dc.contributor.author | Ruiz-Páez, R | |
dc.contributor.author | Diaz-Jimenez, Julio | |
dc.contributor.author | López-Bueno, J A | |
dc.contributor.author | Asensio, C | |
dc.contributor.author | Ascaso-Sánchez, María Soledad | |
dc.contributor.author | Saez, M | |
dc.contributor.author | Luna, M Y | |
dc.contributor.author | Barceló, M A | |
dc.contributor.author | Navas-Martin, Miguel Angel | |
dc.contributor.author | Linares-Gil, Cristina | |
dc.date.accessioned | 2023-12-15T09:52:02Z | |
dc.date.available | 2023-12-15T09:52:02Z | |
dc.date.issued | 2023-02-15 | |
dc.identifier.citation | Environ Res. 2023 Feb 15:219:115147. | es_ES |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/16813 | |
dc.description.abstract | Introduction: The aim of this study was to study the effect of air pollution and noise has on the population in Madrid Community (MAR) in the period 2013-2018, and its economic impact. Methods: Time series study analysing emergency hospital admissions in the MAR due to all causes (ICD-10: A00-R99), respiratory causes (ICD-10: J00-J99) and circulatory causes (ICD-10: I00-I99) across the period 2013-2018. The main independent variables were mean daily PM2.5, PM10, NO2, 8-h ozone concentrations, and noise. We controlled for meteorological variables, Public Holidays, seasonality, and the trend and autoregressive nature of the series, and fitted generalised linear models with a Poisson regression link to ascertain the relative risks and attributable risks. In addition, we made an economic assessment of these hospitalisations. Results: The following associations were found: NO2 with admissions due to natural (RR: 1.007, 95% CI: 1.004-1.011) and respiratory causes (RR: 1.012, 95% CI: 1.005-1.019); 8-h ozone with admissions due to natural (RR: 1.049, 95% CI: 1.014-1.046) and circulatory causes (RR: 1.088, 95% CI: 1.039-1.140); and diurnal noise (LAeq7-23h) with admissions due to natural (RR: 1.001, 95% CI: 1.001-1.002), respiratory (RR: 1.002, 95% CI: 1.001-1.003) and circulatory causes (RR: 1.003, 95% CI: 1.002-1.005). Every year, a total of 8246 (95% CI: 4580-11,905) natural-cause admissions are attributable to NO2, with an estimated cost of close on €120 million and 5685 (95% CI: 2533-8835) attributed to LAeq7-23h with an estimated cost of close on €82 million. Conclusions: Nitrogen dioxide, ozone and noise are the main pollutants to which a large number of hospitalisations in the MAR are attributed, and are thus responsible for a marked deterioration in population health and high related economic impact. | es_ES |
dc.description.sponsorship | The authors would like to express their gratitude for the following grants from the Carlos III Institute of Health (Instituto de Salud Carlos III/ISCIII) for the ENPY304/20, and ENPY436/21 projects. | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Elsevier | es_ES |
dc.type.hasVersion | SMUR | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Air pollution | es_ES |
dc.subject | Economic assessment | es_ES |
dc.subject | Hospital admissions | es_ES |
dc.subject | Noise | es_ES |
dc.subject.mesh | Air Pollution | es_ES |
dc.subject.mesh | Air Pollutants | es_ES |
dc.subject.mesh | Ozone | es_ES |
dc.subject.mesh | Humans | es_ES |
dc.subject.mesh | Nitrogen Dioxide | es_ES |
dc.subject.mesh | Hospitalization | es_ES |
dc.subject.mesh | Hospitals | es_ES |
dc.subject.mesh | Particulate Matter | es_ES |
dc.title | Short-term effects of air pollution and noise on emergency hospital admissions in Madrid and economic assessment | es_ES |
dc.type | research article | es_ES |
dc.rights.license | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.identifier.pubmedID | 36580986 | es_ES |
dc.format.volume | 219 | es_ES |
dc.format.page | 115147 | es_ES |
dc.identifier.doi | 10.1016/j.envres.2022.115147 | es_ES |
dc.contributor.funder | Instituto de Salud Carlos III | es_ES |
dc.description.peerreviewed | Sí | es_ES |
dc.identifier.e-issn | 1096-0953 | es_ES |
dc.relation.publisherversion | https://doi.org/10.1016/j.envres.2022.115147 | es_ES |
dc.identifier.journal | Environmental research | es_ES |
dc.repisalud.centro | ISCIII::Escuela Nacional de Sanidad | es_ES |
dc.repisalud.institucion | ISCIII | es_ES |
dc.rights.accessRights | open access | es_ES |
dc.relation.projectFIS | info:eu-repo/grantAgreement/ES/ENPY304/20 | es_ES |
dc.relation.projectFIS | info:eu-repo/grantAgreement/ES/ENPY436/21 | es_ES |