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Acute and Chronic Effects of Particles on Hospital Admissions in New-England

Author

Listed:
  • Itai Kloog
  • Brent A Coull
  • Antonella Zanobetti
  • Petros Koutrakis
  • Joel D Schwartz

Abstract

Background: Many studies have reported significant associations between exposure to PM2.5 and hospital admissions, but all have focused on the effects of short-term exposure. In addition all these studies have relied on a limited number of PM2.5 monitors in their study regions, which introduces exposure error, and excludes rural and suburban populations from locations in which monitors are not available, reducing generalizability and potentially creating selection bias. Methods: Using our novel prediction models for exposure combining land use regression with physical measurements (satellite aerosol optical depth) we investigated both the long and short term effects of PM2.5 exposures on hospital admissions across New-England for all residents aged 65 and older. We performed separate Poisson regression analysis for each admission type: all respiratory, cardiovascular disease (CVD), stroke and diabetes. Daily admission counts in each zip code were regressed against long and short-term PM2.5 exposure, temperature, socio-economic data and a spline of time to control for seasonal trends in baseline risk. Results: We observed associations between both short-term and long-term exposure to PM2.5 and hospitalization for all of the outcomes examined. In example, for respiratory diseases, for every10-µg/m3 increase in short-term PM2.5 exposure there is a 0.70 percent increase in admissions (CI = 0.35 to 0.52) while concurrently for every10-µg/m3 increase in long-term PM2.5 exposure there is a 4.22 percent increase in admissions (CI = 1.06 to 4.75). Conclusions: As with mortality studies, chronic exposure to particles is associated with substantially larger increases in hospital admissions than acute exposure and both can be detected simultaneously using our exposure models.

Suggested Citation

  • Itai Kloog & Brent A Coull & Antonella Zanobetti & Petros Koutrakis & Joel D Schwartz, 2012. "Acute and Chronic Effects of Particles on Hospital Admissions in New-England," PLOS ONE, Public Library of Science, vol. 7(4), pages 1-8, April.
  • Handle: RePEc:plo:pone00:0034664
    DOI: 10.1371/journal.pone.0034664
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    Citations

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    Cited by:

    1. Lianfa Li & Jiehao Zhang & Wenyang Qiu & Jinfeng Wang & Ying Fang, 2017. "An Ensemble Spatiotemporal Model for Predicting PM 2.5 Concentrations," IJERPH, MDPI, vol. 14(5), pages 1-20, May.
    2. Yoshiko Yoda & Kenji Tamura & Sho Adachi & Naruhito Otani & Shoji F. Nakayama & Masayuki Shima, 2020. "Effects of the Use of Air Purifier on Indoor Environment and Respiratory System among Healthy Adults," IJERPH, MDPI, vol. 17(10), pages 1-11, May.
    3. Séverine Deguen & Claire Petit & Angélique Delbarre & Wahida Kihal & Cindy Padilla & Tarik Benmarhnia & Annabelle Lapostolle & Pierre Chauvin & Denis Zmirou-Navier, 2015. "Neighbourhood Characteristics and Long-Term Air Pollution Levels Modify the Association between the Short-Term Nitrogen Dioxide Concentrations and All-Cause Mortality in Paris," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-14, July.
    4. Su-Lun Hwang & Su-Er Guo & Miao-Ching Chi & Chiang-Ting Chou & Yu-Ching Lin & Chieh-Mo Lin & Yen-Li Chou, 2016. "Association between Atmospheric Fine Particulate Matter and Hospital Admissions for Chronic Obstructive Pulmonary Disease in Southwestern Taiwan: A Population-Based Study," IJERPH, MDPI, vol. 13(4), pages 1-9, March.
    5. Maayan Yitshak-Sade & Kevin J Lane & M Patricia Fabian & Itai Kloog & Jaime E Hart & Brigette Davis & Kelvin C Fong & Joel D Schwartz & Francine Laden & Antonella Zanobetti, 2020. "Race or racial segregation? Modification of the PM2.5 and cardiovascular mortality association," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-12, July.
    6. 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.
    7. Maayan Yitshak-Sade & Peter James & Itai Kloog & Jaime E. Hart & Joel D. Schwartz & Francine Laden & Kevin J. Lane & M. Patricia Fabian & Kelvin C. Fong & Antonella Zanobetti, 2019. "Neighborhood Greenness Attenuates the Adverse Effect of PM 2.5 on Cardiovascular Mortality in Neighborhoods of Lower Socioeconomic Status," IJERPH, MDPI, vol. 16(5), pages 1-10, March.
    8. Itai Kloog & Francesco Nordio & Antonella Zanobetti & Brent A Coull & Petros Koutrakis & Joel D Schwartz, 2014. "Short Term Effects of Particle Exposure on Hospital Admissions in the Mid-Atlantic States: A Population Estimate," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-7, February.
    9. Kristen Burwell-Naney & Sacoby M. Wilson & Siobhan T. Whitlock & Robin Puett, 2019. "Hybrid Resiliency-Stressor Conceptual Framework for Informing Decision Support Tools and Addressing Environmental Injustice and Health Inequities," IJERPH, MDPI, vol. 16(8), pages 1-19, April.

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