Evidence map›Paper›PMID 23777832›Full record

ArticleEnvironmental health perspectives2013

Short-term associations between fine and coarse particulate matter and hospitalizations in Southern Europe: results from the MED-PARTICLES project.

Massimo Stafoggia, Evangelia Samoli, Ester Alessandrini, Ennio Cadum, Bart Ostro, Giovanna Berti, Annunziata Faustini, Benedicte Jacquemin, Cristina Linares, Mathilde Pascal and 5 more

Abstract read
In one paragraph

Article in Environmental health perspectives, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

60 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Air pollution and nonmalignant respiratory mortality in 16 cohorts within the ESCAPE project.American journal of respiratory and critical care medicine · 2014
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. Short-Term Effects of Extreme Heat, Cold, and Air Pollution Episodes on Excess Mortality in Luxembourg.International journal of environmental research and public health · 2025
    Article
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  10. Impact of Ambient Ultrafine Particles on Cause-Specific Mortality in Three German Cities.American journal of respiratory and critical care medicine · 2023
    Article
  11. Article
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  14. Misuse of Pollution Reference Standards: No Safe Level of Air Pollution.American journal of respiratory and critical care medicine · 2022
    Article
  15. Article
  16. Article
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  18. Short-Term Associations of Ambient Fine Particulate Matter (PMInternational journal of environmental research and public health · 2021
    Article
  19. Short-Term Effects of Air Pollution on Cardiovascular Hospitalizations in the Pisan Longitudinal Study.International journal of environmental research and public health · 2021
    Article
  20. Article
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

15 authors.

Massimo StafoggiaDepartment of Epidemiology, Lazio Region Health Service, Rome, Italy. m.stafoggia@deplazio.it
Evangelia Samoli
Ester Alessandrini
Ennio Cadum
Bart Ostro
Giovanna Berti
Annunziata Faustini
Benedicte Jacquemin
Cristina Linares
Mathilde Pascal
Giorgia Randi
Andrea Ranzi
Elisa Stivanello
Francesco Forastiere
MED-PARTICLES Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence on the short-term effects of fine and coarse particles on morbidity in Europe is scarce and inconsistent.

objectivesWe aimed to estimate the association between daily concentrations of fine and coarse particles with hospitalizations for cardiovascular and respiratory conditions in eight Southern European cities, within the MED-PARTICLES project.

methodsCity-specific Poisson models were fitted to estimate associations of daily concentrations of particulate matter with aerodynamic diameter ≤ 2.5 μm (PM2.5), ≤ 10 μm (PM10), and their difference (PM2.5-10) with daily counts of emergency hospitalizations for cardiovascular and respiratory diseases. We derived pooled estimates from random-effects meta-analysis and evaluated the robustness of results to co-pollutant exposure adjustment and model specification. Pooled concentration-response curves were estimated using a meta-smoothing approach.

resultsWe found significant associations between all PM fractions and cardiovascular admissions. Increases of 10 μg/m3 in PM2.5, 6.3 μg/m3 in PM2.5-10, and 14.4 μg/m3 in PM10 (lag 0-1 days) were associated with increases in cardiovascular admissions of 0.51% (95% CI: 0.12, 0.90%), 0.46% (95% CI: 0.10, 0.82%), and 0.53% (95% CI: 0.06, 1.00%), respectively. Stronger associations were estimated for respiratory hospitalizations, ranging from 1.15% (95% CI: 0.21, 2.11%) for PM10 to 1.36% (95% CI: 0.23, 2.49) for PM2.5 (lag 0-5 days).

conclusionsPM2.5 and PM2.5-10 were positively associated with cardiovascular and respiratory admissions in eight Mediterranean cities. Information on the short-term effects of different PM fractions on morbidity in Southern Europe will be useful to inform European policies on air quality standards.

Indexed as

CitiesCardiovascular DiseasesEuropeHospitalizationHumansModels, TheoreticalParticle SizeParticulate MatterPoisson DistributionRespiratory Tract DiseasesParticulate Matter

Identifiers

PMID23777832
PMCPMC3764077

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Registered trials

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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.