This study was undertaken to determine whether there was a correlation between ambient ozone (O3) levels and number of hospital admissions for myocardial infarction (MI) in Taipei, Taiwan. Hospital admissions for MI and ambient air pollution data for Taipei were obtained for the period from 2006 to 2010. The relative risk (RR) of hospital admissions for MI was estimated using a time-stratified case-crossover approach, controlling for weather variables, day of the week, seasonality, and long-term time trends. For the single-pollutant model (without adjustment for other pollutants), increased RR for a number of MI admissions was significantly associated with higher O3 levels both on warm days (>23°C) and on cool days (<23°C). This observation was accompanied by an interquartile range elevation correlated with a 7% (95% CI = 2%-12%) and 17% (95% CI = 11%-25%) rise in number of MI admissions, respectively. In the two-pollutant models, no significant associations between ambient O3 concentrations and number of MI admissions were observed on warm days. However, on cool days, correlation between ambient O3 after inclusion of each of the other five pollutants, particulate matter (PM10 or PM2.5), sulfur dioxide (SO2), nitrogen dioxide (NO2) or carbon monoxide (CO), and number of MI admissions remained significant. This study provides evidence that higher levels of ambient O3 increase the RR of number of hospital admissions for MI.

译文

这项研究旨在确定台湾台北的环境臭氧 (O3) 水平与心肌梗死 (MI) 住院人数之间是否存在相关性。在2006年2010年期间,获得了台北的MI住院人数和环境空气污染数据。使用时间分层的病例交叉方法 (控制天气变量,星期几,季节性和长期时间趋势) 来估计MI的住院相对风险 (RR)。对于单污染物模型 (不调整其他污染物),在温暖的日子 (>23 °C) 和凉爽的日子 (<23 °C),许多MI入院的RR升高与较高的O3水平显着相关。)。此观察结果伴随着四分位间距升高,分别与MI入院人数的7% (95% CI = 2%-12%) 和17% (95% CI = 11%-25%) 相关。在两种污染物模型中,在温暖的日子里,没有观察到环境O3浓度与MI入院次数之间的显着关联。然而,在凉爽的日子里,加入其他五种污染物,颗粒物 (PM10或PM2.5),二氧化硫 (SO2),二氧化氮 (NO2) 或一氧化碳 (CO) 后的环境O3之间的相关性以及MI的入院数量仍然很重要。这项研究提供了证据,表明较高的环境O3水平会增加MI住院人数的RR。

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