性别和年龄与心血管疾病急诊入院的关系：基于台湾医院的研究。
Sex-age differences in association with particulate matter and emergency admissions for cardiovascular diseases: a hospital-based study in Taiwan.
机构信息
Department of Healthcare Information and Management, Ming Chuan University, Taoyuan, Taiwan, ROC.
出版信息
Public Health. 2013 Sep;127(9):828-33. doi: 10.1016/j.puhe.2013.04.010. Epub 2013 Aug 20.
OBJECTIVE
To explore the association between short-term exposure to particulate matter (PM) and cardiovascular diseases (CVDs) emergency room visits.
STUDY DESIGN
Case-control study.
METHODS
2785 Emergency visits with presented cardiovascular diseases and 24,572 controls from ten hospitals in 2005 were obtained from a Taiwan's National Health Database. Daily PM10 data and meteorological information collected from an air monitoring station near the ten hospitals were used to calculate the exposure levels. Using multiple logistic regression analysis, adjusted odds ratios (AOR) were estimated for the associations of PM and temperature with ischaemic heart disease (IHD) and hypertension heart disease (HHD).
RESULTS
A positive association (AOR = 1.05-1.75) between IHD emergency admission among women older than 65 and exposure to daily levels of PM10 pollution standard index (PSI) ≥50 compared with respondents exposed to PM10 PSI <50.
CONCLUSIONS
To prevent exacerbation of IHD, people, especially elderly women, should be urged to reduce exposure to unhealthy PSI levels.
目的
探讨短期暴露于颗粒物（PM）与心血管疾病（CVDs）急诊就诊之间的关系。
研究设计
病例对照研究。
方法
从台湾国家健康资料库中获取了 2005 年来自十家医院的 2785 例心血管疾病急诊就诊病例和 24572 例对照病例。使用来自十家医院附近空气监测站的每日 PM10 数据和气象信息来计算暴露水平。采用多因素 logistic 回归分析，估计 PM 和温度与缺血性心脏病（IHD）和高血压心脏病（HHD）之间的关联的调整比值比（AOR）。
结果
对于年龄大于 65 岁的女性，与暴露于 PM10 污染标准指数（PSI）<50 的人群相比，每日 PM10 水平≥50 的人群发生 IHD 急诊入院的风险呈正相关（AOR=1.05-1.75）。
结论
为了预防 IHD 的恶化，应敦促人们，尤其是老年女性，减少接触不健康的 PSI 水平。
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