Effects Of Environmental Factors And Atmospheric Pollution in the Incidence of Hospital Admissions of Patients With Stroke In São Paulo City By Stroke In São Paulo City
Abstract
Introduction: Stroke is one of the major causes of morbidity and mortality worldwide, difficult to treat and recover. The risk of developing stroke may be associated with environmental factors. Objective: To analyze the association between ambient temperature, air humidity and atmospheric pollution with the incidence of hospital admissions for stroke in the city of São Paulo in 2016. Methods: This is an ecological study, carried out by secondary data collection in the city of São Paulo in 2016. The definition of Stroke was according to the tenth revision of the International Classification of Diseases in codes: I60, I61, I63 and I64. Results: There was a positive correlation between the incidence of hospital admissions for stroke and in SO2 in air (rho: 0.80, p=0002) in women. In men there was a positive correlation between the number of hospital admission and SO2 concentration (rho: 0.570, p=0.005). Conclusion: We observed a positive correlation between the incidence of stroke and the concentration of the atmospheric pollutant SO2, an important fact for the intervention in the dispersion of pollutants.
Downloads
Metrics
PlumX Statistics
References
2. Amancio, C. T., & Nascimento, L. F. C. (2012). Association of sulfur dioxide exposure with circulatory system deaths in a medium-sized city in Brazil. Brazilian journal of medical and biological research, 45, 1080-1085.
3. Bai, L., Li, Q., Wang, J., Lavigne, E., Gasparrini, A., Copes, R., ... & Chen, H. (2018). Increased coronary heart disease and stroke hospitalisations from ambient temperatures in Ontario. Heart, 104(8), 673-679.
4. Chen, R., Wang, C., Meng, X., Chen, H., Thach, T. Q., Wong, C. M., & Kan, H. (2013). Both low and high temperature may increase the risk of stroke mortality. Neurology, 81(12), 1064-1070.
5. Cohen, A. J., Brauer, M., Burnett, R., Anderson, H. R., Frostad, J., Estep, K., ... & Forouzanfar, M. H. (2017). Estimates and 25-year trends of the global burden of disease attributable to ambient air pollution: an analysis of data from the Global Burden of Diseases Study 2015. The Lancet, 389(10082), 1907-1918.
6. de Alcantara Sousa, L. V., da Silva Paiva, L., dos Santos Figueiredo, F. W., do Carmo Almeida, T. C., Oliveira, F. R., & Adami, F. (2017). Trends in stroke-related mortality in the ABC region, São Paulo, Brazil: an ecological study between 1997 and 2012. The open cardiovascular medicine journal, 11, 111.
7. DEMOGRÁFICO ICIBGE. Acesso em, v. 4, n. 01, p. 2011, 2010
8. Ganesh, A., King-Shier, K., Manns, B. J., Hill, M. D., & Campbell, D. J. (2017). Money is brain: financial barriers and consequences for Canadian stroke patients. Canadian Journal of Neurological Sciences, 44(2), 146-151.
9. Huang, F., Luo, Y., Tan, P., Xu, Q., Tao, L., Guo, J., ... & Guo, X. (2017). Gaseous air pollution and the risk for stroke admissions: a case-crossover study in Beijing, China. International journal of environmental research and public health, 14(2), 189.
10. Lipsett, M. J., Ostro, B. D., Reynolds, P., Goldberg, D., Hertz, A., Jerrett, M., ... & Bernstein, L. (2011). Long-term exposure to air pollution and cardiorespiratory disease in the California teachers study cohort. American journal of respiratory and critical care medicine, 184(7), 828-835.
11. Ljungman, P. L., & Mittleman, M. A. (2014). Ambient air pollution and stroke. Stroke, 45(12), 3734-3741.
12. Lo, W. C., Ku, C. C., Chiou, S. T., Chan, C. C., Chen, C. L., Lai, M. S., & Lin, H. H. (2017). Adult mortality of diseases and injuries attributable to selected metabolic, lifestyle, environmental, and infectious risk factors in Taiwan: a comparative risk assessment. Population health metrics, 15(1), 1-12.
13. Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., ... & Turner, M. B. (2016). Heart disease and stroke statistics—2016 update: a report from the American Heart Association. circulation, 133(4), e38-e360.
14. Pestana, P. R. D. S., Braga, A. L. F., Ramos, E. M. C., Oliveira, A. F. D.,
Osadnik, C. R., Ferreira, A. D., & Ramos, D. (2017). Effects of air pollution caused by sugarcane burning in Western São Paulo on the cardiovascular system. Revista de saude publica, 51, 13.
15. Piassaroli, C. D. P., Almeida, G. C., Luvizotto, J. C., & Suzan, A. B. (2012). Physical therapy rehabilitation models in adult patients with ischemic stroke sequel. Rev Neurocienc, 20(1), 128-37.
16. Pinheiro, S. D. L. L. D. A., Saldiva, P. H. N., Schwartz, J., & Zanobetti, A. (2014). Isolated and synergistic effects of PM10 and average temperature on cardiovascular and respiratory mortality. Revista de saude publica, 48(6), 881-888.
17. Qian, Y., Zhu, M., Cai, B., Yang, Q., Kan, H., Song, G., ... & Wang, C. (2013). Epidemiological evidence on association between ambient air pollution and stroke mortality. J Epidemiol Community Health, 67(8), 635-640.
18. Requia, W. J., Adams, M. D., Arain, A., Papatheodorou, S., Koutrakis, P., & Mahmoud, M. (2018). Global association of air pollution and cardiorespiratory diseases: a systematic review, meta-analysis, and investigation of modifier variables. American journal of public health, 108(S2), S123-S130.
19. Sampaio-Baptista, C., Sanders, Z. B., & Johansen-Berg, H. (2018). Structural plasticity in adulthood with motor learning and stroke rehabilitation. Annual review of neuroscience, 41, 25-40.
20. Soares, G. P., Brum, J. D., Oliveira, G. M., Klein, C. H., & Silva, N. A. (2010). All-cause and cardiovascular diseases mortality in three Brazilian states, 1980 to 2006. Revista Panamericana de Salud Pública, 28(4), 258-266.
21. Stambler B, Scazzuso F. Targeting stroke risk and improving outcomes in patients with atrial fibrillation in latin america. Sao Paulo medical journal = Revista paulista de medicina. 2016;134:534-542
22. Stambler, B., & Scazzuso, F. (2016). Targeting stroke risk and improving outcomes in patients with atrial fibrillation in Latin America. Sao Paulo Medical Journal, 134, 534-542.
23. Thayabaranathan, T., Andrew, N. E., Immink, M. A., Hillier, S., Stevens, P., Stolwyk, R., ... & Cadilhac, D. A. (2017). Determining the potential benefits of yoga in chronic stroke care: a systematic review and meta-analysis. Topics in stroke rehabilitation, 24(4), 279-287.
24. Tunnicliffe, W. S., Hilton, M. F., Harrison, R. M., & Ayres, J. G. (2001). The effect of sulphur dioxide exposure on indices of heart rate variability in normal and asthmatic adults. European Respiratory Journal, 17(4), 604-608.
25. Vincens, N., & Stafström, M. (2015). Income inequality, economic growth and stroke mortality in Brazil: longitudinal and regional analysis 2002-2009. PloS one, 10(9), e0137332.
26. Wang, B., Cao, W., Biswal, S., & Doré, S. (2011). Carbon monoxide–activated Nrf2 pathway leads to protection against permanent focal cerebral ischemia. Stroke, 42(9), 2605-2610.
Copyright (c) 2022 André Akira Ramos Takahashi, André Costa Corral Ponce, Italla Maria Bezerra, João Antonio Correa, Luis Eduardo Werneck de Carvalho, Rodrigo Daminello Raimundo, Laércio da Silva Paiva, Fernando Luiz Affonso Fonsec, Luiz Carlos de Abreu Carlos de Abreu, Luiz Vinicius de Alcantara Sousa Alcantara Sousa, Fernando Adami
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.