Association Between PM 2.5 and Daily Hospital Admissions for Heart Failure: A Time-Series Analysis in Beijing

Man Li, Yao Wu, Yao-Hua Tian, Ya-Ying Cao, Jing Song, Zhe Huang, Xiao-Wen Wang and Yong-Hua Hu
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Man Li: School of Public Health, Peking University, Beijing 100191, China
Yao Wu: School of Public Health, Peking University, Beijing 100191, China
Yao-Hua Tian: School of Public Health, Peking University, Beijing 100191, China
Ya-Ying Cao: School of Public Health, Peking University, Beijing 100191, China
Jing Song: School of Public Health, Peking University, Beijing 100191, China
Zhe Huang: School of Public Health, Peking University, Beijing 100191, China
Xiao-Wen Wang: School of Public Health, Peking University, Beijing 100191, China
Yong-Hua Hu: School of Public Health, Peking University, Beijing 100191, China

IJERPH, 2018, vol. 15, issue 10, 1-9

Abstract: There is little evidence that acute exposure to fine particulate matter (PM 2.5 ) impacts the rate of hospitalization for congestive heart failure (CHF) in developing countries. The primary purpose of the present retrospective study was to evaluate the short-term association between ambient PM 2.5 and hospitalization for CHF in Beijing, China. A total of 15,256 hospital admissions for CHF from January 2010 to June 2012 were identified from Beijing Medical Claim Data for Employees and a time-series design with generalized additive Poisson model was used to assess the obtained data. We found a clear significant exposure response association between PM 2.5 and the number of hospitalizations for CHF. Increasing PM 2.5 daily concentrations by 10 μg/m 3 caused a 0.35% (95% CI, 0.06–0.64%) increase in the number of CHF admissions on the same day. We also found that female and older patients were more susceptible to PM 2.5 . These associations remained significant in sensitivity analyses involving changing the degrees of freedom of calendar time, temperature, and relative humidity. PM 2.5 was associated with significantly increased risk of hospitalization for CHF in this citywide study. These findings may contribute to the limited scientific evidence about the acute impacts of PM 2.5 on CHF in China.

Keywords: air pollution; PM 2.5; heart failure; short-term association (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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