title: Ambient air pollution, temperature and out-of-hospital coronary deaths in Shanghai, China.
abstract: Few studies have evaluated the effects of ambient air pollution and temperature in triggering out-of-hospital coronary deaths (OHCDs) in China. We evaluated the associations of air pollution and temperature with daily OHCDs in Shanghai, China from 2006 to 2011. We applied an over-dispersed generalized additive model and a distributed lag nonlinear model to analyze the effects of air pollution and temperature, respectively. A 10 μg/m(3) increase in the present-day PM10, PM2.5, SO2, NO2 and CO were associated with increases in OHCD mortality of 0.49%, 0.68%, 0.88%, 1.60% and 0.08%, respectively. A 1 °C decrease below the minimum-mortality temperature corresponded to a 3.81% increase in OHCD mortality on lags days 0-21, and a 1 °C increase above minimum-mortality temperature corresponded to a 4.61% increase over lag days 0-3. No effects were found for in-hospital coronary deaths. This analysis suggests that air pollution, low temperature and high temperature may increase the risk of OHCDs.
authors: Shandong Provincial Environmental Monitoring Center Station, Ji'nan, China.
authors: Jinping
authors: J
authors: Dai
authors: School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, China; Shanghai Key Laboratory of Atmospheric Particle Pollution and Prevention (LAP(3)), Fudan University, Shanghai, China; Key Lab of Health Technology Assessment of the Ministry of Health, Fudan University, Shanghai, China.
authors: Renjie
authors: R
authors: Chen
authors: School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, China.
authors: Xia
authors: X
authors: Meng
authors: School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, China.
authors: Changyuan
authors: C
authors: Yang
authors: School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, China.
authors: Zhuohui
authors: Z
authors: Zhao
authors: School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan University, Shanghai, China; Shanghai Key Laboratory of Atmospheric Particle Pollution and Prevention (LAP(3)), Fudan University, Shanghai, China; Key Lab of Health Technology Assessment of the Ministry of Health, Fudan University, Shanghai, China. Electronic address: haidongkan@gmail.com.
authors: Haidong
authors: H
authors: Kan
mesh_terms: D000393:Air Pollutants / Q000032:analysis*; D000397:Air Pollution / Q000032:analysis*; D002248:Carbon Monoxide / Q000032:analysis; D002681:China / Q000453:epidemiology; D002947:Cities / Q000453:epidemiology; D003327:Coronary Disease / Q000401:mortality*; D006801:Humans; D008962:Models, Theoretical; D009585:Nitrogen Dioxide / Q000032:analysis; D052638:Particulate Matter / Q000032:analysis; D013458:Sulfur Dioxide / Q000032:analysis; D013696:Temperature
chemical_list: D000393:Air Pollutants; D052638:Particulate Matter; D013458:Sulfur Dioxide; D002248:Carbon Monoxide; D009585:Nitrogen Dioxide
keywords: Air pollution; Coronary heart disease; Out-of-hospital; Risk factors; Temperature