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Acute Gaseous Air Pollution Exposure and Hospitalizations for Acute Ischemic Stroke: A Time-Series Analysis in Tianjin, China

Author

Listed:
  • Mingrui Cui

    (General Medicine Department, Tianjin Medical University General Hospital, Tianjin 300052, China
    These authors contributed equally to this work.)

  • Changqing Zhan

    (Department of Neurology, Wuhu No.2 People’s Hospital, Wuhu 241001, China
    These authors contributed equally to this work.)

  • Wenjuan Wu

    (General Medicine Department, Tianjin Medical University General Hospital, Tianjin 300052, China)

  • Dandan Guo

    (General Medicine Department, Tianjin Medical University General Hospital, Tianjin 300052, China)

  • Yijun Song

    (General Medicine Department, Tianjin Medical University General Hospital, Tianjin 300052, China
    Current Address: Key Laboratory of Post-Neuroinjury Neuro-Repair and Regeneration in Central Nervous System, Ministry of Education, Tianjin Neurological Institute, Tianjin 300052, China.)

Abstract

Background: Stroke has always been an important problem troubling human health. Short-term exposure to air pollutants is associated with increased hospital admissions. The rise of pollutants such as O 3 has caused a huge social and economic burden. This study aims to explore the relationship between short-term exposure to ambient gaseous pollutants and daily hospitalizations for ischemic stroke, utilizing a four-year time-series study in Tianjin. Methods: Collecting the data of gaseous pollutants (NO 2 , SO 2 , CO, O 3 ), meteorological data (including daily average temperature and relative humidity) and the number of hospitalizations due to ischemic stroke in Tianjin Medical University General Hospital from 2013 to 2016. Poisson regression generalized additive model with single-day and multi-day moving average lag structure was used to estimate adverse effects of gaseous pollutants on daily hospitalizations. Subgroup analysis was performed to detect modification effect by gender and age. Results: In total, there were 9081 ischemic stroke hospitalizations. After controlling for the meteorological factors in the same period, no significant findings were found with the increase of NO 2 , SO 2 , CO and O 3 concentrations at most of the time in the single-pollutant model. Similarly, in the stratified analysis, no associations between gaseous pollutants and ischemic stroke were observed in this study. Conclusions: Short-term exposure to NO 2 , SO 2 , CO and O 3 was not distinctly associated with daily hospitalizations for ischemic stroke in Tianjin. Multicenter studies in the future are warranted to explore the associations between gaseous pollution exposure and ischemic stroke.

Suggested Citation

  • Mingrui Cui & Changqing Zhan & Wenjuan Wu & Dandan Guo & Yijun Song, 2022. "Acute Gaseous Air Pollution Exposure and Hospitalizations for Acute Ischemic Stroke: A Time-Series Analysis in Tianjin, China," IJERPH, MDPI, vol. 19(20), pages 1-8, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13344-:d:943733
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    References listed on IDEAS

    as
    1. Pi Guo & Yulin Wang & Wenru Feng & Jiagang Wu & Chuanxi Fu & Hai Deng & Jun Huang & Li Wang & Murui Zheng & Huazhang Liu, 2017. "Ambient Air Pollution and Risk for Ischemic Stroke: A Short-Term Exposure Assessment in South China," IJERPH, MDPI, vol. 14(9), pages 1-11, September.
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    Cited by:

    1. Michał Święczkowski & Sławomir Dobrzycki & Łukasz Kuźma, 2023. "Multi-City Analysis of the Acute Effect of Polish Smog on Cause-Specific Mortality (EP-PARTICLES Study)," IJERPH, MDPI, vol. 20(8), pages 1-17, April.

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