Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/16813
Título
Short-term effects of air pollution and noise on emergency hospital admissions in Madrid and economic assessment
Autor(es)
Ruiz-Páez, R | Diaz-Jimenez, Julio ISCIII | López-Bueno, J A | Asensio, C | Ascaso-Sánchez, María Soledad ISCIII | Saez, M | Luna, M Y | Barceló, M A | Navas-Martin, Miguel Angel ISCIII | Linares-Gil, Cristina ISCIII
Fecha de publicación
2023-02-15
Cita
Environ Res. 2023 Feb 15:219:115147.
Idioma
Inglés
Tipo de documento
research article
Resumen
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.
Palabras clave
MESH
Air Pollution | Air Pollutants | Ozone | Humans | Nitrogen Dioxide | Hospitalization | Hospitals | Particulate Matter
Versión en línea
DOI
Aparece en las colecciones