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严重急性呼吸综合征与颗粒物暴露:一项系统综述。

Severe Acute Respiratory Syndrome and Particulate Matter Exposure: A Systematic Review.

作者信息

Podury Sanjiti, Kwon Sophia, Javed Urooj, Farooqi Muhammad S, Li Yiwei, Liu Mengling, Grunig Gabriele, Nolan Anna

机构信息

Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, New York University Grossman School of Medicine (NYUGSoM), New York, NY 10016, USA.

Department of Population Health, Division of Biostatistics, New York University Grossman School of Medicine (NYUGSoM), New York, NY 10016, USA.

出版信息

Life (Basel). 2023 Feb 15;13(2):538. doi: 10.3390/life13020538.

Abstract

BACKGROUND

Particulate matter (PM) exposure is responsible for seven million deaths annually and has been implicated in the pathogenesis of respiratory infections such as severe acute respiratory syndrome (SARS). Understanding modifiable risk factors of high mortality, resource burdensome C19 and exposure risks such as PM is key to mitigating their devastating effects. This systematic review focuses on the literature available, identifying the spatial and temporal variation in the role of quantified PM exposure in SARS disease outcome and planning our future experimental studies.

METHODS

The systematic review utilized keywords adhered to the PRISMA guidelines. We included original human research studies in English.

RESULTS

Initial search yielded = 906, application of eligibility criteria yielded = 46. Upon analysis of risk of bias = 41 demonstrated high risk. Studies found a positive association between elevated PM, PM and SARS-related outcomes. A geographic and temporal variation in both PM and C19's role was observed.

CONCLUSION

C19 is a high mortality and resource intensive disease which devastated the globe. PM exposure is also a global health crisis. Our systematic review focuses on the intersection of this impactful disease-exposure dyad and understanding the role of PM is important in the development of interventions to prevent future spread of viral infections.

摘要

背景

每年有700万人死于接触颗粒物(PM),且颗粒物与严重急性呼吸综合征(SARS)等呼吸道感染的发病机制有关。了解高死亡率、资源负担沉重的C19以及PM等暴露风险的可改变风险因素,是减轻其破坏性影响的关键。本系统评价聚焦现有文献,确定量化的PM暴露在SARS疾病结局中的作用的时空变化,并规划我们未来的实验研究。

方法

该系统评价使用了符合PRISMA指南的关键词。我们纳入了英文的原始人体研究。

结果

初步检索得到906篇文献,应用纳入标准后得到46篇。在分析偏倚风险时,41篇显示高风险。研究发现PM升高、PM与SARS相关结局之间存在正相关。观察到PM和C19的作用在地理和时间上存在差异。

结论

C19是一种高死亡率且资源密集型的疾病,给全球带来了巨大破坏。PM暴露也是一场全球健康危机。我们的系统评价聚焦于这种有重大影响的疾病-暴露二元组的交叉点,了解PM的作用对于制定预防病毒感染未来传播的干预措施很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b746/9962044/e79cd6b7ba49/life-13-00538-g002.jpg

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