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A systematic review of air pollution and incidence of out-of-hospital cardiac arrest

机译:对空气污染和院外心脏骤停发生率的系统评价

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Introduction Studies have linked air pollution with the incidence of acute coronary artery events and cardiovascular mortality but the association with out-of-hospital cardiac arrest (OHCA) is less clear. Aim To examine the association of air pollution with the occurrence of OHCA. Methods Electronic bibliographic databases (until February 2013) were searched. Search terms included common air pollutants and OHCA. Studies of patients with implantable cardioverter defibrillators and OHCA not attended by paramedics were excluded. Two independent reviewers (THKT and TAW) identified potential studies. Methodological quality was assessed by the Newcastle-Ottawa Scale. Results Of 849 studies, 8 met the selection criteria. Significant associations between particulate matter (PM) exposure (especially PM2.5) and OHCA were found in 5 studies. An increase of OHCA risk ranged from 2.4% to 7% per interquartile increase in average PM exposure on the same day and up to 4 days prior to the event. A large study found ozone increased the risk of OHCA within 3 h prior to the event. The strongest risk OR of 3.8-4.6% per 20 parts per billion ozone increase of the average level was within 2 h prior to the event. Similarly, another study found an increased risk of 18% within 2 days prior to the event. Conclusions Larger studies have suggested an increased risk of OHCA with air pollution exposure from PM_(2.5) and ozone.
机译:引言研究已将空气污染与急性冠状动脉事件的发生率和心血管疾病的死亡率联系起来,但与院外心脏骤停(OHCA)的关系尚不清楚。目的探讨空气污染与OHCA的发生之间的关系。方法检索电子书目数据库(至2013年2月)。搜索词包括常见的空气污染物和OHCA。排除了没有由护理人员参加的植入式心脏复律除颤器和OHCA患者的研究。两名独立的审稿人(THKT和TAW)确定了潜在的研究。方法学质量通过纽卡斯尔-渥太华量表进行评估。结果849项研究中,有8项符合入选标准。在5项研究中发现了颗粒物(PM)暴露(尤其是PM2.5)与OHCA之间的显着关联。在同一天以及事件发生前的4天,平均PM暴露每四分位数的增加,OHCA风险的增加范围为2.4%至7%。一项大型研究发现,臭氧在事件发生前3小时内会增加发生OHCA的风险。在事件发生前2小时内,平均水平每增加十亿分之十的臭氧,最高的风险发生率是3.8-4.6%。同样,另一项研究发现事件发生前2天内风险增加了18%。结论较大的研究表明,暴露于PM_(2.5)和臭氧的空气污染会增加OHCA的风险。

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  • 来源
    《Journal of Epidemiology & Community Health》 |2014年第1期|37-43|共7页
  • 作者单位

    Discipline of Emergency Medicine, The University of Western Australia, Crawley, WA 6009, Australia Combined Universities Centre for Rural Health, The University of Western Australia, Crawley, Western Australia, Australia;

    Discipline of Emergency Medicine, The University of Western Australia, Crawley, Western Australia, Australia Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia St John Ambulance (WA), Belmont, Western Australia, Australia;

    School of Population Health, The University of Western Australia, Perth, Western Australia, Australia;

    Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia;

    School of Population Health, The University of Western Australia, Perth, Western Australia, Australia;

    School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia;

    Discipline of Emergency Medicine, The University of Western Australia, Crawley, Western Australia, Australia Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia St John Ambulance (WA), Belmont, Western Australia, Australia;

    Discipline of Emergency Medicine, The University of Western Australia, Crawley, Western Australia, Australia Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia St John Ambulance (WA), Belmont, Western Australia, Australia School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia;

  • 收录信息 美国《科学引文索引》(SCI);美国《化学文摘》(CA);
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