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Short-term effects of nitrogen dioxide on hospital admissions for cardiovascular disease in Wallonia, Belgium.

Surveillance de la santé et des maladies  
[1]
Téléchargement 588.36 Ko [1]

Public Access

Published

Peer reviewed scientific article

Anglais

DOI : https://doi.org/10.1016/j.ijcard.2017.12.058 [2]

Auteurs

Philippe Collart [3]; Dominique Dubourg [4]; Leveque, Alain [5]; Natalia Bustos Sierra [6]; Yves Coppieters [7]

Mots-clés

  1. air pollution [8]
  2. Arrhythmia [9]
  3. Cardiovascular Diseases [10]
  4. environmental exposure [11]
  5. Myocardial Infarction [12]
  6. Nitrogen Dioxide [13]
  7. Stroke [14]

Résumé:

Many studies have shown a short-term association between NO and cardiovascular disease. However, few data are available on the delay between exposure and a health-related event. The aim of the present study is to determine the strength of association between NO and cardiovascular health in Wallonia for the period 2008-2011. This study also seeks to evaluate the effects of age, gender, season and temperature on this association. The effect of the delay between exposure and health-related event was also investigated. The daily numbers of hospital admissions for arrhythmia, acute myocardial in…
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Résumé

Many studies have shown a short-term association between NO and cardiovascular disease. However, few data are available on the delay between exposure and a health-related event. The aim of the present study is to determine the strength of association between NO and cardiovascular health in Wallonia for the period 2008-2011. This study also seeks to evaluate the effects of age, gender, season and temperature on this association. The effect of the delay between exposure and health-related event was also investigated. The daily numbers of hospital admissions for arrhythmia, acute myocardial infarction, ischemic and haemorrhagic stroke were taken from a register kept by Belgian hospitals. Analyses were performed using the quasi-Poisson regression model adjusted for seasonality, long-term trend, day of the week, and temperature. Our study confirms the existence of an association between NO and cardiovascular disease. Apart from haemorrhagic stroke, the strongest association between NO concentrations and number of hospital admissions is observed at lag 0. For haemorrhagic stroke, the association is strongest with a delay of 2days. All associations calculated without stratification are statistically significant and range from an excess relative risk of 2.8% for myocardial infarction to 4.9% for haemorrhagic strokes. The results of this study reinforce the evidence of the short-term effects of NO on hospital admissions for cardiovascular disease. The different delay between exposure and health-related event for haemorrhagic stroke compared to ischemic stroke suggests different mechanisms of action.

Associated health topics:

Surveillance de la santé et des maladies [15]

Source URL:https://www.sciensano.be/fr/biblio/short-term-effects-nitrogen-dioxide-hospital-admissions-cardiovascular-disease-wallonia-belgium

Liens
[1] https://www.sciensano.be/sites/default/files/1-s2.0-s0167527317372789-main.pdf [2] https://doi.org/10.1016/j.ijcard.2017.12.058 [3] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=87443&f%5Bsearch%5D=Philippe%20Collart [4] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=87444&f%5Bsearch%5D=Dominique%20Dubourg [5] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=46050&f%5Bsearch%5D=Leveque%2C%20Alain [6] https://www.sciensano.be/fr/people/natalia-bustos-sierra/biblio [7] https://www.sciensano.be/fr/biblio?f%5Bauthor%5D=87445&f%5Bsearch%5D=Yves%20Coppieters [8] https://www.sciensano.be/fr/biblio?f%5Bkeyword%5D=21411&f%5Bsearch%5D=air%20pollution [9] https://www.sciensano.be/fr/biblio?f%5Bkeyword%5D=36018&f%5Bsearch%5D=Arrhythmia [10] https://www.sciensano.be/fr/biblio?f%5Bkeyword%5D=24624&f%5Bsearch%5D=Cardiovascular%20Diseases [11] https://www.sciensano.be/fr/biblio?f%5Bkeyword%5D=4458&f%5Bsearch%5D=environmental%20exposure [12] https://www.sciensano.be/fr/biblio?f%5Bkeyword%5D=23967&f%5Bsearch%5D=Myocardial%20Infarction [13] https://www.sciensano.be/fr/biblio?f%5Bkeyword%5D=36019&f%5Bsearch%5D=Nitrogen%20Dioxide [14] https://www.sciensano.be/fr/biblio?f%5Bkeyword%5D=23235&f%5Bsearch%5D=Stroke [15] https://www.sciensano.be/fr/sujets-sante/surveillance-de-la-sante-et-des-maladies