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PM2.5 components and hospital admissions

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A 10 μg/m³ rise in two-day PM2.5 was linked to about 1.9% more cardiac emergency admissions in 26 US communities.

Source

Fine particulate air pollution and its components in association with cause-specific emergency admissions

Zanobetti A, Franklin M, Koutrakis P, et al. · Environmental health : a global access science source · 2009

doi.org/10.1186/1476-069x-8-58Read the full paper ↗330 citationscc by

Study at a glance

Design
Other — Seasonal Poisson time-series of Medicare emergency admissions vs PM2.5 and composition
N
N=685716 · 685,716 CVD admissions across 26 US communities (2000–2003); other causes also analyzed
Population
Medicare beneficiaries aged ≥65 in 26 US communities
Outcome
Cause-specific emergency admissions related to PM2.5 mass and species ratios

Structured fields used in claim comparison tables when every cited study has a complete layer.

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PM2.5 components and hospital admissions

These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.

685,716 CVD admissions were examined.

Over all 26 communities we examined 685,716 CVD, 121,652 MI, 238,587 CHF, 46,192 diabetes, and 261,449 respiratory related admissions.

A 10 μg/m³ rise in two-day PM2.5 was linked to a 1.89% increase in CVD admissions.

for a 10 μg/m 3 increase in two-day averaged PM 2.5 concentration we found a 1.89% increase (95% CI: 1.34-2.45) in CVD admissions
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What they did

Ran seasonal Poisson time-series of Medicare emergency admissions (2000–2003) against PM2.5, then meta-regressed effects on particle species-to-mass ratios.

What they found

Per 10 μg/m³: +1.89% CVD, +2.25% MI, +2.07% respiratory admissions; composition modified toxicity so mass alone is incomplete.

The limits

What it doesn't show

Does not identify a single causal species or include people under 65.

Key terms

PM2.5
Particles ≤2.5 μm that penetrate deep into lungs.
Species-to-mass ratio
Share of PM2.5 mass from a chemical component.
CVD admissions
Emergency hospitalizations coded as cardiac disease.
Elemental carbon (EC)
Soot-like carbon often tied to combustion.
NAAQS
US National Ambient Air Quality Standard.
Meta-regression
Second-stage model of why city effects differ.

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Communities:

Common questions

Communities?

26.

CVD admissions?

685,716.

Per 10 μg/m³ CVD?

+1.89%.

Population?

Medicare, age ≥65.

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