We conducted a modified case-crossover study to examine whether wildfires in the Paraná River Delta departments surrounding Rosario, Argentina, during 2021-2022 increased PM₂.₅ concentrations in this city and if this rise subsequently elevated the risk of ST-elevation myocardial infarction (STEMI). We first observed that daily PM₂.₅ levels in Rosario were significantly higher on wildfire days compared to non-wildfire days (34 µg/m vs. 25.75 µg/m, < 0.01). In the case-crossover analysis, we found that the odds of STEMI were significantly higher on days when PM₂.₅ concentrations exceeded 20 µg/m (OR 2.2 [95% CI 1.2-4.2, = 0.02]). Additionally, the odds of STEMI increased with higher PM₂.₅ concentrations, with a significant difference when comparing the first and fourth quartiles concentration (OR 1.76 [95% CI 1.06-2.92, = 0.03] and OR 2.02 [95% CI 1.25-3.27, < 0.01], respectively). In conclusion, wildfires in the surrounding departments of Rosario City in the Paraná River Delta led to elevated PM₂.₅ levels, and this increase was associated with a higher risk of STEMI hospital admissions.
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http://dx.doi.org/10.1080/09603123.2024.2434208 | DOI Listing |
Pediatrics
December 2024
Child Population and Translational Health Research, Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.
Objectives: The burden and health impact of heat stress on child hospitalization is limited. This study aims to investigate associations between extreme heat stress exposure based on a Universal Thermal Climate Index (UTCI), emergency department (ED) visits, and ED visits that translate into unplanned hospital admissions.
Methods: This population-based case-crossover study included all ED visits and unplanned hospital admissions among children and adolescents aged 0 to 18 years from New South Wales, Australia, from July 2001 to June 2020.
Nat Ment Health
July 2024
Department of Family/Community Medicine and Health and Outcomes Research, Saint Louis University School of Medicine, St. Louis, MO, USA.
While attention deficit hyperactivity disorder is common among people with addiction, the risks and benefits of attention deficit hyperactivity disorder medication in pregnant people with opioid use disorder are poorly understood. Here, using US multistate administrative data, we examined 3,247 pregnant people initiating opioid use disorder treatment, of whom 5% received psychostimulants. Compared to peers not receiving psychostimulants, the psychostimulant cohort had greater buprenorphine (adjusted relative risk 1.
View Article and Find Full Text PDFLancet Reg Health West Pac
December 2024
School of Biomedical Convergence Engineering, College of Information and Biomedical Engineering, Pusan National University, Yangsan, South Korea.
Background: Little is known about the impact of PM on people with disabilities. We aimed to explore the association between PM and hospitalization via the emergency department (ED admission) among people with disabilities, together with the attributable ED admission cases and costs.
Methods: We applied a time-stratified case-crossover design adjusting ozone, holiday, and temperature using seven years (2015-2021) of claim-based data on ED admissions from the Korean National Health Insurance Database.
Lancet Reg Health Eur
January 2025
Barcelona Supercomputing Center (BSC), Barcelona, Spain.
Background: In recent years, Europe has experienced several outbreaks of West Nile Virus (WNV), a mosquito-borne pathogen. This study aims to quantify the impact of weekly mean temperature and cumulative precipitation on human cases of West Nile Neuroinvasive Disease (WNND), to assess the feasibility of climate-informed early warning systems for severe forms of WNV infection.
Methods: Using a space-time-stratified case-crossover design, the short-term effects of meteorological factors on WNND cases reported in Europe from 2014 to 2022 were examined.
BMC Public Health
December 2024
School of Biomedical Convergence Engineering, College of Information and Biomedical Engineering, Pusan National University, 49-Budandaehak-Ro, Yangsan, Gyeongsangnam-do, South Korea.
Numerous existing studies reported the negative impacts of outdoor nitrogen dioxide (NO) on respiratory mortality. However, the evidence of related high-risk populations was considerably limited, especially associated with ages, causes of death, and district-level characteristics. In addition, most earlier studies were based on monitored areas, thus previous risk estimates of NO could be biased to provide nationwide risk estimates and high-risk populations.
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