当前位置： SCI文献检索 > JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH期刊下所有文献 > Evaluating the impact of air pollution on the incidence of out-of-hospital cardiac arrest in the Perth Metropolitan Region: 2000-2010.

Evaluating the impact of air pollution on the incidence of out-of-hospital cardiac arrest in the Perth Metropolitan Region: 2000-2010.

Abstract：

BACKGROUND:Out-of-hospital cardiac arrest (OHCA) remains a major public health issue. Several studies have found that an increased level of ambient particulate matter (PM) smaller than 2.5 microns (PM2.5) is associated with an increased risk of OHCA. We investigated the relationship between air pollution levels and the incidence of OHCA in Perth, Western Australia. METHODS:We linked St John Ambulance OHCA data of presumed cardiac aetiology with Perth air pollution data from seven monitors which recorded hourly levels of PM smaller than 2.5 and 10 microns (PM2.5/PM10), carbon monoxide (CO), sulfur dioxide (SO2), nitrogen dioxide (NO2) and ozone (O3). We used a case-crossover design to estimate the strength of association between ambient air pollution levels and risk of OHCA. RESULTS:Between 2000 and 2010, there were 8551 OHCAs that met the inclusion criteria. Of these, 5624 (65.8%) occurred in men. An IQR increase in the 24 and 48 h averages of PM2.5 was associated with 10.6% (OR 1.106, 95% CI 1.038 to 1.180) and 13.6% (OR 1.136, 95% CI 1.051 to 1.228) increases, respectively, in the risk of OHCA. CO showed a consistent association with increased risk of an OHCA. An IQR increase in the 4 h average concentration of CO was associated with a 2.2% (OR 1.022, 95% CI 1.002 to 1.042) increase in risk of an OHCA. When we restricted our analysis of CO to arrests occurring between 6:00 and 10:00, we found a 4.4% (95% CI 1.1% to 7.8%) increase in risk of an OHCA. CONCLUSIONS:Elevated ambient PM2.5 and CO are associated with an increased risk of OHCA.

journal_name

J Epidemiol Community Health

journal_title

Journal of epidemiology and community health

authors

Straney L,Finn J,Dennekamp M,Bremner A,Tonkin A,Jacobs I

doi

10.1136/jech-2013-202955

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

6-12

issue

1

eissn

0143-005X

issn

1470-2738

pii

jech-2013-202955

journal_volume

68

pub_type

杂志文章

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