Short-term effects of air pollution on hospital admissions of respiratory diseases in Europe : A quantitative summary of APHEA study results.
The Air Pollution and Health : a European Approach (APHEA) project is a coordinated study of the short-term effects of air pollution on mortality and hospital admissions.
Five West European cities (i.e., London, Amsterdam, Rotterdam, Paris, Milano) contributed several years of hospital admissions data for all respiratory causes.
In the current study, the authors describe the results obtained from the quantitative pooling (meta-analysis) of local analyses.
The diagnostic group was defined by ICD 460-519.
The age groups studied were 15-64 y (i.e., adults) and 65+y (elderly).
The air pollutants studied were sulfur dioxide ; particles (i.e., Black Smoke or total suspended particles) ; ozone ; and nitrogen dioxide.
The pollutants were obtained from existing fixed-site monitors in a standardized manner.
We used Poisson models and standardized confounder models to examine the associations between daily hospital admissions and air pollution.
We conducted quantitative pooling by calculating the weighted means of local regression coefficients.
We used a fixed-effects model when no heterogeneity could be detected ; otherwise, we used a random-effects model.
When possible, the authors investigated the factors correlated with heterogeneity.
The most consistent and strong finding was a significant increase of daily admissions for respiratory diseases (adults and elderly) with elevated levels of ozone. (...)
Mots-clés Pascal : Pollution air, Toxicité, Homme, Hospitalisation, Europe, Mortalité, Epidémiologie, Exposition, Court terme, Coopération, Etude multicentrique, Milieu urbain
Mots-clés Pascal anglais : Air pollution, Toxicity, Human, Hospitalization, Europe, Mortality, Epidemiology, Exposure, Short term, Cooperation, Multicenter study, Urban environment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0255325
Code Inist : 002B03M02. Création : 11/09/1998.