Evidence map›Paper›PMID 30844583›Full record

ArticleEnvironment international2019

Acute effects of air pollution on mortality: A 17-year analysis in Kuwait.

Souzana Achilleos, Ebaa Al-Ozairi, Barrak Alahmad, Eric Garshick, Andreas M Neophytou, Walid Bouhamra, Mohamed F Yassin, Petros Koutrakis

Registry-linked trialAbstract read
In one paragraph

Article in Environment international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06798987 (Characterization of the Spatial Distribution and Drivers of the Association of Meteorological Factors and Air Pollution with the Number of First Aiders), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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.

NCT06798987 enrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Characterization of the Spatial Distribution and Drivers of the Association of Meteorological Factors and Air Pollution with the Number of First Aiders

Typeobservational_patient_registrySponsorLi hengjieRan2024 to 2025Enrolled1,500,000ConditionsFig. ImpetuousArmsMeteorological conditions and air pollution
3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. Article
  2. Prevalence ofJournal of fungi (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Burden of fine air pollution on mortality in the desert climate of Kuwait.Journal of exposure science & environmental epidemiology · 2023
    Article
  9. Extreme heat and work injuries in Kuwait's hot summers.Occupational and environmental medicine · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. PMEnvironmental challenges (Amsterdam, Netherlands) · 2021
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Air pollution effects on adult mortality rate in developing countries.Environmental science and pollution research international · 2021
    Article
  20. Review
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

8 authors.

Souzana AchilleosCyprus International Institute for Environmental and Public Health, Cyprus University of Technology, Limassol, Cyprus; Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA. Electronic address: souzana.achilleos@cut.ac.cy.
Ebaa Al-OzairiDepartment of Medicine, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait; Dasman Diabetes Institute, Kuwait City, Kuwait.
Barrak AlahmadDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Eric GarshickPulmonary, Allergy, Sleep, and Critical Care Medicine Section, VA Boston Healthcare System, Boston, MA, USA; Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Andreas M NeophytouDivision of Environmental Health Sciences, School of Public Health, University of California, Berkeley, CA, USA.
Walid BouhamraChemical Engineering Department, Kuwait University, Kuwait City, Kuwait.
Mohamed F YassinEnvironment and Life Sciences Center, Kuwait Institute for Scientific Research (KISR), Kuwait City, Kuwait.
Petros KoutrakisDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.

Funding

Air pollution exposures and children's health: mediation and interaction in a counterfactual frameworkR00ES027511 · NIEHS · COLORADO STATE UNIVERSITY · PI NEOPHYTOU, ANDREAS · 2019 to 2022
$747k
Air pollution exposures and children's health: mediation and interaction in a counterfactual frameworkK99ES027511 · NIEHS · UNIVERSITY OF CALIFORNIA BERKELEY · PI NEOPHYTOU, ANDREAS · 2017 to 2018
$182k
Intramural VA VA999999NIEHS NIH HHS K99 ES027511NIEHS NIH HHS R00 ES027511
6 · The paper itself

Abstract

backgroundThe health burden from exposure to air pollution has been studied in many parts of the world. However, there is limited research on the health effects of air quality in arid areas where sand dust is the primary particulate pollution source.

objectiveStudy the risk of mortality from exposure to poor air quality days in Kuwait.

methodsWe conducted a time-series analysis using daily visibility as a measure of particulate pollution and non-accidental total mortality from January 2000 through December 2016. A generalized additive Poisson model was used adjusting for time trends, day of week, and temperature. Low visibility (yes/no), defined as visibility lower than the 25th percentile, was used as an indicator of poor air quality days. Dust storm events were also examined. Finally, we examined these associations after stratifying by gender, age group, and nationality (Kuwaitis/non-Kuwaitis).

resultsThere were 73,748 deaths from natural causes in Kuwait during the study period. The rate ratio comparing the mortality rate on low visibility days to high visibility days was 1.01 (95% CI: 0.99-1.03). Similar estimates were observed for dust storms (1.02, 95% CI: 1.00-1.04). Higher and statistically significant estimates were observed among non-Kuwaiti men and non-Kuwaiti adolescents and adults.

conclusionWe observed a higher risk of mortality during days with poor air quality in Kuwait from 2000 through 2016.

Indexed as

Air PollutionMortalityAdolescentAdultAgedAir PollutantsChildChild, PreschoolDustFemaleHumansInfantInfant, NewbornKuwaitMaleMiddle AgedAir PollutantsDustDesert dustDust stormKuwaitMortalityTime series

Identifiers

PMID30844583
PMCPMC6511973

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Registered trials

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.