Time Series Analysis of the Acute Effect of Atmospheric Fine Particulate Matter on Hospitalization for Heart Failure in Lanzhou, China.

IF 1.4 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Occupational and Environmental Medicine Pub Date : 2023-09-01 Epub Date: 2023-05-12 DOI:10.1097/JOM.0000000000002878
Wancheng Zhang, Runping Zhang, Jianglong Ling, Tian Tian, Tong Liu, Jiyuan Dong, Ye Ruan
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Abstract

Objective: The purpose of this study was to investigate the correlation between environmental PM 2.5 and heart failure (HF) hospitalization in Lanzhou, China.

Method: The correlation between atmospheric PM 2.5 and HF hospitalization was evaluated using a distributed lag nonlinear model.

Result: During the study period, 16,122 HF patients were hospitalized. The average concentration of PM 2.5 is 45.24 μg/m 3 . PM 2.5 was positively correlated with HF hospitalization with single lag (lag0) and cumulative lag (lag01, lag02, lag03). The maximum lag effect is estimated to occur in lag03, and with the PM 2.5 concentration increasing by 10 μg/m 3 , HF hospitalization risk increased by 1.023 (95% confidence interval, 1.006-1.039). The risk of hospitalization for HF in the male group, the age group 65 years or older, and the cold season was statistically significant and more positively correlated.

Conclusion: PM 2.5 exposure increases the risk of HF admission in Lanzhou.

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大气细颗粒物急性期对兰州心力衰竭住院影响的时间序列分析
目的:本研究的目的是探讨环境PM 2.5与中国兰州心力衰竭住院的相关性。方法:采用分布滞后非线性模型评价大气PM 2.5与HF住院的相关性。结果:研究期间住院HF患者16122例。pm2.5的平均浓度为45.24 μg/ m3。PM 2.5与HF住院呈单滞后(lag0)和累积滞后(lag01、lag02、lag03)正相关。估计滞后效应最大的是lag03, PM 2.5浓度每增加10 μg/m 3, HF住院风险增加1.023(95%可信区间为1.006-1.039)。男性组、65岁及以上年龄组HF住院风险与寒冷季节有统计学意义,且呈正相关。结论:pm2.5暴露增加了兰州市HF入院风险。
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来源期刊
Journal of Occupational and Environmental Medicine
Journal of Occupational and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.20
自引率
9.40%
发文量
402
审稿时长
3-8 weeks
期刊介绍: Journal of Occupational and Environmental Medicine is an indispensable guide to good health in the workplace for physicians, nurses, and researchers alike. In-depth, clinically oriented research articles and technical reports keep occupational and environmental medicine specialists up-to-date on new medical developments in the prevention, diagnosis, and rehabilitation of environmentally induced conditions and work-related injuries and illnesses.
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