Lee I-Ming, Tsai Shang-Shyue, Ho Chi-Kung, Chiu Hui-Fen, Wu Trong-Neng, Yang Chun-Yuh
Institute of Occupational Safety and Health, College of Health Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan.
Environ Res. 2008 Nov;108(3):348-53. doi: 10.1016/j.envres.2008.07.024. Epub 2008 Sep 10.
Recent studies have shown that air pollution is a risk factor for hospitalization for congestive heart failure (CHF). However, there is limited evidence to suggest what subpopulations are at greater risk from air pollution. This study was undertaken to examine the modifying effect of specific secondary diagnosis (including hypertension, diabetes, dysrhythmia, and chronic obstructive pulmonary disease) on the relationship between hospital admissions for CHF and ambient air pollutants. Hospital admissions for CHF and ambient air pollution data for Taipei were obtained for the period from 1996 to 2005. The relative risk of hospital admission was estimated using a case-crossover approach. None of the secondary diagnosis we examined (hypertension, diabetes, dysrhythmia, and chronic obstructive pulmonary disease (COPD)) showed much evidence of effect modification.
近期研究表明,空气污染是导致充血性心力衰竭(CHF)住院的一个风险因素。然而,仅有有限的证据表明哪些亚人群受空气污染影响的风险更高。本研究旨在检验特定二级诊断(包括高血压、糖尿病、心律失常和慢性阻塞性肺疾病)对CHF住院与环境空气污染物之间关系的修正作用。获取了1996年至2005年台北市CHF住院情况及环境空气污染数据。采用病例交叉法估计住院的相对风险。我们所研究的二级诊断(高血压、糖尿病、心律失常和慢性阻塞性肺疾病(COPD))均未显示出明显的效应修正证据。