dioxide (NO2), and sulphur dioxide (SO2) levels would be associated with the increasing trend of hospital admission. Methods A systematic review of literature was carried out. Literature search was done in Sage, Ovid Medline, Science Direct, Wiley and ProQuest from 2010 to 2016 using keywords “hospital admission and air pollution”. Studies of any relevant design were included if they presented original data, included at least one analysis where hospital admission was the specific outcome, and one or more of the following exposures were investigated: PM, O3, CO, NO2 and SO2. Results A total of 175 potential studies were identified by the search. Twenty two studies qualified for the review. Air pollution was noted to have an excessive risk of 3.46 (95%CI, 1.67, 5.27) of total hospital admissions. Cardiovascular admission was noted to have an increased risk of hospitalization for PM2.5 of 1.5 to 2.0; PM10 (1.007 to 2.7); NO2 (1.04 to 1.17) and SO2 (1.007). For respiratory admission, PM2.5 can caused an increased risk of hospitalization by 1.1 to 1.8; PM10 (1.007 to 1.13); NO2 (1.08 to 1.94) and SO2 (1.02). While O3 have minimal effect on COPD and stroke, CO does not influence in the effect of these hospitalization. Conclusion The exposure to air pollutants confers an increased risk of admission of several disease. Our findings call for greater awareness of environmental protection and the implementation of effective measures to improve the quality of air, which may reduce the risks of adverse effects on the population’s health.Norfazillah Ab MananAzimatun Noor AizuddinRozita HodUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 84, Iss 4, Pp 670-678 (2018)
institution DOAJ
collection DOAJ
language EN
topic Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Norfazillah Ab Manan
Azimatun Noor Aizuddin
Rozita Hod
Effect of Air Pollution and Hospital Admission: A Systematic Review
description Introduction Many epidemiological studies have demonstrated associations between air pollution levels and human health in terms of hospital admissions. The aim of this paper is to gather evidence concerning air pollution effects on the risk of hospital admission. We hypothesised that increase in: particulate matter (PM), ozone (O3), carbon monoxide (CO), nitrogen dioxide (NO2), and sulphur dioxide (SO2) levels would be associated with the increasing trend of hospital admission. Methods A systematic review of literature was carried out. Literature search was done in Sage, Ovid Medline, Science Direct, Wiley and ProQuest from 2010 to 2016 using keywords “hospital admission and air pollution”. Studies of any relevant design were included if they presented original data, included at least one analysis where hospital admission was the specific outcome, and one or more of the following exposures were investigated: PM, O3, CO, NO2 and SO2. Results A total of 175 potential studies were identified by the search. Twenty two studies qualified for the review. Air pollution was noted to have an excessive risk of 3.46 (95%CI, 1.67, 5.27) of total hospital admissions. Cardiovascular admission was noted to have an increased risk of hospitalization for PM2.5 of 1.5 to 2.0; PM10 (1.007 to 2.7); NO2 (1.04 to 1.17) and SO2 (1.007). For respiratory admission, PM2.5 can caused an increased risk of hospitalization by 1.1 to 1.8; PM10 (1.007 to 1.13); NO2 (1.08 to 1.94) and SO2 (1.02). While O3 have minimal effect on COPD and stroke, CO does not influence in the effect of these hospitalization. Conclusion The exposure to air pollutants confers an increased risk of admission of several disease. Our findings call for greater awareness of environmental protection and the implementation of effective measures to improve the quality of air, which may reduce the risks of adverse effects on the population’s health.
format article
author Norfazillah Ab Manan
Azimatun Noor Aizuddin
Rozita Hod
author_facet Norfazillah Ab Manan
Azimatun Noor Aizuddin
Rozita Hod
author_sort Norfazillah Ab Manan
title Effect of Air Pollution and Hospital Admission: A Systematic Review
title_short Effect of Air Pollution and Hospital Admission: A Systematic Review
title_full Effect of Air Pollution and Hospital Admission: A Systematic Review
title_fullStr Effect of Air Pollution and Hospital Admission: A Systematic Review
title_full_unstemmed Effect of Air Pollution and Hospital Admission: A Systematic Review
title_sort effect of air pollution and hospital admission: a systematic review
publisher Ubiquity Press
publishDate 2018
url https://doaj.org/article/6b9bef3aa1944d90a583aaff10320a1f
work_keys_str_mv AT norfazillahabmanan effectofairpollutionandhospitaladmissionasystematicreview
AT azimatunnooraizuddin effectofairpollutionandhospitaladmissionasystematicreview
AT rozitahod effectofairpollutionandhospitaladmissionasystematicreview
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