Evidence map›Paper›PMID 42185839›Full record

Observational studyBMC public health2026

Relationship between short-term exposure to ambient sulfur dioxide and length of hospital stay after surgery for osteoporotic fractures: a distributed lag non-linear analysis.

Yong-Xu Liu, Jia-Qi Liang, Guo-Ji Lin, Hong-Yi Jiang, Min-Jun Zhang, Lin Chen, Shan-Jun Yan, Ting Wang, Xi Qian, Ya-Qin Gong and 2 more

Abstract readObservational Study
In one paragraph

Observational study in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

12 authors.

Yong-Xu Liu *Department of Orthopedics, Affiliated Kunshan Hospital of Jiangsu University, No. 566 East of Qianjin Road, Suzhou, Jiangsu, 215300, China.ORCID http://orcid.org/0009-0007-3634-7275
Jia-Qi Liang *Department of Orthopedics, Affiliated Kunshan Hospital of Jiangsu University, No. 566 East of Qianjin Road, Suzhou, Jiangsu, 215300, China.ORCID http://orcid.org/0009-0001-2223-6773
Guo-Ji LinDepartment of Orthopedics, Affiliated Kunshan Hospital of Jiangsu University, No. 566 East of Qianjin Road, Suzhou, Jiangsu, 215300, China.ORCID http://orcid.org/0009-0003-0422-0692
Hong-Yi JiangDepartment of Orthopedics, Gusu School, The First People's Hospital of Kunshan, Nanjing Medical University, Suzhou, Jiangsu, China.ORCID http://orcid.org/0009-0001-9850-5693
Min-Jun ZhangDepartment of Orthopedics, Gusu School, The First People's Hospital of Kunshan, Nanjing Medical University, Suzhou, Jiangsu, China.ORCID http://orcid.org/0009-0005-6552-9129
Lin ChenEcology and Environment Bureau of Kunshan City, Suzhou, Jiangsu, 215300, China.ORCID http://orcid.org/0009-0004-9242-8633
Shan-Jun YanEcology and Environment Bureau of Kunshan City, Suzhou, Jiangsu, 215300, China.ORCID http://orcid.org/0009-0008-7155-1551
Ting WangMeteorological Bureau of Kunshan City, Suzhou, Jiangsu, 215337, China.ORCID http://orcid.org/0009-0001-4815-4231
Xi QianMeteorological Bureau of Kunshan City, Suzhou, Jiangsu, 215337, China.ORCID http://orcid.org/0009-0002-7328-0595
Ya-Qin GongInformation Department, Affiliated Kunshan Hospital of Jiangsu University, Suzhou, Jiangsu, 215300, China.ORCID http://orcid.org/0000-0001-8695-4048
Chong LiDepartment of Orthopedics, Kunshan Hospital of Traditional Chinese Medicine Affiliated to Yangzhou University, Suzhou, Jiangsu, China.ORCID http://orcid.org/0000-0002-1526-221X
Ke LuDepartment of Orthopedics, Affiliated Kunshan Hospital of Jiangsu University, No. 566 East of Qianjin Road, Suzhou, Jiangsu, 215300, China. sgu8434@sina.com.ORCID http://orcid.org/0000-0002-0029-7874

Funding

Gusu Health Talent Plan Scientific Research Project GSWS2022109Key Laboratory Project in Suzhou City SZS2024018Kunshan First People's Hospital Medical and Health Technology Innovation Special Project KETDCX202403Postgraduate Research & Practice Innovation Program of Jiangsu Province SICX25 2496Special Funding for Jiangsu Province Science and Technology Plan BE2023737Suzhou City Major Disease Multicenter Clinical Research Project DZXYJ202312
6 · The paper itself

Abstract

backgroundWhile long-term air pollution is a known risk factor for fracture, its short-term impact on prognosis, particularly length of stay (LOS) in hospital following surgery, remains unclear.

objectivesThis study aimed to assess the relationship between short-term exposure to ambient sulfur dioxide (SO

methodsA retrospective observational analysis of secondary hospital records from 3567 patients treated in Kunshan, China, between 2017 and 2024 was conducted. Individual clinical records were linked to daily area-level ambient SO₂ and meteorological data, and a distributed lag non-linear model was used to assess the association between short-term SO₂ exposure and LOS.

resultsA non-linear, J-shaped association was identified between SO

conclusionsShort-term ambient SO₂ exposure was associated with prolonged LOS after osteoporotic fracture surgery, particularly at higher levels of exposure. These findings highlight the potential relevance of ambient air pollution to postoperative outcomes in vulnerable patient populations.

Indexed as

Air PollutantsAir PollutionEnvironmental ExposureLength of StayOsteoporotic FracturesSulfur DioxideAgedChinaFemaleHumansMaleMiddle AgedNonlinear DynamicsRetrospective StudiesAir PollutantsSulfur DioxideAir pollutionDistributed lag non-linear modelLength of hospital stayOsteoporotic fractureSulfur dioxide

Identifiers

PMID42185839
PMCPMC13386719

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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.