...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>JMIR public health and surveillance. >The Association Between Short-term Exposure to Ambient Air Pollution and Patient-Level Home Blood Pressure Among Patients With Chronic Cardiovascular Diseases in a Web-Based Synchronous Telehealth Care Program: Retrospective Study
【24h】

The Association Between Short-term Exposure to Ambient Air Pollution and Patient-Level Home Blood Pressure Among Patients With Chronic Cardiovascular Diseases in a Web-Based Synchronous Telehealth Care Program: Retrospective Study

机译：基于Web的同步远程医疗保健计划的慢性心血管疾病患者短期暴露与患者水平家庭血压的关联：回顾性研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background The association between short-term exposure to ambient air pollution and blood pressure has been inconsistent, as reported in the literature. Objective This study aimed to investigate the relationship between short-term ambient air pollution exposure and patient-level home blood pressure (HBP). Methods Patients with chronic cardiovascular diseases from a telehealth care program at a university-affiliated hospital were enrolled as the study population. HBP was measured by patients or their caregivers. Hourly meteorological data (including temperature, relative humidity, wind speed, and rainfall) and ambient air pollution monitoring data (including CO, NO2, particulate matter with a diameter of 10 μm, particulate matter with a diameter of 2.5 μm, and SO2) during the same time period were obtained from the Central Weather Bureau and the Environmental Protection Administration in Taiwan, respectively. A stepwise multivariate repeated generalized estimating equation model was used to assess the significant factors for predicting systolic and diastolic blood pressure (SBP and DBP). Results A total of 253 patients and 110,715 HBP measurements were evaluated in this study. On multivariate analysis, demographic, clinical, meteorological factors, and air pollutants significantly affected the HBP (both SBP and DBP). All 5 air pollutants evaluated in this study showed a significant, nonlinear association with both home SBP and DBP. Compared with demographic and clinical factors, environmental factors (meteorological factors and air pollutants) played a minor yet significant role in the regulation of HBP. Conclusions Short-term exposure to ambient air pollution significantly affects HBP in patients with chronic cardiovascular disease.
机译：背景技术在文献中报道，短期暴露于环境空气污染和血压之间的关联是不一致的。目的本研究旨在调查短期环境空气污染暴露与患者水平家庭血压（HBP）之间的关系。方法患有大学附属医院的远程医院慢性心血管疾病的患者被称为研究人口。 HBP由患者或护理人员衡量。每小时气象数据（包括温度，相对湿度，风速和降雨）和环境空气污染监测数据（包括CO，NO2，直径的颗粒物质，颗粒物质，颗粒物质的直径为<2.5μm，在同一时间段内，分别在同一时期从中央气象局和台湾环境保护局获得。用于评估预测收缩和舒张血压（SBP和DBP）的重要因素来评估逐步多变量的重复估计等式模型。结果在本研究中共有253名患者和110,715次HBP测量。关于多变量分析，人口统计学，临床，气象因素和空气污染物显着影响HBP（SBP和DBP）。本研究评估的所有5个空气污染物显示出与家庭SBP和DBP的重要性，非线性关联。与人口统计和临床因素相比，环境因素（气象因素和空气污染物）在HBP的调节中发挥了较小的尚未作用。结论短期暴露于环境空气污染显着影响慢性心血管疾病患者的HBP。

著录项

相似文献

  • 外文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号