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The association between short-term exposure to ambient carbon monoxide and hospitalization costs for bronchitis patients: A hospital-based study.
Jiang, Yue-Xu; Zhou, Lai-Xin; Yang, Li-Li; Huang, Qing-Song; Xiao, Hua; Li, Da-Wei; Zhou, Yu-Meng; Hu, Yue-Gu; Tang, En-Jie; Li, Ya-Fei; Ji, Ai-Ling; Luo, Peng; Cai, Tong-Jian.
Afiliación
  • Jiang YX; Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, 550025, China; Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China.
  • Zhou LX; Medical Department, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China.
  • Yang LL; Department of Information, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China.
  • Huang QS; Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, 550025, China; Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China.
  • Xiao H; Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China.
  • Li DW; Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China.
  • Zhou YM; Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China.
  • Hu YG; Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China.
  • Tang EJ; Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China.
  • Li YF; Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China.
  • Ji AL; Department of Preventive Medicine, Chongqing Medical and Pharmaceutical College, Chongqing, 401331, China. Electronic address: jailing2008@hotmail.com.
  • Luo P; Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, 550025, China. Electronic address: luopeng@gmc.edu.cn.
  • Cai TJ; Department of Epidemiology, College of Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, 400038, China. Electronic address: ctjcsl@netease.com.
Environ Res ; 210: 112945, 2022 07.
Article en En | MEDLINE | ID: mdl-35202627
Ambient carbon monoxide (CO) is associated with bronchitis morbidity, but there is no evidence concerning its correlation with hospitalization costs for bronchitis patients. This study aimed to investigate the relationship between short-term ambient CO exposure and hospitalization costs for bronchitis patients in Chongqing, China. Baseline data for 3162 hospitalized bronchitis patients from November 2013 to December 2019 were collected. Multiple linear regression analysis was used to determine the association, delayed and cumulative, between short-term CO exposure and hospitalization costs. Additionally, subgroup analyses were performed by gender, age, season, and comorbidity. Positive association between CO and hospitalization costs for bronchitis patients was observed. The strongest association was observed at lag 015 days, with per 1 mg/m3 increase of CO concentrations corresponded to 5834.40 Chinese Yuan (CNY) (95% CI: 2318.71, 9350.08; P < 0.001) (845.97 US dollars) increment in hospitalization costs. Stratified analysis results showed that the association was more obvious among those males, elderly, with comorbidities, and in warm seasons. More importantly, there was strongest correlation between CO and bronchitis patients with coronary heart disease. In summary, short-term exposure to ambient CO, even lower than Chinese and WHO standards, can be associated with increased hospitalization costs for bronchitis. Controlling CO exposure can be helpful to reduce medical burden associated with bronchitis patients. The results also suggest that when setting air quality standards and formulating preventive measures, susceptible subpopulations ought to be considered.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bronquitis / Contaminantes Atmosféricos / Contaminación del Aire Tipo de estudio: Health_economic_evaluation / Risk_factors_studies Límite: Aged / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Environ Res Año: 2022 Tipo del documento: Article País de afiliación: China Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bronquitis / Contaminantes Atmosféricos / Contaminación del Aire Tipo de estudio: Health_economic_evaluation / Risk_factors_studies Límite: Aged / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Environ Res Año: 2022 Tipo del documento: Article País de afiliación: China Pais de publicación: Países Bajos