The Effects of Air Pollution on Hospitalizations for Cardiovascular Disease in Elderly People in Australian and New Zealand Cities
2006

Air Pollution and Heart Problems in Elderly People

publication Evidence: moderate

Author Information

Author(s): Barnett Adrian G., Williams Gail M., Schwartz Joel, Best Trudi L., Neller Anne H., Petroeschevsky Anna L., Simpson Rod W.

Primary Institution: School of Population Health, University of Queensland

Hypothesis

What is the relationship between outdoor air pollution and cardiovascular hospital admissions in elderly populations in Australia and New Zealand?

Conclusion

Air pollution from common sources significantly increases cardiovascular hospital admissions in the elderly, even at levels below health guidelines.

Supporting Evidence

  • All pollutants except ozone were significantly associated with cardiovascular admissions in the elderly.
  • Hospital admissions for cardiac failure increased by 6.0% for a 0.9-ppm increase in carbon monoxide.
  • Associations were found at air pollution concentrations below normal health guidelines.

Takeaway

Breathing dirty air can make older people sick and send them to the hospital for heart problems.

Methodology

The study used a case–crossover method to analyze hospital admissions and air pollution data across seven cities.

Potential Biases

Potential biases from using ambient air pollution data as a proxy for actual exposure.

Limitations

The study may not account for all confounding factors and relied on existing monitoring data.

Participant Demographics

Elderly populations (≥ 65 years) in urban areas of Australia and New Zealand.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.8674

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