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The Effects of PM 2.5 from Asian Dust Storms on Emergency Room Visits for Cardiovascular and Respiratory Diseases

机译:亚洲沙尘暴PM 2.5对心血管和呼吸系统疾病急诊就诊的影响

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A case-crossover study examined how PM 2.5 from Asian Dust Storms (ADS) affects the number of emergency room (ER) admissions for cardiovascular diseases (CVDs) and respiratory diseases (RDs). Our data indicated that PM 2.5 concentration from ADS was highly correlated with ER visits for CVDs and RDs. The odds ratios (OR) increased by 2.92 (95% CI: 1.22–5.08) and 1.86 (95% CI: 1.30–2.91) per 10 μg/m 3 increase in PM 2.5 levels, for CVDs and RDs, respectively. A 10 μg/m 3 increase in PM 2.5 from ADSs was significantly associated with an increase in ER visits for CVDs among those 65 years of age and older (an increase of 2.77 in OR) and for females (an increase of 3.09 in OR). In contrast, PM 2.5 levels had a significant impact on RD ER visits among those under 65 years of age (OR = 1.77). The risk of ER visits for CVDs increased on the day when the ADS occurred in Taiwan and the day after (lag 0 and lag 1); the corresponding risk increase for RDs only increased on the fifth day after the ADS (lag 5). In Taiwan’s late winter and spring, the severity of ER visits for CVDs and RDs increases. Environmental protection agencies should employ an early warning system for ADS to reduce high-risk groups’ exposure to PM 2.5 .
机译:一项案例研究研究了来自亚洲沙尘暴(ADS)的PM 2.5如何影响心血管疾病(CVD)和呼吸系统疾病(RD)的急诊室(ER)入院人数。我们的数据表明,来自ADS的PM 2.5浓度与CVD和RD的ER访视高度相关。对于CVD和RD,每增加10μg/ m 3,比值比(OR)分别增加2.92(95%CI:1.22-5.08)和1.86(95%CI:1.30-2.91)。来自ADS的PM 2.5升高10μg/ m 3,与65岁及以上年龄段的CVD ER访视次数增加(OR增加2.77)和女性(OR增加3.09)显着相关。相反,在65岁以下(OR = 1.77)的人群中,PM 2.5水平对RD ER访视有显着影响。在台湾发生ADS的当天和之后的第二天(滞后0和滞后1),发生CVD的ER的风险增加; RD的相应风险增加仅在ADS之后的第五天才增加(滞后5)。在台湾的冬末和春季,CVD和RD的ER访视的严重性增加。环境保护机构应为ADS运用预警系统,以减少高风险人群暴露于PM 2.5的风险。

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