Air Pollution and Hospital Admissions for Cardiovascular Disease in Detroit, Michigan

Schwartz, Joel; Morris, Robin

doi:10.1093/oxfordjournals.aje.a117541

Cited by 449 publications

(212 citation statements)

References 54 publications

Supporting

Mentioning

193

Contrasting

Unclassified

Order By: Relevance

“…Unfortunately, information on some known risk factors for fetal growth development, such as maternal race, education, cigarette smoking, caloric intake, alcohol consumption, paternal weight and height, and socioeconomic status was not available. However, these risk factors are likely to vary independently of changes in ambient pollutant levels, and therefore should not confound the associations between air pollution and fetal growth restrictions observed here (Rothman, 1993;Schwartz and Morris, 1995;Liu et al 2004). …”

Section: Discussionmentioning

confidence: 89%

Association between maternal exposure to ambient air pollutants during pregnancy and fetal growth restriction

Liu

Krewski

Shi

et al. 2006

J Expo Sci Environ Epidemiol

109

View full text Add to dashboard Cite

Previous research demonstrated consistent associations between ambient air pollution and emergency room visits, hospitalizations, and mortality. Effect of air pollution on perinatal outcomes has recently drawn more attention. We examined the association between intrauterine growth restriction (IUGR) among singleton term live births and sulfur dioxide (SO 2 ), nitrogen dioxide (NO 2 ), carbon monoxide (CO), ozone (O 3 ), and fine particles (PM 2.5 ) present in ambient air in the Canadian cities of Calgary, Edmonton, and Montreal for the period 1985-2000. Multiple logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for IUGR, based on average daily levels of individual pollutants over each month and trimester of pregnancy after adjustment for maternal age, parity, infant gender, season, and city of residence. A 1 ppm increase in CO was associated with an increased risk of IUGR in the first (OR ¼ 1.18; 95% CI 1.14-1.23), second (OR ¼ 1.15; 95% CI 1.10-1.19) and third (OR ¼ 1.19; 95% CI 1.14-1.24) trimesters of pregnancy, respectively. A 20 ppb increase in NO 2 (OR ¼ 1.16; 95% CI 1.09-1.24; OR ¼ 1.14; 95% CI 1.06-1.21; and OR ¼ 1.16; 95% CI 1.09-1.24 in the first, second, and third trimesters) and a 10 mg/m 3 increase in PM 2.5 (OR ¼ 1.07; 95% CI 1.03-1.10; OR ¼ 1.06; 95% CI 1.03-1.10; and OR ¼ 1.06; 95% CI 1.03-1.10) were also associated with an increased risk of IUGR. Consistent results were found when ORs were calculated by month rather than trimester of pregnancy. Our findings add to the emerging body of evidence that exposure to relatively low levels of ambient air pollutants in urban areas during pregnancy is associated with adverse effects on fetal growth.

show abstract

Section: Discussionmentioning

confidence: 89%

Association between maternal exposure to ambient air pollutants during pregnancy and fetal growth restriction

Liu

Krewski

Shi

et al. 2006

J Expo Sci Environ Epidemiol

109

View full text Add to dashboard Cite

show abstract

“…Rates of incidence found through the present study fall within the previous orders of magnitude. In Michigan, USA (1986USA ( -1989, it was found that PM 10 induces an increase in hospital admissions due to ischemic heart disease and heart failure at a rate of 1.018% and 1.024%, respectively, while heart-failure admissions could as well reflect increasing CO levels at a rate of 1.022% (Schwartz and Morris 1995). Such an association-at a rate of 1.10-1.37% when CO increased by 10 mg kg −1 -could also be found through a study in seven US cities, 1986-1989.…”

Section: Resultsmentioning

confidence: 99%

Effect of particulate matter, atmospheric gases, temperature, and humidity on respiratory and circulatory diseases’ trends in Lisbon, Portugal

Freitas

Pacheco

Verburg

et al. 2009

Environ Monit Assess

View full text Add to dashboard Cite

This study addresses the significant effects of both well-known contaminants (particles, gases) and less-studied variables (temperature, humidity) on serious, if relatively common, respiratory and circulatory diseases. The area of study is Lisbon, Portugal, and time series of health outcome (daily admissions in 12 hospitals) and environmental data (daily averages of air temperature, relative humidity, PM 10 , SO 2 , NO, NO 2 , CO, and O 3 ) have been gathered for 1999-2004 to ascertain (1) whether concentrations of air pollutants and levels of temperature and humidity do interfere on human health, as gauged by hospital admissions due to respiratory and circulatory ailments; and (2) whether there is an effect of population age in such admissions. In general terms, statistically significant ( p < 0.001) correlations were found between hospital admissions and temperature, humidity, PM 10 , and all gaseous pollutants except CO and NO. Age appears to influence respiratory conditions in association with temperature, whereas, for circulatory conditions, such an influence likely involves temperature as well as the gaseous pollutants NO 2 and SO 2 .

show abstract

“…CO has also been associated with admissions for cardiovascular events (16)(17)(18)(19). Martins and colleagues (20) showed a significant association between elderly patient hospital admissions due to cardiovascular diseases and SO 2 in São Paulo, Brazil.…”

Section: Discussionmentioning

confidence: 98%

Effect of air pollution on diabetes and cardiovascular diseases in São Paulo, Brazil

Filho

Pereira

Arbex

et al. 2008

Braz J Med Biol Res

View full text Add to dashboard Cite

Type 2 diabetes increases the risk of cardiovascular mortality and these patients, even without previous myocardial infarction, run the risk of fatal coronary heart disease similar to non-diabetic patients surviving myocardial infarction. There is evidence showing that particulate matter air pollution is associated with increases in cardiopulmonary morbidity and mortality. The present study was carried out to evaluate the effect of diabetes mellitus on the association of air pollution with cardiovascular emergency room visits in a tertiary referral hospital in the city of São Paulo. Using a time-series approach, and adopting generalized linear Poisson regression models, we assessed the effect of daily variations in PM 10 , CO, NO 2 , SO 2 , and O 3 on the daily number of emergency room visits for cardiovascular diseases in diabetic and non-diabetic patients from 2001 to 2003. A semi-parametric smoother (natural spline) was adopted to control long-term trends, linear term seasonal usage and weather variables. In this period, 45,000 cardiovascular emergency room visits were registered. The observed increase in interquartile range within the 2-day moving average of 8.0 µg/m 3 SO 2 was associated with 7.0% (95%CI: 4.0-11.0) and 20.0% (95%CI: 5.0-44.0) increases in cardiovascular disease emergency room visits by non-diabetic and diabetic groups, respectively. These data indicate that air pollution causes an increase of cardiovascular emergency room visits, and that diabetic patients are extremely susceptible to the adverse effects of air pollution on their health conditions.

show abstract

Air Pollution and Hospital Admissions for Cardiovascular Disease in Detroit, Michigan

Cited by 449 publications

References 54 publications

Association between maternal exposure to ambient air pollutants during pregnancy and fetal growth restriction

Association between maternal exposure to ambient air pollutants during pregnancy and fetal growth restriction

Effect of particulate matter, atmospheric gases, temperature, and humidity on respiratory and circulatory diseases’ trends in Lisbon, Portugal

Effect of air pollution on diabetes and cardiovascular diseases in São Paulo, Brazil

Contact Info

Product

Resources

About