2026-04-29T07:25:38Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/168132025-04-25T07:33:02Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19613
Repisalud
author
Ruiz-Páez, R
author
Diaz-Jimenez, Julio
author
Lopez-Bueno, Jose Antonio
author
Asensio, C
author
Ascaso-Sánchez, María Soledad
author
Saez, M
author
Luna, María Yolanda
author
Barceló, M Antònia
author
Navas-Martin, Miguel Angel
author
Linares-Gil, Cristina
funder
Instituto de Salud Carlos III
2023-12-15T09:52:02Z
2023-12-15T09:52:02Z
2023-02-15
Environ Res. 2023 Feb 15:219:115147.
http://hdl.handle.net/20.500.12105/16813
36580986
10.1016/j.envres.2022.115147
1096-0953
Environmental research
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.
eng
Air pollution
Economic assessment
Hospital admissions
Noise
Short-term effects of air pollution and noise on emergency hospital admissions in Madrid and economic assessment
research article
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Short-termEffectsAirPollution_2023.pdf
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Short-termEffectsAirPollution_2023.pdf.txt