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Association between ambient air pollution and daily hospital admissions for ischemic stroke: A nationwide time-series analysis

Author

Listed:
  • Yaohua Tian
  • Hui Liu
  • Zuolin Zhao
  • Xiao Xiang
  • Man Li
  • Juan Juan
  • Jing Song
  • Yaying Cao
  • Xiaowen Wang
  • Libo Chen
  • Chen Wei
  • Yonghua Hu
  • Pei Gao

Abstract

Background: Evidence of the short-term effects of ambient air pollution on the risk of ischemic stroke in low- and middle-income countries is limited and inconsistent. We aimed to examine the associations between air pollution and daily hospital admissions for ischemic stroke in China. Methods and findings: We identified hospital admissions for ischemic stroke in 2014–2016 from the national database covering up to 0.28 billion people who received Urban Employee Basic Medical Insurance (UEBMI) in China. We examined the associations between air pollution and daily ischemic stroke admission using a two-stage method. Poisson time-series regression models were firstly fitted to estimate the effects of air pollution in each city. Random-effects meta-analyses were then conducted to combine the estimates. Meta-regression models were applied to explore potential effect modifiers. More than 2 million hospital admissions for ischemic stroke were identified in 172 cities in China. In single-pollutant models, increases of 10 μg/m3 in particulate matter with aerodynamic diameter

Suggested Citation

  • Yaohua Tian & Hui Liu & Zuolin Zhao & Xiao Xiang & Man Li & Juan Juan & Jing Song & Yaying Cao & Xiaowen Wang & Libo Chen & Chen Wei & Yonghua Hu & Pei Gao, 2018. "Association between ambient air pollution and daily hospital admissions for ischemic stroke: A nationwide time-series analysis," PLOS Medicine, Public Library of Science, vol. 15(10), pages 1-16, October.
    • Handle: RePEc:plo:pmed00:1002668
    DOI: 10.1371/journal.pmed.1002668
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    Cited by:

    1. Geraldine P. Y. Koo & Huili Zheng & Joel C. L. Aik & Benjamin Y. Q. Tan & Vijay K. Sharma & Ching Hui Sia & Marcus E. H. Ong & Andrew F. W. Ho, 2023. "Clustering of Environmental Parameters and the Risk of Acute Ischaemic Stroke," IJERPH, MDPI, vol. 20(6), pages 1-10, March.
    2. Rattapon Onchang & Kannigar Hirunkasi & Siriwan Janchay, 2022. "Establishment of a City-Based Index to Communicate Air Pollution-Related Health Risks to the Public in Bangkok, Thailand," Sustainability, MDPI, vol. 14(24), pages 1-14, December.
    3. Wojciech Nazar & Katarzyna Plata-Nazar, 2021. "Changes in Air Pollution-Related Behaviour Measured by Google Trends Search Volume Index in Response to Reported Air Quality in Poland," IJERPH, MDPI, vol. 18(21), pages 1-17, November.
    4. Zesheng Chen & Bin Wang & Yanlin Hu & Lan Dai & Yangming Liu & Jing Wang & Xueqin Cao & Yiming Wu & Ting Zhou & Xiuqing Cui & Tingming Shi, 2022. "Short-Term Effects of Low-Level Ambient Air NO 2 on the Risk of Incident Stroke in Enshi City, China," IJERPH, MDPI, vol. 19(11), pages 1-13, May.
    5. Britney Gaines & Itai Kloog & Inbar Zucker & Gal Ifergane & Victor Novack & Carmit Libruder & Yael Hershkovitz & Perry E. Sheffield & Maayan Yitshak-Sade, 2023. "Particulate Air Pollution Exposure and Stroke among Adults in Israel," IJERPH, MDPI, vol. 20(2), pages 1-11, January.

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