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dc.contributor.authorDiaz-Jimenez, Julio 
dc.contributor.authorMartinez-Martin, Pablo 
dc.contributor.authorRodriguez-Blazquez, Carmen 
dc.contributor.authorVázquez, Blanca
dc.contributor.authorForjaz, Maria João 
dc.contributor.authorOrtiz Burgos, Cristina 
dc.contributor.authorCarmona-Alferez, Rocio 
dc.contributor.authorLinares-Gil, Cristina
dc.identifier.citationGac Sanit. 2018 Nov - Dec;32(6):553-558.es_ES
dc.description.abstractOBJECTIVE: To analyse whether there is a short-term association between road traffic noise in the city of Madrid and Parkinson's disease (PD)-related demand for healthcare. METHODS: Time-series analysis (2008-2009) using variables of analysis linked to emergency and daily PD-related demand for healthcare (ICD-10: G20-G21), namely, PD-hospital admissions (HAs), PD-outpatient visits (OVs) and PD-emergency medical calls in Madrid. The noise pollution measurements used were Leqd, equivalent sound level for the daytime hours (from 8 a.m. to 10 p.m.), and Leqn, equivalent sound level for night time hours (from 10 p.m. to 8 a.m.) in dB(A). We controlled for temperature, pollution, trends and seasons, and used the Poisson regression model to calculate relative risk (RR). RESULTS: The association between Leqd and HAs was found to be linear. Leqd and Leqn at lag 0.1 and temperature at lags 1 and 5 were the only environmental variables associated with increased PD-related healthcare demand. The RR (lag 0) for Leqd and HA was 1.07 (1.04-1.09), the RR (lag 0) for Leqd and OV was 1.28 (1.12-1.45), and the RR (lags 0.1) for Leqn and emergency medical calls was 1.46 (1.06-2.01). CONCLUSION: The above results indicate that road traffic noise is a risk factor for PD exacerbation. Measures to reduce noise-exposure levels could result in a lower PD-related healthcare demand.es_ES
dc.description.sponsorshipThis study was funded by a “Miguel Servet type 1” grant: SEPY 1037/14 and a FIS Project ENPY 1001/13 from the Carlos III Institute of Health.es_ES
dc.publisherElsevier es_ES
dc.relation.isversionofPublisher's versiones_ES
dc.subjectDemanda de atención médicaes_ES
dc.subjectEnfermedad de Parkinsones_ES
dc.subjectHospital admissionses_ES
dc.subjectIngresos hospitalarioses_ES
dc.subjectOutpatient care demandes_ES
dc.subjectParkinson's diseasees_ES
dc.subjectRoad traffic noisees_ES
dc.subjectRuido de tráficoes_ES
dc.subjectSeries temporaleses_ES
dc.subjectTime serieses_ES
dc.titleShort-term association between road traffic noise and healthcare demand generated by Parkinson's disease in Madrid, Spaines_ES
dc.rights.licenseAtribución-NoComercial-CompartirIgual 4.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III 
dc.identifier.journalGaceta sanitariaes_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidad

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Atribución-NoComercial-CompartirIgual 4.0 Internacional
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