Volume 28, Issue 147, May 2024

The impact of air pollutants on the hospitalization of cardiovascular patients in the emergency room: A ten-year study

Yousef Alimohamadi¹, Hadi Jalilvand², Mojtaba Sepandi^1♦

¹Baqiyatallah University of Medical Sciences, Tehran, Iran
²Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran

^♦Corresponding Author
Baqiyatallah University of Medical Sciences, Tehran, Iran

ABSTRACT

Background: There are various risk factors for the hospitalization of cardiovascular patients in the emergency room. Air pollution is one of the risk factors for cardiovascular diseases. This study aimed to determine the impact of air pollutants on the hospitalization of cardiovascular patients in the emergency room of a selected military heart hospital. Methods: This is a time-series study. we used the data of cardiovascular patients and the data of air pollutants. We checked the correlation of air pollutant variables with the daily number of cardiovascular patients admitted to the emergency room with Spearman's correlation test. Results: We evaluated 148,210 cardiovascular patients, and 53.51% were female. The number of cardiac patient admissions in the emergency department increased annually from 2013 to 2022. Air pollutant variables showed a rising trend between 2013 and 2022. There was a significant positive correlation between the changes in the number of cardiovascular patients admitted to the emergency room and the changes in CO, SO2, NO2, PM10, and PM2.5 variables. The Poisson Regression model implemented using air pollutants predicts 3% of the trend of changes in the number of cardiovascular patients hospitalized in the emergency room in a significant way (0.0001). Conclusion: The results of the present study showed that air pollutants are among the risk factors for the hospitalization of cardiovascular patients in the emergency room. With the increase in the concentration of CO, SO2, NO2, PM10, and PM2.5 pollutants, the number of cardiovascular patients in the emergency department of the investigated hospital has increased significantly.

Keywords: Cardiovascular disease, cause of hospitalization, epidemiology, referral, COVID-19

Medical Science, 2024, 28, e45ms3344

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DOI: https://doi.org/10.54905/disssi.v28i147.e45ms3344

Published: 25 May 2024