Particulate air pollution and cardiorespiratory hospital admissions in a temperate Australian city: A case-crossover analysis

Hansen, Alana, Bi, Peng, Nitschke, Monika, Pisaniello, Dino, Ryan, Philip, Sullivan, Thomas, & Barnett, Adrian G. (2012) Particulate air pollution and cardiorespiratory hospital admissions in a temperate Australian city: A case-crossover analysis. Science of the Total Environment, 416, pp. 48-52.

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Although ambient air pollution exposure has been linked with poor health in many parts of the world, no previous study has investigated the effect on morbidity in the city of Adelaide, South Australia.

To explore the association between particulate matter (PM) and hospitalisations, including respiratory and cardiovascular admissions in Adelaide, South Australia. Methods: For the study period September 2001 to October 2007, daily counts of all-cause, cardiovascular and respiratory hospital admissions were collected, as well as daily air quality data including concentrations of particulates, ozone and nitrogen dioxide. Visibility codes for presentweather conditions identified dayswhen airborne dust or smoke was observed. The associations between PM and hospitalisations were estimated using timestratified case-crossover analyses controlling for covariates including temperature, relative humidity, other pollutants, day of the week and public holidays.

Mean PM10 concentrations were higher in the warm season, whereas PM2.5 concentrations were higher in the cool season. Hospital admissions were associated with PM10 in the cool season and with PM2.5 in both seasons. No significant effect of PM on all-age respiratory admissions was detected, however cardiovascular admissions were associated with both PM2.5 and PM10 in the cool season with the highest effects for PM2.5 (4.48%, 95% CI: 0.74%, 8.36% increase per 10 μg/m3 increase in PM2.5).

These findings suggest that despite the city's relatively low levels of air pollution, PMconcentrations are associated with increases in morbidity in Adelaide. Further studies are needed to investigate the sources of PM which may be contributing to the higher cool season effects.

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18 citations in Scopus
16 citations in Web of Science®
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ID Code: 53383
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: air pollution, Particulate matter, Cardiovascular disease, Hospital admissions
DOI: 10.1016/j.scitotenv.2011.09.027
ISSN: 0048-9697
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Epidemiology (111706)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2012 Elsevier B.V. All rights reserved.
Deposited On: 29 Aug 2012 23:01
Last Modified: 16 Jul 2017 16:01

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