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Outdoor Air Pollution and COPD-Related Emergency Department Visits, Hospital Admissions, and Mortality: A Meta-Analysis.
- Source :
-
COPD [COPD] 2017 Feb; Vol. 14 (1), pp. 113-121. Date of Electronic Publication: 2016 Aug 26. - Publication Year :
- 2017
-
Abstract
- A systematic literature review was performed to identify all peer-reviewed literature quantifying the association between short-term exposures of particulate matter <2.5 microns (PM <subscript>2.5</subscript> ), nitrogen dioxide (NO <subscript>2</subscript> ), and sulfur dioxide (SO <subscript>2</subscript> ) and COPD-related emergency department (ED) visits, hospital admissions (HA), and mortality. These results were then pooled for each pollutant through meta-analyses with a random effects model. Subgroup meta-analyses were explored to study the effects of selected lag/averaging times and health outcomes. A total of 37 studies satisfied our inclusion criteria, contributing to a total of approximately 1,115,000 COPD-related acute events (950,000 HAs, 80,000 EDs, and 130,000 deaths) to our meta-estimates. An increase in PM <subscript>2.5</subscript> of 10 ug/m <superscript>3</superscript> was associated with a 2.5% (95% CI: 1.6-3.4%) increased risk of COPD-related ED and HA, an increase of 10 ug/m <superscript>3</superscript> in NO <subscript>2</subscript> was associated with a 4.2% (2.5-6.0%) increase, and an increase of 10 ug/m <superscript>3</superscript> in SO <subscript>2</subscript> was associated with a 2.1% (0.7-3.5%) increase. The strength of these pooled effect estimates, however, varied depending on the selected lag/averaging time between exposure and outcome. Similar pooled effects were estimated for each pollutant and COPD-related mortality. These results suggest an ongoing threat to the health of COPD patients from both outdoor particulates and gaseous pollutants. Ambient outdoor concentrations of PM <subscript>2.5</subscript> , NO <subscript>2</subscript> , and SO <subscript>2</subscript> were significantly and positively associated with both COPD-related morbidity and mortality.
- Subjects :
- Disease Progression
Humans
Nitrogen Dioxide toxicity
Particulate Matter toxicity
Sulfur Dioxide toxicity
Time Factors
Air Pollution adverse effects
Emergency Service, Hospital statistics & numerical data
Patient Admission statistics & numerical data
Pulmonary Disease, Chronic Obstructive etiology
Pulmonary Disease, Chronic Obstructive mortality
Subjects
Details
- Language :
- English
- ISSN :
- 1541-2563
- Volume :
- 14
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- COPD
- Publication Type :
- Academic Journal
- Accession number :
- 27564008
- Full Text :
- https://doi.org/10.1080/15412555.2016.1216956