Short-term effect of PM2.5 on stroke in susceptible populations: A case-crossover study
第一作者:Meng Wang,Ying Han
通讯作者:Zixiao Li
2022-07-18
发表杂志:International Journal of Stroke
发表类型: Original Contributions
影响因子(IF): 6.948
PMID: https://doi.org/10.1177/17474930221110024 Pubmed原文链接 全文下载
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We estimated the association between short-term exposure to PM2.5 and the incidence of stroke using a case-crossover design. This method was developed to study the effects of transient, short-term exposures on the risk of acute events.25 In the case-crossover design, the study population consists of subjects who have experienced an episode of the health outcome of interest. An important feature of the case-crossover design is that each subject serves as his or her own control. Self-matching results are free from confounding by risk factors that are stable over time within an individual but often differ between study subjects. In our study, case days were defined as AIS diagnosis data. Ambient PM exposure on the case day was compared with exposure on matched control days. For each case, we matched three referent periods, namely, 7, 14, and 21 days before the case day, to control for potential confounding effects by day of the week.
Short-term exposure to PM2.5 is significantly associated with hospital admission for stroke in individuals with pre-existing medical histories, especially in older or female patients with AF. Preventative measures to reduce PM2.5 concentrations are particularly important in individuals with other medical co-morbidities