Short-term effects of main air pollutants exposure on LOS and costs of CVD hospital admissions from 30,959 cases among suburban farmers in Pingliang, Northwest China

Zha, Qunwu; Chai, Guorong; Zhang, Zhe George; Sha, Ye; Su, Yana

doi:10.1007/s11356-022-18870-3

Cited by 6 publications

(5 citation statements)

References 42 publications

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“…One possible explanation is that NO 2 concentrations varied across different rural regions. For example, Mean NO 2 concentrations in Fuyang and Pingliang during the study period were over 34.00 µg/m 3 , while was 22.53 µg/m 3 in Guangxi(Zha et al 2022. More studies in rural regions are needed to con rm this possibility.…”

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confidence: 93%

“…The mixed ndings on urbanrural differences on the relation of air pollution with CVDs suggested that more studies should be conducted in rural population. A recent study used the data from NRCMS in Pingliang, Northwest China to examine the effects of short-term exposure to air pollutants on the health burden of hospitalized patients with CVDs, and received some novel results in rural population: NO 2 was the most contributor to hospital admission costs of CVDs among six air pollutants include particulate matter ≤ 2.5 µm (PM 2.5 ), particulate matter ≤ 10 µm (PM 10 ), carbon monoxide (CO), NO 2 , sulphur dioxide (SO 2 ), and ozone(O 3 ) (Zha et al 2022).…”

Section: Introductionmentioning

confidence: 99%

“…However, related studies carried out in rural regions were limited and received inconsistent results. A study conducted in Pingliang, Northwest China indicated that NO 2 was the most contributor to hospital admission costs of CVDs among seven air pollutants(Zha et al 2022), whereas another study performed in Guangxi province, China did not nd a signi cant relation between NO 2 and cardiovascular hospital admission(Zhang et al 2022). The reasons for the inconsistent results remain unclear.…”

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confidence: 99%

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Ambient nitrogen dioxide and cardiovascular diseases in rural regions: a time-series analyses using data from the new rural cooperative medical scheme in Fuyang, East China

Dong

Zha

Sun³

et al. 2023

Environ Sci Pollut Res

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BackgroundMost of studies relating ambient cardiovascular hospital admissions exposure to hospital admissions for cardiovascular diseases (CVDs) were conducted among urban population. Whether and to what extent these results could be generalizable to rural population remains unknown. We addressed this question using data from the New Rural Cooperative Medical Scheme (NRCMS) in Fuyang, Anhui, China. MethodsDaily hospital admissions for total CVDs, ischaemic heart disease, heart failure, heart rhythm disturbances, ischaemic stroke, and hemorrhagic stroke in rural regions of Fuyang, China were extracted from NRCMS between January 2015 and June 2017. A two-stage time-series analysis method was used to assess the associations between NO 2 and CVD hospital admissions and the disease burden fractions attributable to NO 2 . ResultsIn our study period, the average number (standard deviation) of hospital admissions per day were 488.2 (117.1) for total CVDs, 179.8 (45.6) for ischaemic heart disease, 7.0 (3.3) for heart rhythm disturbances, 13.2 (7.2) for heart failure, 267.9 (67.7) for ischaemic stroke, and 20.2 (6.4) for hemorrhagic stroke. The 10 µg/m 3 increase of NO 2 was related to an elevated risk of 1.9% (RR: 1.019, 95% CI: 1.005 to 1.032) for hospital admissions of total CVDs at lag0-2 day, 2.1%(1.021, 1.006 to 1.036) for ischaemic heart disease, and 2.1% (1.021, 1.006 to 1.035) for ischaemic stroke, respectively. While no signi cant association was observed between NO 2 and hospital admissions for heart rhythm disturbances, heart failure, and hemorrhagic stroke. The attributable fractions of total CVDs, ischaemic heart disease, and ischaemic stroke to NO 2 were 6.52% (1.87-10.94%), 7.31% (2.19-12.17%) and 7.12% (2.14-11.85%), respectively. ConclusionsOur ndings suggest that CVD burdens in rural population are also partly attributed to short-term exposure to NO2. More studies across rural regions are required to replicate our ndings.

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confidence: 93%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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Ambient nitrogen dioxide and cardiovascular diseases in rural regions: a time-series analyses using data from the new rural cooperative medical scheme in Fuyang, East China

Dong

Zha

Sun³

et al. 2023

Environ Sci Pollut Res

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“…China, which has the world's biggest population, is struggling with a serious problem with ambient air pollution (Luo et al., 2017 ). Furthermore, exposure to ambient air pollution not only has a negative impact on public health but also has a negative financial impact (Jaafar et al., 2018 ; Zha et al., 2022 ). The exploration of the magnitude and extent of air pollution and its relationship to CVD provides better evidence for understanding the actual impact of air pollution on CVD.…”

Section: Introductionmentioning

confidence: 99%

“…not only has a negative impact on public health but also has a negative financial impact (Jaafar et al, 2018;Zha et al, 2022). The exploration of the magnitude and extent of air pollution and its relationship to CVD provides better evidence for understanding the actual impact of air pollution on CVD.…”

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confidence: 99%

Association Between Air Pollution and Cardiovascular Disease Hospitalizations in Lanzhou City, 2013–2020: A Time Series Analysis

Yu,

Zhu,

Liu

et al. 2024

GeoHealth

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Extensive evidence has shown that air pollution increases the risk of cardiovascular disease (CVD) admissions. We aimed to explore the short‐term effect of air pollution on CVD admissions in Lanzhou residents and their lag effects. Meteorological data, air pollution data, and a total of 309,561 daily hospitalizations for CVD among urban residents in Lanzhou were collected from 2013 to 2020. Distributed lag non‐linear model was used to analyze the relationship between air pollutants and CVD admissions, stratified by gender, age, and season. PM2.5, NO2, and CO have the strongest harmful effects at lag03, while SO2 at lag3. The relative risks of CVD admissions were 1.0013(95% CI: 1.0003, 1.0023), 1.0032(95% CI: 1.0008, 1.0056), and 1.0040(95% CI: 1.0024, 1.0057) when PM2.5, SO2, and NO2 concentrations were increased by 10 μg/m³, respectively. Each 1 mg/m3 increase in CO concentration was associated with a relative risk of cardiovascular hospitalization of risk was 1.0909(95% CI: 1.0367, 1.1479). We observed a relative risk of 0.9981(95% CI: 0.9972, 0.9991) for each 10 μg/m³ increase in O3 for CVD admissions at lag06. We found a significant lag effects of air pollutants on CVD admissions. NO2 and CO pose a greater risk of hospitalization for women, while PM2.5 and SO2 have a greater impact on men. PM2.5, NO2, and CO have a greater impact on CVD admissions in individuals aged <65 years, whereas SO2 affects those aged ≥65 years. Our research indicates a possible short‐term impact of air pollution on CVD. Local public health and environmental policies should take these preliminary findings into account.

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The impact of the summer monsoon on the convective boundary layer height in different regions of the Tibetan Plateau

Wang,

Ma,

Han

et al. 2024

Atmospheric Research

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Short-term effects of main air pollutants exposure on LOS and costs of CVD hospital admissions from 30,959 cases among suburban farmers in Pingliang, Northwest China

Cited by 6 publications

References 42 publications

Ambient nitrogen dioxide and cardiovascular diseases in rural regions: a time-series analyses using data from the new rural cooperative medical scheme in Fuyang, East China

Ambient nitrogen dioxide and cardiovascular diseases in rural regions: a time-series analyses using data from the new rural cooperative medical scheme in Fuyang, East China

Association Between Air Pollution and Cardiovascular Disease Hospitalizations in Lanzhou City, 2013–2020: A Time Series Analysis

The impact of the summer monsoon on the convective boundary layer height in different regions of the Tibetan Plateau

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