ArticleBMJ (Clinical research ed.)2019
Association between ambient fine particulate pollution and hospital admissions for cause specific cardiovascular disease: time series study in 184 major Chinese cities.
Article in BMJ (Clinical research ed.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
76 citing papers in PubMed, 4 syntheses or guidelines pooled it, 206 citations in OpenAlex.
- Impact of Ambient Air Pollution on Cardiovascular Diseases in Low- and Lower-Middle-Income Countries: A Systematic Review and Meta-Analysis.Global heart · 2026Pooled it
- Effect of Air Pollution on Heart Failure: Systematic Review and Meta-Analysis.Environmental health perspectives · 2023Pooled it
- Association between short-term exposure to ambient air pollution and heart failure: An updated systematic review and meta-analysis of more than 7 million participants.Frontiers in public health · 2022Pooled it
- Association between exposure to ambient air pollution and hospital admission, incidence, and mortality of stroke: an updated systematic review and meta-analysis of more than 23 million participants.Environmental health and preventive medicine · 2021Pooled it
- Short-term effects of ambient PMJournal of global health · 2026Article
- A Drug-Environment Interaction Between PMPharmacoepidemiology and drug safety · 2026Article
- Sunshine duration and episodes of mental disorders and the inverse effect modification by ambient temperature.BMC medicine · 2026Article
- Associations between non-optimum temperatures and cardiovascular hospital admissions and effect modification by ambient particulate air pollution: a two-stage time-series study in China.The Lancet regional health. Western Pacific · 2026Article
- Association Between Air Pollutants and Infectious Epiglottitis Incidence: A Observational Study.Health science reports · 2026Article
- Spatiotemporal patterns of excess mortality attributable to prolonged cold spells in China, 2020-2023.BMC public health · 2026Article
- Editorial: Environmental determinants of cardiovascular health: interactions with lifestyle and socioeconomic factors.Frontiers in cardiovascular medicine · 2026Article
- Long-term exposure to fine particulate matter constituents and incident stroke risk among middle-aged and older adults in China: a cohort study.Frontiers in public health · 2026Article
- Spatiotemporal Inequalities in the Burden of Tuberculosis Attributable to Long-Term Particulate Matter Exposure in Mainland of China.GeoHealth · 2026Article
- Heterogeneous impact of fine particulate matter constituents on pulmonary tuberculosis onset: a multicenter time series study in Beijing.BMC public health · 2025Article
- Assessing the benefits of hypothetical air pollution reduction scenarios on stroke in belgium: a g-computation approach.BMC medical research methodology · 2025Article
- Hospital admissions attributable to reduced air pollution due to clean-air policies in China.Nature medicine · 2025Article
- Interactive Effect of Air Temperature and Fine Particulate Matter on the Hospital Admissions for Stroke in Shenzhen, China.Journal of the American Heart Association · 2025Article
- Association of long-term exposure to air pollutants with benign prostatic hyperplasia among middle-aged and older men in China.International archives of occupational and environmental health · 2025Article
- Short-term effects of combined environmental factors on respiratory disease mortality in Qingdao city: A time-series investigation.PloS one · 2025Article
- A novel spatial heteroscedastic generalized additive distributed lag model for the spatiotemporal relation between PMScientific reports · 2024Article
16 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the risks of daily hospital admissions for cause specific major cardiovascular diseases associated with short term exposure to ambient fine particulate matter (aerodynamic diameter ≤2.5 μm; PM
designNational time series study.
setting184 major cities in China. POPULATION: 8 834 533 hospital admissions for cardiovascular causes in 184 Chinese cities recorded by the national database of Urban Employee Basic Medical Insurance from 1 January 2014 to 31 December 2017.
main outcome measuresDaily counts of city specific hospital admissions for primary diagnoses of ischaemic heart disease, heart failure, heart rhythm disturbances, ischaemic stroke, and haemorrhagic stroke among different demographic groups were used to estimate the associations between PM
resultsOver the study period, a mean of 47 hospital admissions per day (standard deviation 74) occurred for cardiovascular disease, 26 (53) for ischaemic heart disease, one (five) for heart failure, two (four) for heart rhythm disturbances, 14 (28) for ischaemic stroke, and two (four) for haemorrhagic stroke. At the national average level, an increase of 10 μg/m
conclusionsThese data suggest that in China, short term exposure to PM
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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.