Abstract

Evaluate the relationship between exposure to air pollution and elderly hospital admissions due to Congestive Heart Failure (CHF) in the city of São Paulo, from 2000 to 2013, stratified by sex. This is an ecological time series study. Daily records of PM10, NO2, SO2, CO, O3, minimum temperature and humidity average were obtained from the São Paulo State Environmental Agency. Hospital admissions were obtained from Sistema Único de Saúde (SUS) database. Generalized linear polynomial distributed lag model was used to assess the effect of pollutants on the outcome. In São Paulo, all primarily pollutants were associated with the outcome. An interquartile range increase in PM10 (24.28 μg/m3) was associated with a 4.53% (95% CI: 3.10%-5.95%) increase in the total, and 4.54% (95% CI: 2.17%-6.46%) increase for females, and 4.16% (95% CI: 2.17%-6.16%) for male. An interquartile range increase in SO2 (7.63 μg/m3) associated with a 4.67% (95% CI: 3.16%-6.17%) increase in the total, and 4.61% (95% CI: 2.28%-6,62%) increase for females, and 4.44% (95% CI: 2.35%-6.54%) for male. An interquartile range increase in NO2 (50.22 μg/m3) was associated with a 4.79% (95% CI: 3.47%-6.12%) increase in the total, and 4.25% (95% CI: 2.47%-6.03%) increase for females, and 5.06% (95% CI: 3.20%-6.91%) for male. The study showed an acute effect on hospitalizations for elderly with CHF in São Paulo.

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