Background: Few recent studies examined acute effects on health of individual chemical species in the particulate matter (PM) mixture, and most of them have been conducted in North America. Studies in Southern Europe are scarce. The aim of this study is to examine the relationship between particulate matter constituents and daily hospital admissions and mortality in five cities in Southern Europe. Methods: The study included five cities in Southern Europe, three cities in Spain: Barcelona (2003-2010), Madrid (2007-2008) and Huelva (2003-2010); and two cities in Italy: Rome (2005-2007) and Bologna (2011-2013). A case-crossover design was used to link cardiovascular and respiratory hospital admissions and total, cardiovascular and respiratory mortality with a pre-defined list of 16 PM10and PM2.5constituents. Lags 0 to 2 were examined. City-specific results were combined by random-effects meta-analysis. Results: Most of the elements studied, namely EC, SO42-, SiO2,Ca, Fe, Zn, Cu, Ti, Mn, V and Ni, showed increased percent changes in cardiovascular and/or respiratory hospitalizations, mainly at lags 0 and 1. The percent increase by one interquartile range (IQR) change ranged from 0.69% to 3.29%. After adjustment for total PM levels, only associations for Mn, Zn and Ni remained significant. For mortality, although positive associations were identified (Fe and Ti for total mortality; EC and Mg for cardiovascular mortality; and NO3-for respiratory mortality) the patterns were less clear. Conclusions: The associations found in this study reflect that several PM constituents, originating from different sources, may drive previously reported results between PM and hospital admissions in the Mediterranean area.
Short-term effects of particulate matter constituents on daily hospitalizations and mortality in five South-European cities: Results from the MED-PARTICLES project / Xavier Basagaña; Bénédicte Jacquemin; Angeliki Karanasiou; Bart Ostro; Xavier Querol; David Agis; Ester Alessandrini; Juan Alguacil; Begoña Artiñano; Maria Catrambone; Jesús D. de la Rosa; Julio Díaz; Annunziata Faustini; Silvia Ferrari; Francesco Forastiere; Klea Katsouyanni; Cristina Linares; Cinzia Perrino; Andrea Ranzi; Isabella Ricciardelli; Evangelia Samoli; Stefano Zauli-Sajani; Jordi Sunyer; Massimo Stafoggia; on behalf of the MED-PARTICLES Study group: […; E. Alessandrini; P. Angelini; G. Berti; L.Bisanti; E. Cadum; M. Catrambone; M. Chiusolo; M. Davoli; F. de' Donato; M. Demaria; M. Gandini; M. Grosa; A. Faustini; S. Ferrari; F. Forastiere; P. Pandolfi; R.Pelosini; C. Perrino; A. Pietrodangelo; L. Pizzi; V. Poluzzi; G.Priod; G. Randi; A. Ranzi; M. Rowinski; C.Scarinzi; M.Stafoggia; E. Stivanello; S.Zauli-Sajani; …]. - In: ENVIRONMENT INTERNATIONAL. - ISSN 0160-4120. - ELETTRONICO. - 75:(2015), pp. 151-158. [10.1016/j.envint.2014.11.011]
Short-term effects of particulate matter constituents on daily hospitalizations and mortality in five South-European cities: Results from the MED-PARTICLES project
FERRARI, SILVIA;FORASTIERE, FRANCESCO;RANZI, ANDREA;STAFOGGIA, MASSIMO;ALESSANDRINI, ESTER RITA;ANGELINI, PAOLA;CATRAMBONE, MILENA;DAVOLI, MARINA;FORASTIERE, FRANCESCO;PANDOLFI, PAOLO;PELOSINI, RAFFAELLA;PIZZI, LORENZO;POLUZZI, VANES;STAFOGGIA, MASSIMO;STIVANELLO, ELISA;
2015
Abstract
Background: Few recent studies examined acute effects on health of individual chemical species in the particulate matter (PM) mixture, and most of them have been conducted in North America. Studies in Southern Europe are scarce. The aim of this study is to examine the relationship between particulate matter constituents and daily hospital admissions and mortality in five cities in Southern Europe. Methods: The study included five cities in Southern Europe, three cities in Spain: Barcelona (2003-2010), Madrid (2007-2008) and Huelva (2003-2010); and two cities in Italy: Rome (2005-2007) and Bologna (2011-2013). A case-crossover design was used to link cardiovascular and respiratory hospital admissions and total, cardiovascular and respiratory mortality with a pre-defined list of 16 PM10and PM2.5constituents. Lags 0 to 2 were examined. City-specific results were combined by random-effects meta-analysis. Results: Most of the elements studied, namely EC, SO42-, SiO2,Ca, Fe, Zn, Cu, Ti, Mn, V and Ni, showed increased percent changes in cardiovascular and/or respiratory hospitalizations, mainly at lags 0 and 1. The percent increase by one interquartile range (IQR) change ranged from 0.69% to 3.29%. After adjustment for total PM levels, only associations for Mn, Zn and Ni remained significant. For mortality, although positive associations were identified (Fe and Ti for total mortality; EC and Mg for cardiovascular mortality; and NO3-for respiratory mortality) the patterns were less clear. Conclusions: The associations found in this study reflect that several PM constituents, originating from different sources, may drive previously reported results between PM and hospital admissions in the Mediterranean area.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
