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[华西医院的颗粒物与非意外急诊就诊:一项时间序列研究]

[Particulate Matters and Non-accidental Emergency Visits in West China Hospital: a Time-Series Study].

作者信息

Chen Shi-Qi, Wang Yan-Yan, Guo Bing, Zhang Pei, Zhao Xing

机构信息

Department of Epidemiology and Health Statistics, West China School of Public Health, Sichuan University, Chengdu 610041, China.

National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2019 Jan;50(1):71-76.

Abstract

OBJECTIVE

To determine the short-term effect of particulate matter of <2.5 μm (PM) and particulate matter of <10 μm (PM) on non-accidental emergency visits.

METHODS

A time-series study analysis with generalized additive model was performed to establish the associations between air pollution (indicated by PM and PM) and non-accidental emergency visits in the West China Hospital of Sichuan University over the period from 2014 to 2016, categorized by age (<65 and ≥65 yr.).

RESULTS

From January 1, 2014 to November 30, 2016, the Chengdu urban area had an annual average concentration of 66.47 μg/m PM and 109.35 μg/m PM, respectively. The peak short-term effect of particulate matters on non-accidental emergency visits appeared one day after the exposure, with a daily increase of 10 μg/m for PM and PM resulting in an increase of 0.634% (95%: 0.273%-0.997%) and 0.413% (95%: 0.166%-0.660%) non-accidental emergency visits, respectively. For those ≥65 yr., a daily increase of 10 μg/m for PM and PM resulted in 1.439% (95%:0.599%-2.287%) and 1.150% (95%:0.566%-1.738%) increase in non-accidental emergency visits, respectively, after adjustment for all gaseous pollution.

CONCLUSION

High levels of PM and PM are associated with increased non-accidental emergency visits. Older people (over 65 years) are more sensitive to the acute health damage associated with PM and PM.

摘要

目的

确定直径小于2.5微米的颗粒物(PM)和直径小于10微米的颗粒物(PM)对非意外伤害急诊就诊的短期影响。

方法

采用广义相加模型进行时间序列研究分析,以确定四川大学华西医院2014年至2016年期间空气污染(以PM和PM表示)与非意外伤害急诊就诊之间的关联,并按年龄(<65岁和≥65岁)进行分类。

结果

2014年1月1日至2016年11月30日,成都市区PM和PM的年平均浓度分别为66.47μg/m和109.35μg/m。颗粒物对非意外伤害急诊就诊的短期影响峰值出现在暴露后一天,PM和PM每日每增加10μg/m,非意外伤害急诊就诊分别增加0.634%(95%:0.273%-0.997%)和0.413%(95%:0.166%-0.660%)。对于≥65岁的人群,在对所有气态污染物进行调整后,PM和PM每日每增加10μg/m,非意外伤害急诊就诊分别增加1.439%(95%:0.599%-

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