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Evaluating the impact of air pollution on the incidence of out-of-hospital cardiac arrest in the Perth Metropolitan Region: 2000–2010

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Open access
Authors
Straney, L.
Finn, Judith
Dennekamp, M.
Bremner, A.
Tonkin, A.
Jacobs, I.
Date
2013
Type
Journal Article

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Straney, Lahn and Finn, Judith and Dennekamp, Martine and Bremner, Alexandra and Tonkin, Andrew and Jacobs, Ian. 2013. Evaluating the impact of air pollution on the incidence of out-of-hospital cardiac arrest in the Perth Metropolitan Region: 2000–2010. Journal of Epidemiology and Community Health. 68 (1): pp. 6-12.
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Journal of Epidemiology and Community Health
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This article has been accepted for publication in the Journal of Epidemiology & Community Health, 2014, Volume 68, Issue 1, pp. 6-12. doi:10.1136/jech-2013-202955, following peer review and can also be viewed at <a href="http://jech.bmj.com/">http://jech.bmj.com/</a>

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Abstract

Background: Out-of-hospital cardiac arrest (OHCA) remains a major public health issue. Several studies have found that an increased level of ambient particulate matter (PM) smaller than 2.5 microns (PM2.5) is associated with an increased risk of OHCA. We investigated the relationship between air pollution levels and the incidence of OHCA in Perth, Western Australia.Methods: We linked St John Ambulance OHCA data of presumed cardiac aetiology with Perth air pollution data from seven monitors which recorded hourly levels of PM smaller than 2.5 and 10 microns (PM2.5/PM10), carbon monoxide (CO), sulfur dioxide (SO2), nitrogen dioxide (NO2) and ozone (O3). We used a case-crossover design to estimate the strength of association between ambient air pollution levels and risk of OHCA.Methods: We linked St John Ambulance OHCA data of presumed cardiac aetiology with Perth air pollution data from seven monitors which recorded hourly levels of PM smaller than 2.5 and 10 microns (PM2.5/PM10), carbon monoxide (CO), sulfur dioxide (SO2), nitrogen dioxide (NO2) and ozone (O3). We used a case-crossover design to estimate the strength of association between ambient air pollution levels and risk of OHCA.Conclusions: Elevated ambient PM2.5 and CO are associated with an increased risk of OHCA.