ArticleNeurology international2012
Airborne pollutants and lacunar stroke: a case cross-over analysis on stroke unit admissions.
Article in Neurology international, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 6 of them syntheses that pooled it.
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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.
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Who cites it
21 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Exposure to Volatile Organic Compounds and Cardiovascular Diseases: A Systematic Review and Meta-Analysis.Journal of the American Heart Association · 2026Pooled it
- Occupational and domestic exposure associations with cerebral small vessel disease and vascular dementia: A systematic review and meta-analysis.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Pooled it
- Short term exposure to air pollution and stroke: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2015Pooled it
- Short-term changes in ambient particulate matter and risk of stroke: a systematic review and meta-analysis.Journal of the American Heart Association · 2014Pooled it
- Who is more affected by ozone pollution? A systematic review and meta-analysis.American journal of epidemiology · 2014Pooled it
- Short-term effects of particulate matter on stroke attack: meta-regression and meta-analyses.PloS one · 2014Pooled it
- Trial
- Air Pollution and Ischaemic Stroke.Annals of Indian Academy of Neurology · 2022Article
- Article
- Short-term effects of outdoor air pollution on acute ischaemic stroke occurrence: a case-crossover study in Tianjin, China.Occupational and environmental medicine · 2020Article
- Multicenter Ozone Study in oldEr Subjects (MOSES): Part 2. Effects of Personal and Ambient Concentrations of Ozone and Other Pollutants on Cardiovascular and Pulmonary Function.Research report (Health Effects Institute) · 2020Article
- Air pollution and the incidence of ischaemic and haemorrhagic stroke in the South London Stroke Register: a case-cross-over analysis.Journal of epidemiology and community health · 2017Article
- Multicenter Ozone Study in oldEr Subjects (MOSES): Part 1. Effects of Exposure to Low Concentrations of Ozone on Respiratory and Cardiovascular Outcomes.Research report (Health Effects Institute) · 2017Article
- Association between Diurnal Variation of Ozone Concentration and Stroke Occurrence: 24-Hour Time Series Study.PloS one · 2016Article
- Air Pollution and Subtypes, Severity and Vulnerability to Ischemic Stroke-A Population Based Case-Crossover Study.PloS one · 2016Article
- Triggering of stroke by ambient temperature variation: a case-crossover study in Maputo, Mozambique.Clinical neurology and neurosurgery · 2015Article
- Ambient air pollution and stroke.Stroke · 2014Review
- Physical activity, air pollution and the brain.Sports medicine (Auckland, N.Z.) · 2014Review
- Outdoor air pollution, subtypes and severity of ischemic stroke--a small-area level ecological study.International journal of health geographics · 2014Article
- A retrospective analysis of 254 acute stroke cases admitted to two university hospitals in Beirut: classification and associated factors.Functional neurologyArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Particulate air pollution is known to be associated with cardiovascular disease. The relation of particulate air pollution with cerebrovascular disease (CVD) has not been extensively studied, particularly in relation to different subtypes of stroke. A time-series study was conducted to evaluate the association between daily air pollution and acute stroke unit hospitalizations in Mantua, Italy. We analyzed 781 CVD consecutive patients living in Mantua county admitted between 2006-08. Data on stroke types, demographic variables, risk factors were available from the Lombardia Stroke Registry. Daily mean value of particulate matter with a diameter <10 µm (PM(10)), carbon monoxide, nitric oxide, nitrogen dioxide, sulphur dioxide, benzene and ozone were used in the analysis. The association between CVD, ischemic strokes subtypes and pollutants was investigated with a case-crossover design, using conditional logistic regression analysis, adjusting for temperature, humidity, barometric pressure and holidays. Among the 781 subjects admitted 75.7% had ischemic stroke, 11.7% haemorrhagic stroke 12.6% transient ischemic attack. In men admission for stroke was associated with PM(10) [odds ratio (OR) 1.01, 95%; confidence interval (CI) 1.00-1.02; P<0.05]. According to the clinical classification, lacunar anterior circulation syndrome stroke type was related to PM(10) level registered on the day of admission for both genders (OR: 1.01, 95%; CI: 1.00-1.02; P<0.05) while for total anterior circulation syndrome stroke only in men (OR: 1.04, 95%; CI 1.01-1.07; P<0.05).In conclusion, our study confirms that air pollution peaks may contribute to increase the risk of hospitalization for stroke and particulate matter seems to be a significant risk factor, especially for lacunar stroke.
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