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Multi-City Analysis of the Acute Effect of Polish Smog on Cause-Specific Mortality (EP-PARTICLES Study)

Author

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  • Michał Święczkowski

    (Department of Invasive Cardiology, Medical University of Bialystok, 15-089 Bialystok, Poland)

  • Sławomir Dobrzycki

    (Department of Invasive Cardiology, Medical University of Bialystok, 15-089 Bialystok, Poland)

  • Łukasz Kuźma

    (Department of Invasive Cardiology, Medical University of Bialystok, 15-089 Bialystok, Poland)

Abstract

Polish smog is a specific type of air pollution present in Eastern Poland, which may cause particularly adverse cardiovascular effects. It is characterized primarily by high concentrations of particulate matter (PM) and different favorable conditions of formation. Our study aimed to assess whether PM and nitrogen dioxide (NO 2 ) have a short-term impact on mortality due to acute coronary syndrome (ACS) and ischemic stroke (IS). The study covered the years 2016–2020, a total of 6 million person-years from five main cities in Eastern Poland. To evaluate the association between air pollution and cause-specific mortality, a case-crossover study design with conditional logistic regression was used at days with LAG from 0 to 2. We recorded 87,990 all-cause deaths, including 9688 and 3776 deaths due to ACS and IS, respectively. A 10 μg/m 3 increase in air pollutants was associated with an increase in mortality due to ACS (PM 2.5 OR = 1.029, 95%CI 1.011–1.047, p = 0.002; PM 10 OR = 1.015, 95%CI 1–1.029, p = 0.049) on LAG 0. On LAG 1 we recorded an increase in both IS (PM 2.5 OR = 1.03, 95%CI 1.001–1.058, p = 0.04) and ACS (PM 2.5 OR = 1.028, 95%CI 1.01–1.047, p = 0.003; PM 10 OR = 1.026, 95%CI 1.011–1.041, p = 0.001; NO 2 OR = 1.036, 95%CI 1.003–1.07, p = 0.04). There was a strong association between air pollution and cause-specific mortality in women (ACS: PM 2.5 OR = 1.032, 95%CI 1.006–1.058, p = 0.01; PM 10 OR = 1.028, 95%CI 1.008–1.05, p = 0.01) and elderly (ACS: PM 2.5 OR = 1.03, 95%CI 1.01–1.05, p = 0.003; PM 10 OR = 1.027, 95% CI 1.011–1.043, p < 0.001 and IS: PM 2.5 OR = 1.037, 95%CI 1.007–1.069, p = 0.01; PM 10 OR = 1.025, 95%CI 1.001–1.05, p = 0.04). The negative influence of PMs was observed on mortality due to ACS and IS. NO 2 was associated with only ACS-related mortality. The most vulnerable subgroups were women and the elderly.

Suggested Citation

  • Michał Święczkowski & Sławomir Dobrzycki & Łukasz Kuźma, 2023. "Multi-City Analysis of the Acute Effect of Polish Smog on Cause-Specific Mortality (EP-PARTICLES Study)," IJERPH, MDPI, vol. 20(8), pages 1-17, April.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:8:p:5566-:d:1126296
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    References listed on IDEAS

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    1. Manuela Casula & Federica Galimberti & Marica Iommi & Elena Olmastroni & Simona Rosa & Mattia Altini & Alberico L. Catapano & Elena Tragni & Elisabetta Poluzzi, 2022. "Impact of the COVID-19 Pandemic on the Therapeutic Continuity among Outpatients with Chronic Cardiovascular Therapies," IJERPH, MDPI, vol. 19(19), pages 1-11, September.
    2. Suganthi Jaganathan & Lindsay M. Jaacks & Melina Magsumbol & Gagandeep K. Walia & Nancy L. Sieber & Roopa Shivasankar & Preet K. Dhillon & Safraj Shahul Hameed & Joel Schwartz & Dorairaj Prabhakaran, 2019. "Association of Long-Term Exposure to Fine Particulate Matter and Cardio-Metabolic Diseases in Low- and Middle-Income Countries: A Systematic Review," IJERPH, MDPI, vol. 16(14), pages 1-18, July.
    3. Pallav Deka & Jesús Blesa & Dola Pathak & Nuria Sempere-Rubio & Paula Iglesias & Lydia Micó & José Miguel Soriano & Leonie Klompstra & Elena Marques-Sule, 2022. "Combined Dietary Education and High-Intensity Interval Resistance Training Improve Health Outcomes in Patients with Coronary Artery Disease," IJERPH, MDPI, vol. 19(18), pages 1-10, September.
    4. Mingrui Cui & Changqing Zhan & Wenjuan Wu & Dandan Guo & Yijun Song, 2022. "Acute Gaseous Air Pollution Exposure and Hospitalizations for Acute Ischemic Stroke: A Time-Series Analysis in Tianjin, China," IJERPH, MDPI, vol. 19(20), pages 1-8, October.
    5. Britney Gaines & Itai Kloog & Inbar Zucker & Gal Ifergane & Victor Novack & Carmit Libruder & Yael Hershkovitz & Perry E. Sheffield & Maayan Yitshak-Sade, 2023. "Particulate Air Pollution Exposure and Stroke among Adults in Israel," IJERPH, MDPI, vol. 20(2), pages 1-11, January.
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