Evidence map›Paper›PMID 30042335›Full record

ArticleInternational journal of environmental research and public health2018

Air Health Trend Indicator: Association between Short-Term Exposure to Ground Ozone and Circulatory Hospitalizations in Canada for 17 Years, 1996⁻2012.

Hwashin Hyun Shin, Wesley S Burr, Dave Stieb, Lani Haque, Harun Kalayci, Branka Jovic, Marc Smith-Doiron

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Hwashin Hyun ShinEnvironmental Health Science and Research Bureau, Health Canada, Ottawa, ON K1A 0K9, Canada. hwashin.shin@canada.ca.
Wesley S BurrDepartment of Mathematics, Trent University, Peterborough, ON K9L 0G2, Canada. wesleyburr@trentu.ca.
Dave StiebEnvironmental Health Science and Research Bureau, Health Canada, Ottawa, ON K1A 0K9, Canada. Dave.Stieb@Canada.ca.
Lani HaqueEnvironmental Health Science and Research Bureau, Health Canada, Ottawa, ON K1A 0K9, Canada. Lani.Haque@Canada.ca.
Harun KalayciEnvironmental Health Science and Research Bureau, Health Canada, Ottawa, ON K1A 0K9, Canada. Harun.Kalayci@Canada.ca.
Branka JovicEnvironmental Health Science and Research Bureau, Health Canada, Ottawa, ON K1A 0K9, Canada. branka.jovic@canada.ca.
Marc Smith-DoironEnvironmental Health Science and Research Bureau, Health Canada, Ottawa, ON K1A 0K9, Canada. marc.smith-doiron@canada.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Air Health Trend Indicator is designed to estimate the public health risk related to short-term exposure to air pollution and to detect trends in the annual health risks. Daily ozone, circulatory hospitalizations and weather data for 24 cities (about 54% of Canadians) for 17 years (1996⁻2012) were used. This study examined three circulatory causes: ischemic heart disease (IHD, 40% of cases), other heart disease (OHD, 31%) and cerebrovascular disease (CEV, 14%). A Bayesian hierarchical model using a 7-year estimator was employed to find trends in the annual national associations by season, lag of effect, sex and age group (≤65 vs. >65). Warm season 1-day lagged ozone returned higher national risk per 10 ppb: 0.4% (95% credible interval, -0.3⁻1.1%) for IHD, 0.4% (-0.2⁻1.0%) for OHD, and 0.2% (-0.8⁻1.2%) for CEV. Overall mixed trends in annual associations were observed for IHD and CEV, but a decreasing trend for OHD. While little age effect was identified, some sex-specific difference was detected, with males seemingly more vulnerable to ozone for CEV, although this finding needs further investigation. The study findings could reduce a knowledge gap by identifying trends in risk over time as well as sub-populations susceptible to ozone by age and sex.

Indexed as

Public HealthAgedAir PollutantsAir PollutionBayes TheoremCanadaCerebrovascular DisordersEnvironmental ExposureFemaleHeart DiseasesHospitalizationHumansMaleMiddle AgedMyocardial IschemiaOzoneAir PollutantsOzoneBayesian hierarchical modelcerebrovascular diseaseground-ozonehospitalizationsischemic heart diseaseother heart diseasepublic health risktrend

Identifiers

PMID30042335
PMCPMC6121235

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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.