دورية أكاديمية

Association of ambient air pollution with lengths of hospital stay for hanoi children with acute lower-respiratory infection, 2007-2016.

التفاصيل البيبلوغرافية
العنوان: Association of ambient air pollution with lengths of hospital stay for hanoi children with acute lower-respiratory infection, 2007-2016.
المؤلفون: Nhung NTT; Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland; Hanoi University of Public Health, Hanoi, Viet Nam. Electronic address: ntn2@huph.edu.vn., Schindler C; Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland., Dien TM; Vietnam National Children's Hospital, Hanoi, Viet Nam., Probst-Hensch N; Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland., Künzli N; Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland.
المصدر: Environmental pollution (Barking, Essex : 1987) [Environ Pollut] 2019 Apr; Vol. 247, pp. 752-762. Date of Electronic Publication: 2019 Jan 30.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Applied Science Publishers Country of Publication: England NLM ID: 8804476 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-6424 (Electronic) Linking ISSN: 02697491 NLM ISO Abbreviation: Environ Pollut Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Barking, Essex, England : Elsevier Applied Science Publishers, c1987-
مواضيع طبية MeSH: Air Pollution/*statistics & numerical data , Environmental Exposure/*statistics & numerical data , Respiratory Tract Infections/*epidemiology, Adolescent ; Air Pollutants/analysis ; Air Pollution/analysis ; Child ; Child, Preschool ; Environmental Pollutants ; Female ; Hospitalization/statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Length of Stay ; Male ; Meteorological Concepts ; Odds Ratio ; Vietnam/epidemiology
مستخلص: Introduction: The association between ambient air pollution and length of hospital stay (LOS) for children with lower-respiratory infection is unclear.
Materials and Methods: The association was examined using admission data for 75,432 children in Hanoi, aged 0-5 years, hospitalized with acute lower-respiratory infection (ALRI) and daily air pollutant levels in Hanoi between 2007 and 2016. We estimated the odds ratio of being discharged for an interquartile range (IQR) increment (IQR) of ambient pollutants during one to four days prior to admission date. We used pooled logistic regression models including a B-spline function of calendar time and terms describing the baseline odds, adjusting for meteorological factors, age, gender, residential location, week-day of admission, discharge on weekends or holidays, and number of respiratory hospitalizations one day prior to the discharge date.
Results: An IQR increase in O 3 concentrations (85.8 μg/m 3 ) was associated with a 5% (95%CI: 2%-8%) decrease in the odds of discharge from hospital among children with ALRI. Results were similar for PM 10 , but only for children aged 2-5 years. For the other pollutants, corresponding associations were close to null or in the opposite direction. For example, increase in CO was associated with shorter LOS.
Conclusions: Our study provides the first investigation of the associations between lengths of hospital stays and air pollutant levels prior to hospitalization in Asian children. Increased levels of O 3 prior to admission predicted prolonged hospitalizations. The inconsistencies in the findings for other pollutants call for further investigations.
(Copyright © 2019 Elsevier Ltd. All rights reserved.)
فهرسة مساهمة: Keywords: Acute lower respiratory infection; Air pollution; Children; Length of hospital stay
المشرفين على المادة: 0 (Air Pollutants)
0 (Environmental Pollutants)
تواريخ الأحداث: Date Created: 20190206 Date Completed: 20190403 Latest Revision: 20190403
رمز التحديث: 20221213
DOI: 10.1016/j.envpol.2019.01.115
PMID: 30721866
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-6424
DOI:10.1016/j.envpol.2019.01.115