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https://doi.org/10.1515/aiht-2016-67-2770

Impact of meteorological parameters and air pollution on emergency department visits for cardiovascular diseases in the city of Zagreb, Croatia

Sanja Pintarić ; First School of Economics, Zagreb, Croatia
Ivan Zeljković orcid id orcid.org/0000-0002-4550-4056 ; University Hospital Centre Sisters of Charity, Zagreb, Croatia
Gordana Pehnec ; Institute for Medical Research and Occupational Health, Zagreb, Croatia
Višnja Nesek ; School of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Mislav Vrsalović ; School of Medicine, University of Zagreb, Zagreb, Croatia
Hrvoje Pintarić ; School of Dental Medicine, University of Medicine, Zagreb, Croatia


Puni tekst: engleski pdf 258 Kb

str. 240-246

preuzimanja: 557

citiraj


Sažetak

The aim of this study was to investigate whether nitrogen dioxide (NO2), ozone (O3), and certain meteorological conditions had an impact on cardiovascular disease (CVD)-related emergency department (ED) visits in the metropolitan area of Zagreb. This retrospective, ecological study included 20,228 patients with a cardiovascular disease as their primary diagnosis who were examined in the EDs of two Croatian University Hospitals, Sisters of Charity and Holy Spirit, in the study period July 2008-June 2010. The median of daily CVD-related ED visits during the study period was 28 and was the highest during winter. A significant negative correlation was found between CVD-related emergency visits and air temperature measured no more than three days prior to the visit, and the highest negative correlation coefficient was measured two days earlier (R=–0.266, p≤0.001). The number of CVD-related emergency visits significantly correlated with the average NO2 concentration on the same day (R=0.191, p<0.001). The results of multiple stepwise regression analysis showed that the number of CVD-related emergency visits depended on air temperature, and NO2 and O3 concentrations. The higher the air temperatures, the lower the number of daily CVD-related emergency visits (p<0.001). An increase in NO2 concentrations (p=0.005) and a decrease in O3 concentrations of two days earlier (p=0.006) led to an increase in CVD-related ED visits. In conclusion, the decrease in O3 concentrations and the increase in NO2, even if below the legally binding thresholds, could be associated with an increase in CVD-related emergency visits and a similar effect was observed with lower temperature measured no more than three days prior to the visit.

Ključne riječi

atmospheric humidity; atmospheric pressure; nitrogen dioxide; ozone; temperature

Hrčak ID:

166330

URI

https://hrcak.srce.hr/166330

Datum izdavanja:

22.9.2016.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.306 *