Evidence map›Paper›PMID 19590690›Full record

ArticleEnvironmental health perspectives2009

Emergency admissions for cardiovascular and respiratory diseases and the chemical composition of fine particle air pollution.

Roger D Peng, Michelle L Bell, Alison S Geyh, Aidan McDermott, Scott L Zeger, Jonathan M Samet, Francesca Dominici

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 197 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
197citing papers in PubMed, 7 pooled it
16.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

197 citing papers in PubMed, 7 syntheses or guidelines pooled it, 560 citations in OpenAlex.

  1. Pooled it
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  15. PMEnvironment & health (Washington, D.C.) · 2026
    Article
  16. Review
  17. Association of PMRespiratory research · 2026
    Article
  18. Article
  19. Article
  20. Effect of the S100A9/AMPK pathway on PM2.5-mediated mouse lung injury.Iranian journal of basic medical sciences · 2025
    Article

137 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Roger D PengDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA. rpeng@jhsph.edu
Michelle L Bell
Alison S Geyh
Aidan McDermott
Scott L Zeger
Jonathan M Samet
Francesca Dominici
Johns Hopkins University · USUniversity of Southern California · USYale University · US

Funding

PILOT STUDY--ACID FOG, AN EXPERIMENTAL MODELP30ES003819 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI GROOPMAN, JOHN D · 1985 to 2012
$22.6M
Statistiscal methods for population health research on chemical mixturesR01ES012054 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI DOMINICI, FRANCESCA · 2003 to 2010
$3.1M
National Assessment of the Mortality and Morbidity Effects of Tropospheric OzoneR01ES015028 · NIEHS · YALE UNIVERSITY · PI BELL, MICHELLE L · 2006 to 2010
$477k
NIEHS NIH HHS ES012054-03NIEHS NIH HHS P30 ES003819NIEHS NIH HHS P30 ES 03819NIEHS NIH HHS R01 ES012054NIEHS NIH HHS R01 ES015028NIEHS NIH HHS R01-ES015028
6 · The paper itself

Abstract

backgroundPopulation-based studies have estimated health risks of short-term exposure to fine particles using mass of PM(2.5) (particulate matter <or= 2.5 microm in aerodynamic diameter) as the indicator. Evidence regarding the toxicity of the chemical components of the PM(2.5) mixture is limited.

objectiveIn this study we investigated the association between hospital admission for cardiovascular disease (CVD) and respiratory disease and the chemical components of PM(2.5) in the United States.

methodsWe used a national database comprising daily data for 2000-2006 on emergency hospital admissions for cardiovascular and respiratory outcomes, ambient levels of major PM(2.5) chemical components [sulfate, nitrate, silicon, elemental carbon (EC), organic carbon matter (OCM), and sodium and ammonium ions], and weather. Using Bayesian hierarchical statistical models, we estimated the associations between daily levels of PM(2.5) components and risk of hospital admissions in 119 U.S. urban communities for 12 million Medicare enrollees (>or= 65 years of age).

resultsIn multiple-pollutant models that adjust for the levels of other pollutants, an interquartile range (IQR) increase in EC was associated with a 0.80% [95% posterior interval (PI), 0.34-1.27%] increase in risk of same-day cardiovascular admissions, and an IQR increase in OCM was associated with a 1.01% (95% PI, 0.04-1.98%) increase in risk of respiratory admissions on the same day. Other components were not associated with cardiovascular or respiratory hospital admissions in multiple-pollutant models.

conclusionsAmbient levels of EC and OCM, which are generated primarily from vehicle emissions, diesel, and wood burning, were associated with the largest risks of emergency hospitalization across the major chemical constituents of PM(2.5).

Indexed as

Particulate MatterCardiovascular DiseasesCardiovascular SystemHospitalizationHumansRespiration DisordersRespiratory SystemParticulate Mattercardiovascular diseasechemical componentshospital admissionparticulate matterPM2.5respiratory diseaseSpeciation Trends Network

Identifiers

PMID19590690
PMCPMC2702413
OpenAlexW2044952036

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.