The Impact of Ambient Air Pollution on Daily Hospital Visits for Various Respiratory Diseases and the Relevant Medical Expenditures in Shanghai, China

International Journal of Environmental Research and Public Health
Hao ZhangHai Dong Kan

Abstract

The evidence concerning the acute effects of ambient air pollution on various respiratory diseases was limited in China, and the attributable medical expenditures were largely unknown. From 2013 to 2015, we collected data on the daily visits to the emergency- and outpatient-department for five main respiratory diseases and their medical expenditures in Shanghai, China. We used the overdispersed generalized additive model together with distributed lag models to fit the associations of criteria air pollutants with hospital visits, and used the linear models to fit the associations with medical expenditures. Generally, we observed significant increments in emergency visits (8.81-17.26%) and corresponding expenditures (0.33-25.81%) for pediatric respiratory diseases, upper respiratory infection (URI), and chronic obstructive pulmonary disease (COPD) for an interquartile range increase of air pollutant concentrations over four lag days. As a comparison, there were significant but smaller increments in outpatient visits (1.36-4.52%) and expenditures (1.38-3.18%) for pediatric respiratory diseases and upper respiratory infection (URI). No meaningful changes were observed for asthma and lower respiratory infection. Our study suggested ...Continue Reading

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Citations

Oct 23, 2019·International Journal of Environmental Research and Public Health·Linhong ChenXin Gao
Oct 10, 2019·Cadernos de saúde pública·Emerson Pedreira MatosMaria de Fátima Silva Leite
Aug 4, 2019·International Journal of Environmental Research and Public Health·Xiaocang XuChang Li
May 2, 2018·Environmental Science and Pollution Research International·Yu HaoMingyuan Zhao
Feb 20, 2019·International Journal of Environmental Research and Public Health·Daitao ZhangYonghua Hu
May 1, 2020·Environmental Science and Pollution Research International·Xiangshan FuHui Luo
Nov 28, 2019·International Journal of Environmental Research and Public Health·Xinpeng XingYue Zhu
May 1, 2021·International Journal of Environmental Research and Public Health·Kohei HasegawaTetsuo Nomiyama
Jan 7, 2022·Environmental Science and Pollution Research International·Yurong LiuGuangyu Zhai

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Methods Mentioned

BETA
GAM

Software Mentioned

dlnm
mgcv
R

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