Liu Ssu-Ting, Liao Chu-Yung, Kuo Cheng-Yu, Kuo Hsien-Wen
Institute of Environmental and Occupational Health Sciences, National Yang-Ming University, 155 Li-Nong 2nd Street, Taipei 114, Taiwan.
Department of Early Childhood Educare, College of Health, Chung Chou University of Science and Technology, Changhua 510, Taiwan.
Int J Environ Res Public Health. 2017 Apr 16;14(4):428. doi: 10.3390/ijerph14040428.
A case-crossover study examined how PM from Asian Dust Storms (ADS) affects the number of emergency room (ER) admissions for cardiovascular diseases (CVDs) and respiratory diseases (RDs). Our data indicated that PM concentration from ADS was highly correlated with ER visits for CVDs and RDs. The odds ratios (OR) increased by 2.92 (95% CI: 1.22-5.08) and 1.86 (95% CI: 1.30-2.91) per 10 µg/m³ increase in PM levels, for CVDs and RDs, respectively. A 10 µg/m³ increase in PM from ADSs was significantly associated with an increase in ER visits for CVDs among those 65 years of age and older (an increase of 2.77 in OR) and for females (an increase of 3.09 in OR). In contrast, PM levels had a significant impact on RD ER visits among those under 65 years of age (OR = 1.77). The risk of ER visits for CVDs increased on the day when the ADS occurred in Taiwan and the day after (lag 0 and lag 1); the corresponding risk increase for RDs only increased on the fifth day after the ADS (lag 5). In Taiwan's late winter and spring, the severity of ER visits for CVDs and RDs increases. Environmental protection agencies should employ an early warning system for ADS to reduce high-risk groups' exposure to PM.
一项病例交叉研究考察了亚洲沙尘暴(ADS)中的颗粒物(PM)如何影响心血管疾病(CVD)和呼吸道疾病(RD)的急诊室(ER)就诊人数。我们的数据表明,ADS中的PM浓度与CVD和RD的ER就诊高度相关。对于CVD和RD,PM水平每增加10 µg/m³,优势比(OR)分别增加2.92(95%置信区间:1.22 - 5.08)和1.86(95%置信区间:1.30 - 2.91)。ADS中的PM每增加10 µg/m³,在65岁及以上人群(OR增加2.77)和女性(OR增加3.09)中与CVD的ER就诊增加显著相关。相比之下,PM水平对65岁以下人群的RD急诊就诊有显著影响(OR = 1.77)。CVD的ER就诊风险在台湾发生ADS当天及之后一天(滞后0和滞后1)增加;RD的相应风险增加仅在ADS发生后第五天(滞后5)出现。在台湾的冬末和春季,CVD和RD的ER就诊严重程度增加。环境保护机构应采用ADS预警系统,以减少高危人群接触PM。