Back to Search
Start Over
Association between air temperature, air pollution and hospital admissions for pulmonary embolism and venous thrombosis in Italy
- Source :
- European journal of internal medicine. 96
- Publication Year :
- 2021
-
Abstract
- Background Previous studies reported a link between short-term exposure to environmental stressors (air pollution and air temperature) and atherothrombotic cardiovascular diseases. However, only few of them reported consistent associations with venous thromboembolism (VTE). Our aim was to estimate the association between daily air temperature and particulate matter (PM) air pollution with hospital admissions for pulmonary embolism (PE) and venous thrombosis (VT) at national level in Italy. Methods We collected daily hospital PE and VT admissions from the Italian Ministry of Health during 2006–2015 in all the 8,084 municipalities of Italy, and we merged them with air temperature and daily PM10 concentrations estimated by satellite-based spatiotemporal models. First, we applied multivariate Poisson regression models at province level. Then, we obtained national overall effects by random-effects meta-analysis. Results This analysis was conducted on 219,952 PE and 275,506 VT hospitalizations. Meta-analytical results showed weak associations between the two exposures and the study outcomes in the full year analysis. During autumn and winter, PE hospital admissions increased by 1.07% (95% confidence intervals [CI]: 0.21%; 1.92%) and 0.96% (95% CI: 0.07%; 1.83%) respectively, per 1 °C decrement of air temperature in the previous 10 days (lag 0–10). In summer we observed adverse effects at high temperatures, with a 1% (95% CI: 0.10%; 1.91%) increasing risk per 1 °C increment. We found no association between VT and cold temperatures. Conclusion Results show a significant effect of air temperature on PE hospitalizations in the cold seasons and summer. No effect of particulate matter was detected.
- Subjects :
- medicine.medical_specialty
Air pollution
medicine.disease_cause
symbols.namesake
Air Pollution
Epidemiology
Internal Medicine
medicine
Humans
Poisson regression
Adverse effect
Venous Thrombosis
Air Pollutants
business.industry
Temperature
medicine.disease
Confidence interval
Hospitals
Pulmonary embolism
Hospitalization
Venous thrombosis
Italy
Air temperature
Emergency medicine
symbols
Particulate Matter
business
Pulmonary Embolism
Subjects
Details
- ISSN :
- 18790828
- Volume :
- 96
- Database :
- OpenAIRE
- Journal :
- European journal of internal medicine
- Accession number :
- edsair.doi.dedup.....224fad807dc072ecc91c0923324a6533