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

Author

Listed:
  • 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
    Peking University Medical Informatics Center, Beijing 100191, China)

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.

Suggested Citation

  • Man Li & Yao Wu & Yao-Hua Tian & Ya-Ying Cao & Jing Song & Zhe Huang & Xiao-Wen Wang & Yong-Hua Hu, 2018. "Association Between PM 2.5 and Daily Hospital Admissions for Heart Failure: A Time-Series Analysis in Beijing," IJERPH, MDPI, vol. 15(10), pages 1-9, October.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:10:p:2217-:d:174767
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    References listed on IDEAS

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    1. Jin-Feng Wang & Mao-Gui Hu & Cheng-Dong Xu & George Christakos & Yu Zhao, 2013. "Estimation of Citywide Air Pollution in Beijing," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-6, January.
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    Cited by:

    1. Tan Chen & Shulin Deng & Manchun Li, 2018. "Spatial Patterns of Satellite-Retrieved PM 2.5 and Long-Term Exposure Assessment of China from 1998 to 2016," IJERPH, MDPI, vol. 15(12), pages 1-13, December.
    2. Hongbo Chen & Junhui Wu & Mengying Wang & Siyue Wang & Jiating Wang & Huan Yu & Yonghua Hu & Shaomei Shang, 2021. "Impact of Exposure to Ambient Fine Particulate Matter Pollution on Adults with Knee Osteoarthritis," IJERPH, MDPI, vol. 18(18), pages 1-10, September.

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