Thorax:山西省11个城市PM2.5暴露与呼吸系统疾病住院费用和住院天数的关系

2021-06-12 MedSci原创 MedSci原创

山西省呼吸负担可能归因于PM2.5暴露。因此,需要将结果纳入空气污染政策的影响评估,以更完整地表明政策所解决的负担。

很少有研究评估空气动力学直径小于或等于2.5 μm的细颗粒物(PM2.5)对中国呼吸系统疾病住院费用和住院时间的影响。

近日,胸部疾病领域权威杂志Thorax上发表了一篇研究文章,研究人员通过基于其居住地址的空气监测站的距离加权反比平均值,并在城市级别进行平均,以评估呼吸系统病例的环境空气污染暴露水平。研究人员使用广义可添加模型来量化山西11个城市的城市特异性关联性,并使用荟萃分析来估计整体效应。研究人人员以世界卫生组织(25 µg/m3)和中国(75 µg/m3)的标准为参考,进一步估算了PM2.5引起的呼吸系统疾病的负担。

PM2.5每增加10 µg/m3 对应的因呼吸系统疾病住院增加0.53%(95%CI:0.33%至0.73%),住院费用增加3.75万元(95%CI:1.84至5.670),住院时间增加4.13天(95%CI:2.51至 5.75)。

以世界卫生组织指南为参考,约有970人因呼吸系统疾病住院,1.32亿元人民币住院费用和14.5万天住院天数可归因于PM2.5暴露。研究人员估计,对于普通呼吸道病例,193元人民币(95%CI:95至292)住院费用和0.21天(95%CI:0.13 至 0.30)的住院时间是可以避免的。

由此可见,山西省呼吸负担可能归因于PM2.5暴露。因此,需要将结果纳入空气污染政策的影响评估,以更完整地表明政策所解决的负担。

原始出处:

Dawei Cao,et al.Ambient PM2.5 exposure and hospital cost and length of hospital stay for respiratory diseases in 11 cities in Shanxi Province, China.Thorax.2021.https://thorax.bmj.com/content/early/2021/06/03/thoraxjnl-2020-215838

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    2021-06-12 病毒猎手

    山西省#呼吸#负担可能归因于#PM2.5#暴露,这是因为钢铁,煤碳大省呀!

    0

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