Out-of-hospital cardiac arrests and outdoor air pollution exposure in Copenhagen, Denmark
Cardiovascular disease is the number one cause of death globally and air pollution can be a contributing cause. Acute myocardial infarction and cardiac arrest are frequent manifestations of coronary heart disease. The objectives of the study were to investigate the association between 4 657 out-of-h...
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| description | Cardiovascular disease is the number one cause of death globally and air pollution can be a contributing cause. Acute myocardial infarction and cardiac arrest are frequent manifestations of coronary heart disease. The objectives of the study were to investigate the association between 4 657 out-of-hospital cardiac arrests (OHCA) and hourly and daily outdoor levels of PM(10), PM(2.5), coarse fraction of PM (PM(10-2.5)), ultrafine particle proxies, NO(x), NO(2), O(3) and CO in Copenhagen, Denmark, for the period 2000-2010. Susceptible groups by age and sex was also investigated. A case-crossover design was applied. None of the hourly lags of any of the pollutants were significantly associated with OHCA events. The strongest association with OHCA events was observed for the daily lag4 of PM(2.5), lag3 of PM(10), lag3 of PM(10-2.5), lag3 of NO(x) and lag4 of CO. An IQR increase of PM(2.5) and PM(10) was associated with a significant increase of 4% (95% CI: 0%; 9%) and 5% (95% CI: 1%; 9%) in OHCA events with 3 days lag, respectively. None of the other daily lags or other pollutants was significantly associated with OHCA events. Adjustment for O(3) slightly increased the association between OHCA and PM(2.5) and PM(10). No susceptible groups were identified. |
| doi_str_mv | 10.1371/journal.pone.0053684 |
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Acute myocardial infarction and cardiac arrest are frequent manifestations of coronary heart disease. The objectives of the study were to investigate the association between 4 657 out-of-hospital cardiac arrests (OHCA) and hourly and daily outdoor levels of PM(10), PM(2.5), coarse fraction of PM (PM(10-2.5)), ultrafine particle proxies, NO(x), NO(2), O(3) and CO in Copenhagen, Denmark, for the period 2000-2010. Susceptible groups by age and sex was also investigated. A case-crossover design was applied. None of the hourly lags of any of the pollutants were significantly associated with OHCA events. The strongest association with OHCA events was observed for the daily lag4 of PM(2.5), lag3 of PM(10), lag3 of PM(10-2.5), lag3 of NO(x) and lag4 of CO. An IQR increase of PM(2.5) and PM(10) was associated with a significant increase of 4% (95% CI: 0%; 9%) and 5% (95% CI: 1%; 9%) in OHCA events with 3 days lag, respectively. None of the other daily lags or other pollutants was significantly associated with OHCA events. Adjustment for O(3) slightly increased the association between OHCA and PM(2.5) and PM(10). No susceptible groups were identified.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0053684</identifier><identifier>PMID: 23341975</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Age Distribution ; Aged ; Air pollution ; Air Pollution - adverse effects ; Air Pollution - statistics & numerical data ; Atherosclerosis ; Atmospheric pollution ; Biology ; Cardiac arrest ; Cardiology ; Cardiovascular disease ; Cardiovascular diseases ; Coronary artery disease ; Denmark - epidemiology ; Disease Susceptibility ; Emergency medical care ; Engineering ; Environmental Exposure - adverse effects ; Environmental Exposure - statistics & numerical data ; Environmental health ; Environmental science ; Female ; Health sciences ; Heart ; Heart attack ; Heart attacks ; Heart diseases ; Hospitals ; Humans ; Industrialized nations ; Infarction ; Male ; Medical research ; Medicine ; Middle Aged ; Mortality ; Myocardial infarction ; Nitrogen dioxide ; Out-of-Hospital Cardiac Arrest - epidemiology ; Out-of-Hospital Cardiac Arrest - etiology ; Outdoor air quality ; Particulate matter ; Particulate Matter - adverse effects ; Particulate Matter - analysis ; Pollutants ; Pollution ; Public health ; Sex Distribution ; Studies ; Systematic review ; Time Factors</subject><ispartof>PloS one, 2013-01, Vol.8 (1), p.e53684</ispartof><rights>COPYRIGHT 2013 Public Library of Science</rights><rights>2013 Wichmann et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Acute myocardial infarction and cardiac arrest are frequent manifestations of coronary heart disease. The objectives of the study were to investigate the association between 4 657 out-of-hospital cardiac arrests (OHCA) and hourly and daily outdoor levels of PM(10), PM(2.5), coarse fraction of PM (PM(10-2.5)), ultrafine particle proxies, NO(x), NO(2), O(3) and CO in Copenhagen, Denmark, for the period 2000-2010. Susceptible groups by age and sex was also investigated. A case-crossover design was applied. None of the hourly lags of any of the pollutants were significantly associated with OHCA events. The strongest association with OHCA events was observed for the daily lag4 of PM(2.5), lag3 of PM(10), lag3 of PM(10-2.5), lag3 of NO(x) and lag4 of CO. An IQR increase of PM(2.5) and PM(10) was associated with a significant increase of 4% (95% CI: 0%; 9%) and 5% (95% CI: 1%; 9%) in OHCA events with 3 days lag, respectively. None of the other daily lags or other pollutants was significantly associated with OHCA events. Adjustment for O(3) slightly increased the association between OHCA and PM(2.5) and PM(10). No susceptible groups were identified.</description><subject>Age Distribution</subject><subject>Aged</subject><subject>Air pollution</subject><subject>Air Pollution - adverse effects</subject><subject>Air Pollution - statistics & numerical data</subject><subject>Atherosclerosis</subject><subject>Atmospheric pollution</subject><subject>Biology</subject><subject>Cardiac arrest</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Coronary artery disease</subject><subject>Denmark - epidemiology</subject><subject>Disease Susceptibility</subject><subject>Emergency medical care</subject><subject>Engineering</subject><subject>Environmental Exposure - adverse effects</subject><subject>Environmental Exposure - statistics & numerical data</subject><subject>Environmental health</subject><subject>Environmental science</subject><subject>Female</subject><subject>Health sciences</subject><subject>Heart</subject><subject>Heart attack</subject><subject>Heart attacks</subject><subject>Heart diseases</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Industrialized nations</subject><subject>Infarction</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Myocardial infarction</subject><subject>Nitrogen dioxide</subject><subject>Out-of-Hospital Cardiac Arrest - 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Acute myocardial infarction and cardiac arrest are frequent manifestations of coronary heart disease. The objectives of the study were to investigate the association between 4 657 out-of-hospital cardiac arrests (OHCA) and hourly and daily outdoor levels of PM(10), PM(2.5), coarse fraction of PM (PM(10-2.5)), ultrafine particle proxies, NO(x), NO(2), O(3) and CO in Copenhagen, Denmark, for the period 2000-2010. Susceptible groups by age and sex was also investigated. A case-crossover design was applied. None of the hourly lags of any of the pollutants were significantly associated with OHCA events. The strongest association with OHCA events was observed for the daily lag4 of PM(2.5), lag3 of PM(10), lag3 of PM(10-2.5), lag3 of NO(x) and lag4 of CO. An IQR increase of PM(2.5) and PM(10) was associated with a significant increase of 4% (95% CI: 0%; 9%) and 5% (95% CI: 1%; 9%) in OHCA events with 3 days lag, respectively. None of the other daily lags or other pollutants was significantly associated with OHCA events. Adjustment for O(3) slightly increased the association between OHCA and PM(2.5) and PM(10). No susceptible groups were identified.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23341975</pmid><doi>10.1371/journal.pone.0053684</doi><tpages>e53684</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Age Distribution Aged Air pollution Air Pollution - adverse effects Air Pollution - statistics & numerical data Atherosclerosis Atmospheric pollution Biology Cardiac arrest Cardiology Cardiovascular disease Cardiovascular diseases Coronary artery disease Denmark - epidemiology Disease Susceptibility Emergency medical care Engineering Environmental Exposure - adverse effects Environmental Exposure - statistics & numerical data Environmental health Environmental science Female Health sciences Heart Heart attack Heart attacks Heart diseases Hospitals Humans Industrialized nations Infarction Male Medical research Medicine Middle Aged Mortality Myocardial infarction Nitrogen dioxide Out-of-Hospital Cardiac Arrest - epidemiology Out-of-Hospital Cardiac Arrest - etiology Outdoor air quality Particulate matter Particulate Matter - adverse effects Particulate Matter - analysis Pollutants Pollution Public health Sex Distribution Studies Systematic review Time Factors |
| title | Out-of-hospital cardiac arrests and outdoor air pollution exposure in Copenhagen, Denmark |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T17%3A47%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Out-of-hospital%20cardiac%20arrests%20and%20outdoor%20air%20pollution%20exposure%20in%20Copenhagen,%20Denmark&rft.jtitle=PloS%20one&rft.au=Wichmann,%20Janine&rft.date=2013-01-14&rft.volume=8&rft.issue=1&rft.spage=e53684&rft.pages=e53684-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0053684&rft_dat=%3Cgale_plos_%3EA478286805%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1289071679&rft_id=info:pmid/23341975&rft_galeid=A478286805&rft_doaj_id=oai_doaj_org_article_f7eccf33a6b44c08873d9d47b049f383&rfr_iscdi=true |