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:: Volume 6, Issue 4 (Autumn 2019) ::
Environ. health eng. manag. 2019, 6(4): 283-289 Back to browse issues page
Analysis of out-of-hospital cardiac arrest and ozone pollution: A qualitative study
Marie Albert , Mohamed Lemdan , Damien Cuny , Patrick Duriez , Joséphine Escutnaire , Pierre-Yves Gueugniaud , Eric Wiel , Hervé Hubert , Christophe Di Pompeo
Corresponding author: Public Health Department, Faculty of Medicine, Univ. Lille, CHU Lille, F-59000 Lille, Franc , mariealbert1@hotmail.fr
Abstract:   (341 Views)
Background: Air pollution is increasingly associated with cardiovascular events. As for ozone (O3) pollution, results are inconsistent though O3 levels are associated with hospital admissions, global mortality, and respiratory, and cardiovascular mortality.
Methods: In this time-stratified case-crossover study, the associations between short-term exposure to O3 (on an hourly and daily scale) and out-of-hospital cardiac arrests (OHCA) were investigated. Specific subgroups were explored by sex, age, diabetes status, for OHCA during non-holiday periods. Data were collected in the Nord-Pas-de-Calais region, France, in 2015. Data were statistically analyzed using conditional logistic regression (CLR).
Results: The study included 1039 cases of OHCA. Significant negative associations were found between OHCA and O3 levels measured in 3 or 4 days before the arrest for all the people, and 1, 2 or 3 days before the arrest for men. As for OHCA during non-holiday periods, there was no significant negative associations but a positive association was revealed for women between OHCA and O3 levels measured in 5 days before the arrest (OR=1.53, P = 0.008).
Conclusion: According to the results, OHCA should be investigated during non-holiday periods to control potential confounders that would lead to negative associations. Women might be a susceptible subgroup to O3 pollution.
Keywords: Heart arrest, Ozone, Air pollution, Epidemiology, Environmental health
eprint link: http://eprints.kmu.ac.ir/id/eprint/32273
Full-Text [PDF 992 kb]   (118 Downloads)    
Type of Study: Applicable | Subject: General
Received: 2019/12/20 | Accepted: 2019/12/20 | Published: 2019/12/20
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Albert M, Lemdan M, Cuny D, Duriez P, Escutnaire J, Gueugniaud P, et al . Analysis of out-of-hospital cardiac arrest and ozone pollution: A qualitative study. Environ. health eng. manag.. 2019; 6 (4) :283-289
URL: http://ehemj.com/article-1-557-en.html


Volume 6, Issue 4 (Autumn 2019) Back to browse issues page
مجله مدیریت و مهندسی بهداشت محیط Environmental Health Engineering And Management Journal
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