Short term effects of air pollution on emergency hospital admissions for respiratory disease : results of the APHEA project in two major cities in the Netherlands, 1977-89.
To assess the short term relationship between air pollution and the daily number of emergency hospital admissions for respiratory disease.
Data were analysed using autoregressive Poisson regression allowing for overdispersion and controlling for possible confounding factors such as seasonal and other chronological variables, meteorological factors, and influenza epidemics.
The two major cities in The Netherlands - Amsterdam (694 700 inhabitants) and Rotterdam (576 200 inhabitants).
Participants and measurements
Emergency hospital admissions for respiratory diseases, registered on a daily basis by the National Medical Registration, for the period 1977-89 were used.
ICD-9 codes included were : respiratory (460-519), chronic obstructive pulmonary disease (490-492,494,496), and asthma (493).
The mean (range) of the total daily number of admissions for these three classifications were as follows : 6.70 (0-23), 1.74 (0-9) and 1.13 (0-7) respectively in Amsterdam and 4.79 (0-19), 1.57 (0-9), and 0.53 (0-5) in Rotterdam.
Air pollution measurements were provided by the National Institute of Public Health and Environmental Protection.
In The Netherlands, air pollution is at a low to moderate ( « summer type ») or a low ( « winter type ») level.
The levels in Amsterdam and Rotterdam did not differ much for the « summer type ».
For 1977-89 the mean (range) values of ozone (O3), the « summer type » pollutant (O3-8 h), were 86 (0-252) mug/m3...
Mots-clés Pascal : Pollution air, Toxicité, Appareil respiratoire pathologie, Admission hôpital, Urgence, Epidémiologie, Court terme, Milieu urbain, Pays Bas, Europe, Série temporelle, Santé et environnement, Homme
Mots-clés Pascal anglais : Air pollution, Toxicity, Respiratory disease, Hospital admission, Emergency, Epidemiology, Short term, Urban environment, Netherlands, Europe, Time series, Health and environment, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0247774
Code Inist : 002B03M02. Création : 199608.