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Air pollution effects on myocardial infarction

Bibliographic Data

ID9260239
AuthorsSônia Cendon (Universidade Federal de São Paulo), Louis S Corsini (corresponding author), Luiz A A Pereira (Universidade Federal de São Paulo), Alfésio L F Braga (Universidade Federal de São Paulo), Gleice M S Conceição (Universidade Federal de São Paulo), Abraão Cury Junior (Universidade Federal de São Paulo), Hélio Romaldini (Universidade Federal de São Paulo), Antônio C Lopes (Universidade Federal de São Paulo), Paulo H N Saldiva (Universidade de São Paulo)
Year2006
Volume40
Issue3
Pages414-419
Publication date2006-06-01
Open AccessYes
TypeARTICLE
VenueRevista de Saúde Pública (JOURNAL)
Journal identifiersISSN: 0034-8910 • E-ISSN: 0034-8910
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s0034-89102006000300008
OpenAlexW16810364
SciELOS0034-89102006000300008
LanguageEN
Citations received3
References cited21

OBJECTIVE: Myocardial infarction is an acute and severe cardiovascular disease that generally leads to patient admissions to intensive care units and few cases are initially admitted to infirmaries. The objective of the study was to assess whether estimates of air pollution effects on myocardial infarction morbidity are modified by the source of health information. METHODS: The study was carried out in hospitals of the Brazilian Health System in the city of São Paulo, Southern Brazil. A time series study (1998-1999) was performed using two outcomes: infarction admissions to infirmaries and to intensive care units, both for people older than 64 years of age. Generalized linear models controlling for seasonality (long and short-term trends) and weather were used. The eight-day cumulative effects of air pollutants were assessed using third degree polynomial distributed lag models. RESULTS: Almost 70% of daily hospital admissions due to myocardial infarction were to infirmaries. Despite that, the effects of air pollutants on infarction were higher for intensive care units admissions. All pollutants were positively associated with the study outcomes but SO2 presented the strongest statistically significant association. An interquartile range increase on SO2 concentration was associated with increases of 13% (95% CI: 6-19) and 8% (95% CI: 2-13) of intensive care units and infirmary infarction admissions, respectively. CONCLUSIONS: It may be assumed there is a misclassification of myocardial infarction admissions to infirmaries leading to overestimation. Also, despite the absolute number of events, admissions to intensive care units data provides a more adequate estimate of the magnitude of air pollution effects on infarction admissions

Political science · Business, Education, Mathematics Research · Education and Teacher Training · Organizational Management and Innovation

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  • Air pollution and health

    Open Access•B Brunekreef, Stephen T Holgate•The Lancet•2002

Citations per year0.15
Citation span2006 - 2012 (7)
Highly citedNo

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