Dataset Information

Association between Air Pollution and Emergency Room Visits for Atrial Fibrillation.

ABSTRACT: Despite the large prevalence in the population, possible factors responsible for the induction of atrial fibrillation (AF) events in susceptible individuals remain incompletely understood. We investigated the association between air pollution levels and emergency department admissions for AF in Rome. We conducted a 14 years' time-series study to evaluate the association between the daily levels of air pollution (particulate matter, PM₁₀ and PM_2.5, and nitrogen dioxide, NO?) and the daily count of emergency accesses for AF (ICD-9 code: 427.31). We applied an over-dispersed conditional Poisson model to analyze the associations at different lags after controlling for time, influenza epidemics, holiday periods, temperature, and relative humidity. Additionally, we evaluated bi-pollutant models by including the other pollutant and the influence of several effect modifiers such as personal characteristics and pre-existing medical conditions. In the period of study, 79,892 individuals were admitted to the emergency departments of Rome hospitals because of AF (on average, 15.6 patients per day: min = 1, max = 36). Air pollution levels were associated with increased AF emergency visits within 24 h of exposure. Effect estimates ranged between 1.4% (0.7-2.3) for a 10 µg/m³ increase of PM₁₀ to 3% (1.4-4.7) for a 10 µg/m³ increase of PM_2.5 at lag 0-1 day. Those effects were higher in patients ?75 years for all pollutants, male patients for PM₁₀, and female patients for NO?. The presence of previous cardiovascular conditions, but not other effect modifiers, increase the pollution effects by 5-8% depending on the lag. This study found evidence that air pollution is associated with AF emergency visits in the short term.

SUBMITTER: Solimini AG

PROVIDER: S-EPMC5486347 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature

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Association between Air Pollution and Emergency Room Visits for Atrial Fibrillation.

Solimini Angelo G AG Renzi Matteo M

International journal of environmental research and public health 20170620 6

Despite the large prevalence in the population, possible factors responsible for the induction of atrial fibrillation (AF) events in susceptible individuals remain incompletely understood. We investigated the association between air pollution levels and emergency department admissions for AF in Rome. We conducted a 14 years' time-series study to evaluate the association between the daily levels of air pollution (particulate matter, PM<sub>10</sub> and PM<sub>2.5</sub>, and nitrogen dioxide, NO₂) ...[more]

PMID: 28632149

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Project description:PurposeThe association between atmospheric particulate matter and emergency room visits for cerebrovascular disease were evaluated in Beijing.MethodsA generalized additive model was used to evaluate the associations between particulate matter and cerebrovascular disease, based on the daily data of meteorological elements, PM concentrations, and emergency room (ER) visits for cerebrovascular disease in Beijing from 2009 to 2012. Long-term trends and the effects of holidays, the day of the week, and confounding factors were controlled to determine the lag effect at 0-6 days. Single- and double-pollutant models were employed for different age and sex groups.ResultsThe effect of PM2.5 concentration on the number of daily ER visits for cerebrovascular disease was much stronger than that of PM10 concentration. PM2.5 and PM10 had maximum RR values of 1.096 and 1.054 at lag 6 for patients aged 61-75 years. For each inter-quartile range (IQR) increase in PM10 concentration, the maximum RR values for the total, males, females, aged 15-60 years, aged 61-75 years, and aged > 75 years were 1.024, 1.044, 1.043, 1.038, 1.054, and 1.032, respectively. For each IQR increase in PM2.5 concentration, the maximum RR values for the total, males, females, aged 15-60 years, aged 61-75 years, and aged > 75 years were 1.038, 1.064, 1.076, 1.054, 1.096, and 1.049, respectively. The RR values of the double-pollutant models were lower than those of the single-pollutant models.ConclusionThis study showed that the effects of PM pollution on cerebrovascular disease were different among different gender and age groups, and aged 61-75 years were mostly sensitive to particulate matters. The effects of PM2.5 on cerebrovascular disease were stronger than those of PM10. Our results can provide scientific evidence for the local government to take effective measures to improve air quality and the health of residents.Supplementary informationThe online version contains supplementary material available at 10.1007/s40201-021-00776-w.

Dataset Information

Association between Air Pollution and Emergency Room Visits for Atrial Fibrillation.

Publications

Association between Air Pollution and Emergency Room Visits for Atrial Fibrillation.

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