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Short-Term Effects of Air Pollution on Cardiovascular Hospitalizations in the Pisan Longitudinal Study

Author

Listed:
  • Salvatore Fasola

    (Institute for Biomedical Research and Innovation, National Research Council, 90146 Palermo, Italy
    S.F. and S.M. should be considered joint first author.)

  • Sara Maio

    (Institute of Clinical Physiology, National Research Council, 56126 Pisa, Italy
    S.F. and S.M. should be considered joint first author.)

  • Sandra Baldacci

    (Institute of Clinical Physiology, National Research Council, 56126 Pisa, Italy)

  • Stefania La Grutta

    (Institute for Biomedical Research and Innovation, National Research Council, 90146 Palermo, Italy)

  • Giuliana Ferrante

    (Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy)

  • Francesco Forastiere

    (Institute for Biomedical Research and Innovation, National Research Council, 90146 Palermo, Italy)

  • Massimo Stafoggia

    (Department of Epidemiology, Lazio Region Health Service—ASL Roma 1, 00147 Rome, Italy)

  • Claudio Gariazzo

    (Occupational and Environmental Medicine, Epidemiology and Hygiene Department, Italian Workers’ Compensation Authority (INAIL), Monte Porzio Catone, 00144 Rome, Italy)

  • Camillo Silibello

    (Arianet S.r.l., 20128 Milan, Italy)

  • Giuseppe Carlino

    (Simularia S.r.l., 10121 Turin, Italy)

  • Giovanni Viegi

    (Institute for Biomedical Research and Innovation, National Research Council, 90146 Palermo, Italy
    Institute of Clinical Physiology, National Research Council, 56126 Pisa, Italy)

  • on behalf of the BEEP Collaborative Group

    (Membership of the BEEP Collaborative Group is provided in the Acknowledgments.)

Abstract

Air pollution effects on cardiovascular hospitalizations in small urban/suburban areas have been scantly investigated. Such effects were assessed among the participants in the analytical epidemiological survey carried out in Pisa and Cascina, Tuscany, Italy (2009–2011). Cardiovascular hospitalizations from 1585 subjects were followed up (2011–2015). Daily mean pollutant concentrations were estimated through random forests at 1 km (particulate matter: PM 10 , 2011–2015; PM 2.5 , 2013–2015) and 200 m (PM 10 , PM 2.5 , NO 2 , O 3 , 2013–2015) resolutions. Exposure effects were estimated using the case-crossover design and conditional logistic regression (odds ratio—OR—and 95% confidence interval—CI—for 10 μg/m 3 increase; lag 0–6). During the period 2011–2015 (137 hospitalizations), a significant effect at lag 0 was observed for PM 10 (OR = 1.137, CI: 1.023–1.264) at 1 km resolution. During the period 2013–2015 (69 hospitalizations), significant effects at lag 0 were observed for PM 10 (OR = 1.268, CI: 1.085–1.483) and PM 2.5 (OR = 1.273, CI: 1.053–1.540) at 1 km resolution, as well as for PM 10 (OR = 1.365, CI: 1.103–1.690), PM 2.5 (OR = 1.264, CI: 1.006–1.589) and NO 2 (OR = 1.477, CI: 1.058–2.061) at 200 m resolution; significant effects were observed up to lag 2. Larger ORs were observed in males and in subjects reporting pre-existent cardiovascular/respiratory diseases. Combining analytical and routine epidemiological data with high-resolution pollutant estimates provides new insights on acute cardiovascular effects in the general population and in potentially susceptible subgroups living in small urban/suburban areas.

Suggested Citation

  • Salvatore Fasola & Sara Maio & Sandra Baldacci & Stefania La Grutta & Giuliana Ferrante & Francesco Forastiere & Massimo Stafoggia & Claudio Gariazzo & Camillo Silibello & Giuseppe Carlino & Giovanni , 2021. "Short-Term Effects of Air Pollution on Cardiovascular Hospitalizations in the Pisan Longitudinal Study," IJERPH, MDPI, vol. 18(3), pages 1-17, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1164-:d:488976
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    References listed on IDEAS

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    1. Tatiane Morais Ferreira & Maria Cristina Forti & Clarice Umbelino De Freitas & Felipe Parra Nascimento & Washington Leite Junger & Nelson Gouveia, 2016. "Effects of Particulate Matter and Its Chemical Constituents on Elderly Hospital Admissions Due to Circulatory and Respiratory Diseases," IJERPH, MDPI, vol. 13(10), pages 1-11, September.
    2. Angelo G. Solimini & Matteo Renzi, 2017. "Association between Air Pollution and Emergency Room Visits for Atrial Fibrillation," IJERPH, MDPI, vol. 14(6), pages 1-10, June.
    3. Hsiu-Yung Pan & Shun-Man Cheung & Fu-Cheng Chen & Kuan-Han Wu & Shih-Yu Cheng & Po-Chun Chuang & Fu-Jen Cheng, 2019. "Short-Term Effects of Ambient Air Pollution on ST-Elevation Myocardial Infarction Events: Are There Potentially Susceptible Groups?," IJERPH, MDPI, vol. 16(19), pages 1-12, October.
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