标题：
Effects of ambient air pollution on cause-specific hospitalizations in Wuhan during 2017-2019
点击次数：
影响因子：
6.8
DOI码：
10.1016/j.ecoenv.2023.114686
所属单位：
Wuhan Information Center of Health and Family Planning,
教研室：
School of Public Health, Wuhan University
发表刊物：
Ecotoxicology and Environmental Safety
刊物所在地：
England
关键字：
Fine particulate matter; Nitrogen dioxide; Carbon monoxide; Daily hospital admissions; Time series analysis
摘要：
Background: Few studies have focused on the associations between air pollutants and multiple organ system diseases in the entire hospitalized population. The present study aims to explore the short-term effects of six routinely monitored air pollutants on the broad causes of hospital admissions and estimate the resulting hospital admission burdens.
Methods: Daily hospital admission records from 2017 to 2019 were obtained from the Wuhan Information center of Health and Family Planning. Generalized additive models (GAMs) were employed to evaluate the effects of air pollutants on the percent increase in the cause-specific daily number of hospital admissions. Increased hospital admission numbers, days, and expenses were also estimated.
Results: A total of 2636,026 hospital admissions were identified. We found that both PM2.5 and PM10 increased the risk of hospital admissions for most disease categories. Short-term exposure to PM2.5 was positively associated with hospitalizations of several rarely studied disease categories, such as diseases of the eye and adnexa (2.83%, 95%CI: 0.96-4.73%, P < 0.01) and diseases of the musculoskeletal system and connective tissue (2.17%, 95% CI: 0.88-3.47%, P < 0.001). NO2 was observed to have a robust effect on diseases of the respiratory system (1.36%, 95%CI: 0.74-1.98%, P < 0.001). CO was significantly associated with hospital admissions for six disease categories. Furthermore, each 10-μg/m3 increase in PM2.5 was associated with an annual increase of 13,444 hospital admissions (95% CI: 6239-20,649), 124,344 admission days (95% CI: 57,705-190,983), and 166-million-yuan admission expenses (95% CI: 77-255).
Conclusion: Our study suggested that particulate matter (PM) had a short-term effect on hospital admissions of most major disease categories and resulted in a considerable hospital admission burden. In addition, the health effects of NO2 and CO emissions require more attention in megacities.
合写作者：
Jianpeng Liao,Haomin Yang,Can Yang,Xingyuan Liu
论文类型：
期刊论文
通讯作者：
Lu Ma
学科门类：
医学
文献类型：
J
卷号：
253
期号：
5
ISSN号：
0147-6513
是否译文：
否
发表时间：
2023-02-23
收录刊物：
SCI
发表时间：
2023-02-23
学科：
流行病与卫生统计学
所在单位：公共卫生学院