دورية أكاديمية

Exposure to air pollution and risk of hospitalization for cardiovascular diseases amongst Vietnamese adults: Case-crossover study.

التفاصيل البيبلوغرافية
العنوان: Exposure to air pollution and risk of hospitalization for cardiovascular diseases amongst Vietnamese adults: Case-crossover study.
المؤلفون: Nhung NTT; Hanoi University of Public Health, Hanoi, Viet Nam; Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland. Electronic address: ntn2@huph.edu.vn., Schindler C; Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland., Chau NQ; Bach Mai Hospital, Hanoi, Viet Nam., Hanh PT; Bach Mai Hospital, Hanoi, Viet Nam., Hoang LT; Hanoi University of Public Health, Hanoi, Viet Nam., Dien TM; Vietnam National Children(')s Hospital, Hanoi, Viet Nam., Thanh NTN; University of Engineering and Technology, Vietnam National University, Hanoi, Viet Nam., Künzli N; Swiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, Switzerland.
المصدر: The Science of the total environment [Sci Total Environ] 2020 Feb 10; Vol. 703, pp. 134637. Date of Electronic Publication: 2019 Nov 03.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0330500 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1026 (Electronic) Linking ISSN: 00489697 NLM ISO Abbreviation: Sci Total Environ Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Amsterdam, Elsevier.
مواضيع طبية MeSH: Cardiovascular Diseases*/epidemiology, Adult ; Air Pollutants ; Air Pollution ; Cities ; Cross-Over Studies ; Hospitalization ; Humans ; Particulate Matter ; Vietnam/epidemiology
مستخلص: Background: Associations between hospital admissions and ambient air pollutants in the Vietnamese population have been reported in previous studies. However, most studies were conducted in Hanoi or Hochiminh city. We used hospital records of seven hospitals in Northern Vietnam to investigate short-term associations between ambient air pollutants and hospital admissions due to cardiovascular conditions.
Methods: We used 135'101 hospital records of residents (age ≥15) living in three provinces (Hanoi, Quang Ninh, and Phu Tho) and daily ambient air pollutant concentrations to estimate percentage changes and 95% confidence intervals for hospital admissions due to seven cardiovascular conditions per interquartile range (IQR) increases in daily ambient air pollutants. We used a time-stratified case-crossover analysis adjusting for meteorological factors, indicators of holidays and influenza epidemics. We also investigated modification of effects by age groups (<65 and ≥65), seasons (cold and hot) and hospital levels (national and province level).
Results: Particulate matter concentrations were positively associated with daily hospital admissions due to most cardiovascular conditions. For example, an increment in the two-day average (lag1-2) level of PM 2.5 by one IQR (34.4 µg/m 3 ) was associated with a 6.3% (95%CI: 3.0%-9.8%) increase in the daily count of admissions for ischemic heart disease in Hanoi and with 23.2% (95%CI: 11.1%-36.5%) for cardiac failure in Quang Ninh. Moreover, hospitalisations for stroke in Hanoi and cardiac failure in Phu Tho showed strong positive associations with SO 2 . The findings also show that estimates varied by age groups, seasons and hospital levels.
Conclusion: Ambient air pollutants were associated with daily cardiovascular admissions in Northern Vietnam. The findings underline the important role of ambient air pollutants as a trigger of cardiovascular conditions.
(Copyright © 2019 Elsevier B.V. All rights reserved.)
فهرسة مساهمة: Keywords: Ambient air pollution; Arrhythmia; Cardiac disease; Cardiac failure; Cardiovascular disease; Ischemic heart disease; Stroke; Vietnam
المشرفين على المادة: 0 (Air Pollutants)
0 (Particulate Matter)
تواريخ الأحداث: Date Created: 20191116 Date Completed: 20200331 Latest Revision: 20200331
رمز التحديث: 20221213
DOI: 10.1016/j.scitotenv.2019.134637
PMID: 31731158
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-1026
DOI:10.1016/j.scitotenv.2019.134637