Evidence map›Paper›PMID 37167483›Full record

ArticleEnvironmental health perspectives2023

Long-Term Exposure to Ambient Air Pollution and Mortality among Four Million COVID-19 Cases in Italy: The EpiCovAir Study.

Massimo Stafoggia, Andrea Ranzi, Carla Ancona, Lisa Bauleo, Antonino Bella, Giorgio Cattani, Federica Nobile, Patrizio Pezzotti, Ivano Iavarone, EpiCovAir Study Group

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
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

10 citing papers in PubMed, 16 citations in OpenAlex.

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  2. PMAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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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

10 authors at 4 institutions in 1 country.

Massimo StafoggiaDepartment of Epidemiology, Lazio Region Health Service/ASL Roma 1, Rome, Italy.ORCID 0000-0003-2843-2908
Andrea RanziEnvironmental Health Reference Centre, Regional Agency for Environmental Prevention of Emilia-Romagna, Modena, Italy.
Carla AnconaDepartment of Epidemiology, Lazio Region Health Service/ASL Roma 1, Rome, Italy.
Lisa BauleoDepartment of Epidemiology, Lazio Region Health Service/ASL Roma 1, Rome, Italy.
Antonino BellaItalian National Institute of Health (ISS), Rome, Italy.
Giorgio CattaniItalian Institute for Environmental Protection and Research (ISPRA), Rome, Italy.
Federica NobileDepartment of Epidemiology, Lazio Region Health Service/ASL Roma 1, Rome, Italy.
Patrizio PezzottiItalian National Institute of Health (ISS), Rome, Italy.
Ivano IavaroneItalian National Institute of Health (ISS), Rome, Italy.
EpiCovAir Study Group
ASL Roma · ITIstituto Superiore di Sanità · ITAgenzia Regionale Prevenzione e Ambiente della Regione Emilia-Romagna · ITIstituto Superiore per la Protezione e la Ricerca Ambientale · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of chronic exposure to ambient air pollutants in increasing COVID-19 fatality is still unclear.

objectivesThe study aimed to investigate the association between long-term exposure to air pollutants and mortality among 4 million COVID-19 cases in Italy.

methodsWe obtained individual records of all COVID-19 cases identified in Italy from February 2020 to June 2021. We assigned 2016-2019 mean concentrations of particulate matter (PM) with aerodynamic diameter

resultsWe analyzed 3,995,202 COVID-19 cases, which generated 124,346 deaths. Overall, case-fatality rates increased by 0.7% [95% confidence interval (CI): 0.5%, 0.9%], 0.3% (95% CI: 0.2%, 0.5%), and 0.6% (95% CI: 0.5%, 0.8%) per DISCUSSION: We found suggestive evidence of an association between long-term exposure to ambient air pollutants with mortality among 4 million COVID-19 cases in Italy. https://doi.org/10.1289/EHP11882.

Indexed as

Air PollutantsAir PollutionCOVID-19AgedEnvironmental ExposureHumansNitrogen DioxideParticulate MatterAir PollutantsNitrogen DioxideParticulate Matter

Identifiers

PMID37167483
PMCPMC10174641
OpenAlexW4376226663

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.