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Short-term Effect of Fine Particulate Matter on Children’s Hospital Admissions and Emergency Department Visits for Asthma: A Systematic Review and Meta-analysis
OBJECTIVES: No children-specified review and meta-analysis paper about the short-term effect of fine particulate matter (PM(2.5)) on hospital admissions and emergency department visits for asthma has been published. We calculated more precise pooled effect estimates on this topic and evaluated the v...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Society for Preventive Medicine
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4977771/ https://www.ncbi.nlm.nih.gov/pubmed/27499163 http://dx.doi.org/10.3961/jpmph.16.037 |
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author | Lim, Hyungryul Kwon, Ho-Jang Lim, Ji-Ae Choi, Jong Hyuk Ha, Mina Hwang, Seung-Sik Choi, Won-Jun |
author_facet | Lim, Hyungryul Kwon, Ho-Jang Lim, Ji-Ae Choi, Jong Hyuk Ha, Mina Hwang, Seung-Sik Choi, Won-Jun |
author_sort | Lim, Hyungryul |
collection | PubMed |
description | OBJECTIVES: No children-specified review and meta-analysis paper about the short-term effect of fine particulate matter (PM(2.5)) on hospital admissions and emergency department visits for asthma has been published. We calculated more precise pooled effect estimates on this topic and evaluated the variation in effect size according to the differences in study characteristics not considered in previous studies. METHODS: Two authors each independently searched PubMed and EMBASE for relevant studies in March, 2016. We conducted random effect meta-analyses and mixed-effect meta-regression analyses using retrieved summary effect estimates and 95% confidence intervals (CIs) and some characteristics of selected studies. The Egger’s test and funnel plot were used to check publication bias. All analyses were done using R version 3.1.3. RESULTS: We ultimately retrieved 26 time-series and case-crossover design studies about the short-term effect of PM(2.5) on children’s hospital admissions and emergency department visits for asthma. In the primary meta-analysis, children’s hospital admissions and emergency department visits for asthma were positively associated with a short-term 10 μg/m(3) increase in PM(2.5) (relative risk, 1.048; 95% CI, 1.028 to 1.067; I(2)=95.7%). We also found different effect coefficients by region; the value in Asia was estimated to be lower than in North America or Europe. CONCLUSIONS: We strengthened the evidence on the short-term effect of PM(2.5) on children’s hospital admissions and emergency department visits for asthma. Further studies from other regions outside North America and Europe regions are needed for more generalizable evidence. |
format | Online Article Text |
id | pubmed-4977771 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Korean Society for Preventive Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-49777712016-08-09 Short-term Effect of Fine Particulate Matter on Children’s Hospital Admissions and Emergency Department Visits for Asthma: A Systematic Review and Meta-analysis Lim, Hyungryul Kwon, Ho-Jang Lim, Ji-Ae Choi, Jong Hyuk Ha, Mina Hwang, Seung-Sik Choi, Won-Jun J Prev Med Public Health Review OBJECTIVES: No children-specified review and meta-analysis paper about the short-term effect of fine particulate matter (PM(2.5)) on hospital admissions and emergency department visits for asthma has been published. We calculated more precise pooled effect estimates on this topic and evaluated the variation in effect size according to the differences in study characteristics not considered in previous studies. METHODS: Two authors each independently searched PubMed and EMBASE for relevant studies in March, 2016. We conducted random effect meta-analyses and mixed-effect meta-regression analyses using retrieved summary effect estimates and 95% confidence intervals (CIs) and some characteristics of selected studies. The Egger’s test and funnel plot were used to check publication bias. All analyses were done using R version 3.1.3. RESULTS: We ultimately retrieved 26 time-series and case-crossover design studies about the short-term effect of PM(2.5) on children’s hospital admissions and emergency department visits for asthma. In the primary meta-analysis, children’s hospital admissions and emergency department visits for asthma were positively associated with a short-term 10 μg/m(3) increase in PM(2.5) (relative risk, 1.048; 95% CI, 1.028 to 1.067; I(2)=95.7%). We also found different effect coefficients by region; the value in Asia was estimated to be lower than in North America or Europe. CONCLUSIONS: We strengthened the evidence on the short-term effect of PM(2.5) on children’s hospital admissions and emergency department visits for asthma. Further studies from other regions outside North America and Europe regions are needed for more generalizable evidence. Korean Society for Preventive Medicine 2016-07 2016-07-14 /pmc/articles/PMC4977771/ /pubmed/27499163 http://dx.doi.org/10.3961/jpmph.16.037 Text en Copyright © 2016 The Korean Society for Preventive Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Lim, Hyungryul Kwon, Ho-Jang Lim, Ji-Ae Choi, Jong Hyuk Ha, Mina Hwang, Seung-Sik Choi, Won-Jun Short-term Effect of Fine Particulate Matter on Children’s Hospital Admissions and Emergency Department Visits for Asthma: A Systematic Review and Meta-analysis |
title | Short-term Effect of Fine Particulate Matter on Children’s Hospital Admissions and Emergency Department Visits for Asthma: A Systematic Review and Meta-analysis |
title_full | Short-term Effect of Fine Particulate Matter on Children’s Hospital Admissions and Emergency Department Visits for Asthma: A Systematic Review and Meta-analysis |
title_fullStr | Short-term Effect of Fine Particulate Matter on Children’s Hospital Admissions and Emergency Department Visits for Asthma: A Systematic Review and Meta-analysis |
title_full_unstemmed | Short-term Effect of Fine Particulate Matter on Children’s Hospital Admissions and Emergency Department Visits for Asthma: A Systematic Review and Meta-analysis |
title_short | Short-term Effect of Fine Particulate Matter on Children’s Hospital Admissions and Emergency Department Visits for Asthma: A Systematic Review and Meta-analysis |
title_sort | short-term effect of fine particulate matter on children’s hospital admissions and emergency department visits for asthma: a systematic review and meta-analysis |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4977771/ https://www.ncbi.nlm.nih.gov/pubmed/27499163 http://dx.doi.org/10.3961/jpmph.16.037 |
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