干旱区生态环境知识资源中心(Arid): Impact of exposure of emergency patients with acute heart failure to atmospheric Saharan desert dust

Arid

	Impact of exposure of emergency patients with acute heart failure to atmospheric Saharan desert dust
	Dominguez-Rodriguez, Alberto 1,2; Baez-Ferrer, Nestor 1; Rodriguez, Sergio 3,4; Abreu-Gonzalez, Pedro 5; Gonzalez-Colaco Harmand, Magali 6; Amarnani-Amarnani, Veena 1; Cuevas, Emilio 3; Consuegra-Sanchez, Luciano 7; Alonso-Perez, Silvia 8; Avanzas, Pablo 9,10,11; Burillo-Putze, Guillermo 2,12
通讯作者	Dominguez-Rodriguez, Alberto
来源期刊	EMERGENCIAS
ISSN	1137-6821
出版年	2019
卷号	31 期号:3 页码:161-166
英文摘要	Objective. To explore whether episodes of exposure to atmospheric Saharan dust is a risk factor for hospitalization in patients with acute heart failure (AHF) attended in a hospital emergency department (ED). Methods. Single-center retrospective study of patients with AHF. The cohort was analyzed in 2 groups: ED patients hospitalized with AHF and patients discharged home from the ED. Air pollution on the 5 days leading to ED admission for AHF was recorded as the average concentration of breathable particulate matter with an aerodynamic diameter of no more than 10 mu m (PM10) in the following ranges: fine PM (diameter less than 2.5 mu m) or coarse PM (diameters between 2.5 and 10 mu m). High Saharan dust pollution exposure was defined by mean daily PM10 concentrations between 50 and 200 mu g/m(3). Multivariable analysis was used to estimate risk for AHF in relation to PM10 exposure in the 5 days before the ED visit. Results. A total of 1097 patients with AHF were treated in the ED; 318 of them (29%) were hospitalized and 779 (71%) were discharged home. Hospitalized patients were older, had more concomitant illnesses, and more episodes of exposure to Saharan dust (P < .0001). Multivariable analysis confirmed the association between Saharan dust exposure and hospital admission in these patients (odds ratio, 2.36; 95% CI, 1.21-4.58; P = .01). Conclusions. In the absence of prospective studies, the results of this series suggest that exposure to high levels of Saharan dust (PM10 concentrations between 50 and 200 mu g/m(3)) may be a precipitating factor for hospitalization in AHF episodes.
英文关键词	Emergency health services Saharan dust Acute heart failure Precipitating factors
类型	Article
语种	西班牙语
国家	Spain
收录类别	SCI-E
WOS记录号	WOS:000469408600004
WOS关键词	AIR-POLLUTION ; MORTALITY ; EPISODES
WOS类目	Emergency Medicine
WOS研究方向	Emergency Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/215342
作者单位	1.Hosp Univ Canarias, Serv Cardiol, C Ofra S-N,Cuesta E, Tenerife 38320, Spain; 2.Univ Europea Canarias, Fac Ciencias Salud, Tenerife, Spain; 3.AEMET, Ctr Invest Atmosfer Izatia, Tenerife, Spain; 4.CSIC, Estn Expt Zonas Aridas, Almeria, Spain; 5.Univ La Laguna, Dept Ciencias Med Basicas, Unidad Fisiol, Tenerife, Spain; 6.Hosp Univ Canarias, Serv Farmacol Clin, UCICEC, Tenerife, Spain; 7.Hosp Gen Univ Santa Lucia, Serv Cardiol, Murcia, Spain; 8.Univ Europea Canarias, Escuela Arquitectura, Tenerife, Spain; 9.Hosp Univ Cent Asturias, Serv Cardiol, Oviedo, Spain; 10.Univ Oviedo, Dept Med, Oviedo, Spain; 11.Inst Invest Sanitaria Principado Asturias ISPA, Oviedo, Spain; 12.Hosp Univ Canarias, Serv Urgencias, Tenerife, Spain
推荐引用方式 GB/T 7714	Dominguez-Rodriguez, Alberto,Baez-Ferrer, Nestor,Rodriguez, Sergio,et al. Impact of exposure of emergency patients with acute heart failure to atmospheric Saharan desert dust[J],2019,31(3):161-166.
APA	Dominguez-Rodriguez, Alberto.,Baez-Ferrer, Nestor.,Rodriguez, Sergio.,Abreu-Gonzalez, Pedro.,Gonzalez-Colaco Harmand, Magali.,...&Burillo-Putze, Guillermo.(2019).Impact of exposure of emergency patients with acute heart failure to atmospheric Saharan desert dust.EMERGENCIAS,31(3),161-166.
MLA	Dominguez-Rodriguez, Alberto,et al."Impact of exposure of emergency patients with acute heart failure to atmospheric Saharan desert dust".EMERGENCIAS 31.3(2019):161-166.