Correlation between air pollution and hospitalization due to myocardial infarction
- سال انتشار: 1398
- محل انتشار: مجله آریا آترواسکلروز، دوره: 15، شماره: 4
- کد COI اختصاصی: JR_RYA-15-4_002
- زبان مقاله: انگلیسی
- تعداد مشاهده: 272
نویسندگان
Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Department of Biostatistics and Epidemiology, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran
Road Traffic Injury Research Center AND Department of Statistics and Epidemiology, School of Health, Tabriz University of Medical Sciences, Tabriz, Iran
Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Isfahan Disaster Management Office, Isfahan Governor’s Office, Isfahan, Iran
Khouzestan Department of Environment, Ahvaz, Iran
Central Laboratory and Air Pollution Monitoring, Isfahan Province Environmental Monitoring Center, Isfahan Department of Environment, Isfahan, Iran
Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Information Technology Office, Isfahan University of Medical Sciences, Isfahan, Iran
Isfahan Meteorological Office, Isfahan, Iran
Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده
BACKGROUND: Air pollution is associated with increased risk of cardiovascular disease (CVD). This study aims to evaluate the correlation between air pollutants and hospitalization due to myocardial infarction (MI) as part of "correlation of air pollution with hospitalization and mortality of CVDs and respiratory diseases (CAPACITY) study".METHODS: This case-crossover study analyzed the data of ۳۱۹ patients who were admitted with diagnosis of ST-elevation MI (STEMI) or non-ST-elevation MI (NSTEMI) in three main hospitals of Isfahan, Iran. The data of airborne pollutants including particulate matter < ۱۰ µm (PM۱۰), particulate matter < ۲.۵ µm (PM۲.۵), nitrogen dioxide (NO۲), sulfur dioxide (SO۲), carbon monoxide (CO), and ozone (O۳) as well as climatic indices (temperature, wind speed, and humidity) at ۲۴ hours, ۴۸ hours, and one week before admission were extracted from CAPACITY study. The conditional logistic regression method was used to evaluate the correlation between air pollutants and MI hospitalization.RESULTS: ۳۱۹ patients with mean age of ۶۳.۱۵ ± ۲۸.۱۴ years, including ۲۳۸ men (۷۴.۶%), and ۲۰۷ patients with STEMI (۶۴.۸%) were recruited. The risk of hospitalization significantly increased in patients with STEMI and ۱۰-unit increment in PM۲.۵ at ۴۸ hours before admission [odds ratio (OR) = ۳.۷۰, ۹۵% confidence interval (CI): ۱.۶۹-۷.۶۹]. Although, majority of air pollutants had positive association with hospitalization in patients with NSTEMI, they were not statistically significant.CONCLUSION: This study showed significant association between elevated PM۲.۵ at ۴۸ hours before admission and hospitalization of patients with STEMI. This finding can warn policymakers to design better care services for patients at risk of acute MI during the times of increased air pollution.کلیدواژه ها
Air Pollution, Myocardial Infarction, Hospitalization, Airborne Particulate Matterاطلاعات بیشتر در مورد COI
COI مخفف عبارت CIVILICA Object Identifier به معنی شناسه سیویلیکا برای اسناد است. COI کدی است که مطابق محل انتشار، به مقالات کنفرانسها و ژورنالهای داخل کشور به هنگام نمایه سازی بر روی پایگاه استنادی سیویلیکا اختصاص می یابد.
کد COI به مفهوم کد ملی اسناد نمایه شده در سیویلیکا است و کدی یکتا و ثابت است و به همین دلیل همواره قابلیت استناد و پیگیری دارد.