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The Global Contribution of Outdoor Air Pollution to the Incidence, Prevalence, Mortality and Hospital Admission for Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

Publication ,  Journal Article
Song, QK; Christiani, DC; Wang, XR; Ren, J
Published in: International Journal of Environmental Research and Public Health
2014

Objective: This study aimed to investigate the quantitative effects of outdoor air pollution, represented by 10 mu g/m(3) increment of PM10, on chronic obstructive pulmonary disease in China, United States and European Union through systematic review and meta-analysis. Methods: Publications in English and Chinese from PubMed and EMBASE were selected. The Cochrane Review Handbook of Generic Inverse Variance was used to synthesize the pooled effects on incidence, prevalence, mortality and hospital admission. Results: Outdoor air pollution contributed to higher incidence and prevalence of COPD. Short-term exposure was associated with COPD mortality increased by 6%, 1% and 1% in the European Union, the United States and China, respectively (p < 0.05). Chronic PM exposure produced a 10% increase in mortality. In a short-term exposure to 10 mu g/m(3) PM10 increment COPD mortality was elevated by 1% in China (p < 0.05) and hospital admission enrollment was increased by 1% in China, 2% in United States and 1% in European Union (p < 0.05). Conclusions: Outdoor air pollution contributes to the increasing burdens of COPD. 10 mu g/m(3) increase of PM10 produced significant condition of COPD death and exacerbation in China, United States and European Union. Controlling air pollution will have substantial benefit to COPD morbidity and mortality.

Duke Scholars

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Published In

International Journal of Environmental Research and Public Health

DOI

ISSN

1660-4601

Publication Date

2014

Volume

11

Start / End Page

11822 / 11832

Related Subject Headings

  • Toxicology
 

Citation

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MLA
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Song, Q. K., Christiani, D. C., Wang, X. R., & Ren, J. (2014). The Global Contribution of Outdoor Air Pollution to the Incidence, Prevalence, Mortality and Hospital Admission for Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 11, 11822–11832. https://doi.org/10.3390/ijerph111111822
Song, Q. K., D. C. Christiani, X. R. Wang, and J. Ren. “The Global Contribution of Outdoor Air Pollution to the Incidence, Prevalence, Mortality and Hospital Admission for Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis.” International Journal of Environmental Research and Public Health 11 (2014): 11822–32. https://doi.org/10.3390/ijerph111111822.
Song QK, Christiani DC, Wang XR, Ren J. The Global Contribution of Outdoor Air Pollution to the Incidence, Prevalence, Mortality and Hospital Admission for Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2014;11:11822–32.
Song, Q. K., et al. “The Global Contribution of Outdoor Air Pollution to the Incidence, Prevalence, Mortality and Hospital Admission for Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis.” International Journal of Environmental Research and Public Health, vol. 11, 2014, pp. 11822–32. Manual, doi:10.3390/ijerph111111822.
Song QK, Christiani DC, Wang XR, Ren J. The Global Contribution of Outdoor Air Pollution to the Incidence, Prevalence, Mortality and Hospital Admission for Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2014;11:11822–11832.

Published In

International Journal of Environmental Research and Public Health

DOI

ISSN

1660-4601

Publication Date

2014

Volume

11

Start / End Page

11822 / 11832

Related Subject Headings

  • Toxicology