The DOI matches its Crossref record; 155 of the 155 references it cites were found in a registry or an index.
Short term exposure to air pollution and stroke: systematic review and meta-analysis
Open accessAbstract
OBJECTIVE: To review the evidence for the short term association between air pollution and stroke. DESIGN: Systematic review and meta-analysis of observational studies DATA SOURCES: Medline, Embase, Global Health, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science searched to January 2014 with no language restrictions. ELIGIBILITY CRITERIA: Studies investigating the short term associations (up to lag of seven days) between daily increases in gaseous pollutants (carbon monoxide, sulphur dioxide, nitrogen dioxide, ozone) and particulate matter (<2.5 µm or <10 µm diameter (PM2.5 and PM10)), and admission to hospital for stroke or mortality. MAIN OUTCOME MEASURES: Admission to hospital and mortality from stroke. RESULTS: From 2748 articles, 238 were reviewed in depth with 103 satisfying our inclusion criteria and 94 contributing to our meta-estimates. This provided a total of 6.2 million events across 28 countries. Admission to hospital for stroke or mortality from stroke was associated with an increase in concentrations of carbon monoxide (relative risk 1.015 per 1 ppm, 95% confidence interval 1.004 to 1.026), sulphur dioxide (1.019 per 10 ppb, 1.011 to 1.027), and nitrogen dioxide (1.014 per 10 ppb, 1.009 to 1.019). Increases in PM2.5 and PM10 concentration were also associated with admission and mortality (1.011 per 10 μg/m(3) (1.011 to 1.012) and 1.003 per 10 µg/m(3) (1.002 to 1.004), respectively). The weakest association was seen with ozone (1.001 per 10 ppb, 1.000 to 1.002). Strongest associations were observed on the day of exposure with more persistent effects observed for PM(2·5). CONCLUSION: Gaseous and particulate air pollutants have a marked and close temporal association with admissions to hospital for stroke or mortality from stroke. Public and environmental health policies to reduce air pollution could reduce the burden of stroke. SYSTEMATIC REVIEW REGISTRATION: PROSPERO-CRD42014009225.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“A meta-analysis of 53 studies showed a weak but significant association between ozone and hospital admission and mortality from stroke (41).”
From Ozone pollution: A Major health hazard worldwide (2019) · cites this paper as [41]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722
Duval, S., & Tweedie, R. (2000) · Biometrics · doi:10.1111/j.0006-341x.2000.00455.x · Cited by 14,099
Lozano, R., Naghavi, M., Foreman, K., Lim, S., Shibuya, K., Aboyans, V., Abraham, J., Adair, T., Aggarwal, R., Ahn, S. Y., et al. (2012) · The Lancet · doi:10.1016/s0140-6736(12)61728-0 · Cited by 14,070
Lim, S. S., Vos, T., Flaxman, A. D., Danaei, G., Shibuya, K., Adair-Rohani, H., AlMazroa, M. A., Amann, M., Anderson, H. R., Andrews, K. G., et al. (2012) · The Lancet · doi:10.1016/s0140-6736(12)61766-8 · Cited by 11,805
An association between air pollution and mortality in six U.S. cities
Dockery, D. W., Pope, C. A., Xu, X., Spengler, J. D., Ware, J. H., Fay, M. E., Ferris, B. G., & Speizer, F. E. (1993) · New England Journal of Medicine · doi:10.1056/nejm199312093292401 · Cited by 8,018
Brook, R. D., Rajagopalan, S., Pope, C. A., Brook, J. R., Bhatnagar, A., Diez-Roux, A. V., Holguin, F., Hong, Y., Luepker, R. V., Mittleman, M. A., et al. (2010) · Circulation · doi:10.1161/cir.0b013e3181dbece1 · Cited by 6,548
Feigin, V. L., Forouzanfar, M. H., Krishnamurthi, R., Mensah, G. A., Connor, M., Bennett, D. A., Moran, A. E., Sacco, R. L., Anderson, L., Truelsen, T., et al. (2014) · The Lancet · doi:10.1016/s0140-6736(13)61953-4 · Cited by 3,899
O'Donnell, M. J., Xavier, D., Liu, L., Zhang, H., Chin, S. L., Rao-Melacini, P., Rangarajan, S., Islam, S., Pais, P., McQueen, M. J., et al. (2010) · The Lancet · doi:10.1016/s0140-6736(10)60834-3 · Cited by 3,448 · cited 1×
“45 Heterogeneity in the association between air pollution and stroke subtype might be caused by many factors.”
BackgroundFine Particulate Air Pollution and Hospital Admission for Cardiovascular and Respiratory Diseases
Dominici, F., Peng, R. D., Bell, M. L., Pham, L. D., McDermott, A., Zeger, S. L., & Samet, J. M. (2006) · JAMA · doi:10.1001/jama.295.10.1127 · Cited by 2,686
The Case-Crossover Design: A Method for Studying Transient Effects on the Risk of Acute Events
Maclure, M. (1991) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115853 · Cited by 2,327
Flagged first, then by citations
Research works printed but not linked: 5
- Lumley TL, D. Bias in the case-crossover design: implications for studies of air pollution. Environmetrics 2000;11:689-704.
- O'Donnell MJ, Xavier D, Liu L, et al. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study. Lancet 2010;376:112-23.
- Donaldson K, Duffin R, Langrish JP, et al. Nanoparticles and the cardiovascular system: a critical review. Nanomedicine (Lond) 2013;8:403-23.
- Romieu I, Gouveia N, Cifuentes LA, et al. Multicity study of air pollution and mortality in Latin America (the ESCALA study). Res Rep Health Eff Inst 2012;171:5-86. 124
- No commercial reuse: See rights and reprints http://www.bmj.com/permissions Subscribe: http://www.bmj.com/subscribe 129
Cited by
Sorted by citations
Items 101–200 of 868
Nontraditional Risk Factors for Ischemic Stroke
Bang, O. Y., Ovbiagele, B. I., & Kim, J. S. (2015) · Stroke · doi:10.1161/strokeaha.115.010954 · Cited by 85
Fine particulate matter exposure and incidence of stroke
Qiu, H., Sun, S., Tsang, H., Wong, C.-M., Lee, R. S.-Y., Schooling, C. M., & Tian, L. (2017) · Neurology · doi:10.1212/wnl.0000000000003903 · Cited by 84
Panis, L. I., Provost, E. B., Cox, B., Louwies, T., Laeremans, M., Standaert, A., Dons, E., Holmstock, L., Nawrot, T. S., & Boever, P. D. (2017) · Environmental Health · doi:10.1186/s12940-017-0271-z · Cited by 83
Environmental mobile monitoring of urban microclimates: A review
Kousis, I., Manni, M., & Pisello, A. L. (2022) · Renewable and Sustainable Energy Reviews · doi:10.1016/j.rser.2022.112847 · Cited by 80
Ahern, S., Arnott, B., Chatterton, T. J., de Nazelle, A. J., Kellar, I., & McEachan, R. (2016) · Journal of Transport & Health · doi:10.1016/j.jth.2016.11.001 · Cited by 80
“…birth outcomes (Ha et al., 2014; Olsson et al., 2013), cardiovascular illnesses (Brook et al., 2010; COMEAP, 2006; Newby et al., 2014), stroke (Shah et al., 2015), respiratory disease and infection (Brunekreef and Holgate, 2002; Kampa and Castanas, 2008), and certain cancers (Beelen et al.,…”
BackgroundHuang, G., Zhang, Q., Wu, H., Wang, Q., Chen, Y., Guo, P., & Zhao, Q. (2020) · Environmental Research · doi:10.1016/j.envres.2020.109756 · Cited by 78
Arku, R. E., Brauer, M. D., Ahmed, S. H., AlHabib, K. F., Avezum, Á., Bo, J., Choudhury, T., Dans, A. M., Gupta, R., Iqbal, R., et al. (2020) · Environmental Pollution · doi:10.1016/j.envpol.2020.114197 · Cited by 78
“5 microns in aerodynamic diameter) and BP have focused on short-term exposures and been conducted mainly in high income countries (4; 9; 15; 16), while most studies of HAP and BP have included relatively small study populations and been restricted to specific communities or populations (13; 14).”
BackgroundGuía ESC 2021 sobre la prevención de la enfermedad cardiovascular en la práctica clínica
Visseren, F. L. J., Mach, F., Smulders, Y. M., Carballo, D., Koskinas, K. C., Bäck, M., Bénétos, A., Biffi, A., Boavida, J. M., Capodanno, D., et al. (2022) · Revista Española de Cardiología · doi:10.1016/j.recesp.2021.10.016 · Cited by 89
Short-Term Exposure to Air Pollution and Cardiac Arrhythmia: A Meta-Analysis and Systematic Review
Song, X., Liu, Y., Hu, Y., Zhao, X., Tian, J., Ding, G., & Wang, S. (2016) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph13070642 · Cited by 81
Andrade, A., Dominski, F. H., & Coimbra, D. R. (2017) · Journal of Environmental Management · doi:10.1016/j.jenvman.2017.03.001 · Cited by 76
Cullen, B., Newby, D., Lee, D., Lyall, D. M., Nevado‐Holgado, A. J., Evans, J. J., Pell, J. P., Lovestone, S., & Cavanagh, J. (2018) · Scientific Reports · doi:10.1038/s41598-018-30568-6 · Cited by 76
Self-citationKoehler, K. A., Good, N., Wilson, A., Mölter, A., Moore, B. F., Carpenter, T., Peel, J. L., & Volckens, J. (2018) · Indoor Air · doi:10.1111/ina.12533 · Cited by 76
“Median number of observations per participant; range 9 (3-13)”
BackgroundCollart, P., Dubourg, D., Lévêque, A., Sierra, N. B., & Coppieters, Y. (2017) · International Journal of Cardiology · doi:10.1016/j.ijcard.2017.12.058 · Cited by 75
Air Quality Strategies on Public Health and Health Equity in Europe—A Systematic Review
Wang, L., Zhong, B., Vardoulakis, S., Zhang, F., Pilot, E., Li, Y., Yang, L., Wang, W., & Krafft, T. (2016) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph13121196 · Cited by 75
Fine Particulate Air Pollution and First Hospital Admissions for Ischemic Stroke in Beijing, China
Tian, Y., Xiang, X., Wu, Y., Cao, Y., Song, J., Sun, K., Liu, H., & Hu, Y. (2017) · Scientific Reports · doi:10.1038/s41598-017-04312-5 · Cited by 74
Zhang, L., Yang, Y., Li, Y., Qian, Z. M., Xiao, W., Wang, X., Rolling, C. A., Liu, E., Xiao, J., Zeng, W., et al. (2019) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2019.05.470 · Cited by 73
Badida, P., Krishnamurthy, A., & Jayaprakash, J. (2022) · Environmental Research · doi:10.1016/j.envres.2022.114604 · Cited by 74
Ambient air pollution and daily hospital admissions: A nationwide study in 218 Chinese cities
Tian, Y., Liu, H., Liang, T., Xiang, X., Li, M., Juan, J., Song, J., Cao, Y., Wang, X., Chen, L., et al. (2018) · Environmental Pollution · doi:10.1016/j.envpol.2018.07.116 · Cited by 71
Karimi, B., & Shokrinezhad, B. (2020) · Atmospheric Pollution Research · doi:10.1016/j.apr.2020.02.006 · Cited by 78
Short-term exposure to traffic-related air pollution and ischemic stroke onset in Barcelona, Spain
Vivanco‐Hidalgo, R. M., Wellenius, G. A., Basagaña, X., Cirach, M., Gómez-González, A., Cerrajería, P. D. C., Zabalza, A., Jiménez-Conde, J., Soriano‐Tárraga, C., Steinhauer, E. G., et al. (2018) · Environmental Research · doi:10.1016/j.envres.2017.12.024 · Cited by 69
Pardo, M., Porat, Z., Rudich, A., Schauer, J. J., & Rudich, Y. (2015) · Environmental Pollution · doi:10.1016/j.envpol.2015.12.009 · Cited by 69
Gu, J., Shi, Y., Chen, N., Wang, H., & Chen, T. (2020) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2020.136896 · Cited by 68
Air Pollution Is Associated With Ischemic Stroke via Cardiogenic Embolism
Chung, J., Bang, O. Y., Ahn, K., Park, S.-S., Park, T. H., Kim, J. G., Ko, Y., Lee, S. J., Lee, K. B., Lee, J., et al. (2016) · Stroke · doi:10.1161/strokeaha.116.015428 · Cited by 67
Self-citationAmbient air pollution and cardiovascular diseases: From bench to bedside
Vidale, S., & Campana, C. (2018) · European Journal of Preventive Cardiology · doi:10.1177/2047487318766638 · Cited by 67
Acute Effects of Particulate Air Pollution on Ischemic Stroke and Hemorrhagic Stroke Mortality
Zhang, R., Liu, G., Jiang, Y., Li, G., Pan, Y., Wang, Y., Wei, Z., Wang, J., & Wang, Y. (2018) · Frontiers in Neurology · doi:10.3389/fneur.2018.00827 · Cited by 67
Breitner, S., Schneider, A. E., Devlin, R. B., Ward-Caviness, C. K., Díaz-Sánchez, D., Neas, L., Cascio, W. E., Peters, A., Hauser, E. R., Shah, S. H., et al. (2016) · Environment International · doi:10.1016/j.envint.2016.10.012 · Cited by 66
“…with increased risk of cardiovascular mortality, myocardial 4 infarction, heart failure exacerbation, stroke (Atkinson et al. 2014; Mustafic et al. 2012; Shah et al. 5 2013; Shah et al. 2015) and induction of a variety of adverse cardiovascular outcomes (Brook et al. 6 2010; McGuinn et al. 2015).”
BackgroundEffects of Diesel Exhaust on Cardiovascular Function and Oxidative Stress
Wilson, S., Miller, M. R., & Newby, D. E. (2017) · Antioxidants and Redox Signaling · doi:10.1089/ars.2017.7174 · Cited by 68
Self-citationAmbient Particulate Matter Concentrations and Hospitalization for Stroke in 26 Chinese Cities
Liu, H., Tian, Y., Xu, Y., & Zhang, J. (2017) · Stroke · doi:10.1161/strokeaha.116.016482 · Cited by 65
Wang, C., Chen, R., Shi, M., Cai, J., Shi, J., Yang, C., Li, H., Lin, Z., Meng, X., Liu, C., et al. (2017) · American Journal of Epidemiology · doi:10.1093/aje/kwx277 · Cited by 65
Жао, Л., Liang, H., Chen, F., Chen, Z., Guan, W., & Li, J. (2017) · Oncotarget · doi:10.18632/oncotarget.20090 · Cited by 65
Green, M. A., Daras, K., Davies, A., Barr, B., & Singleton, A. D. (2018) · Health & Place · doi:10.1016/j.healthplace.2018.08.019 · Cited by 65
Liang, W., Zhu, H., Xu, J., Zhao, Z., Zhou, L., Zhu, Q., Cai, J., & Ji, L. (2023) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2023.114802 · Cited by 66
Cigarette smoking and air pollution exposure and their effects on cardiovascular diseases
Mallah, M. A., Soomro, T., Ali, M., Noreen, S., Khatoon, N., Kafle, A., Feng, F., Wang, W., Naveed, M., & Zhang, Q. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.967047 · Cited by 75
“It was discovered that a 10 g per cubic meter increase in PM 2.5 and PM 10 concentrations was related to a 1 % increase in the risk of hospital admission with stroke and stroke fatalities, which has been conducted by SMA in 94 research work comprises of 28 countries (100).”
InfluentialPantavou, K. G., Lykoudis, S. P., & Psiloglou, Β. E. (2016) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2016.09.090 · Cited by 64
Ambient air pollution and semen quality
Nobles, C., Schisterman, E., Ha, S., Kim, K., Mumford, S., Louis, G. B. B., Chen, Z., Liu, D.-P., Sherman, S., & Mendola, P. (2018) · Environmental Research · doi:10.1016/j.envres.2018.02.004 · Cited by 55
“Air pollution has been associated with a broad array of health effects, including cardiovascular disease morbidity and mortality (Langrish et al., 2012; Shah et al., 2015), even at the relatively moderate levels observed in the United States (Kaufman et al., 2016).”
Bazyar, J., Pourvakhshoori, N., Khankeh, H. R., Farrokhi, M., Delshad, V., & Rajabi, E. (2019) · Environmental Science and Pollution Research · doi:10.1007/s11356-019-04874-z · Cited by 64
Cai, M., Zhang, S., Lin, X., Qian, Z. M., McMillin, S. E., Yang, Y., Zhang, Z., Pan, J., & Lin, H. (2022) · Neurology · doi:10.1212/wnl.0000000000200546 · Cited by 66
“The risk of in-hospital case fatality among patients with stroke is a result of clinical treatment, demographics, comorbidities, health behaviors, and environmental factors.(4-6) Obtaining a deeper understanding of these risk factors and the magnitude of their effects may help reduce in-hospital case fatalities and im…”
BackgroundLi, T., Yan, M., Sun, Q., & Anderson, G. B. (2017) · Environment International · doi:10.1016/j.envint.2017.10.023 · Cited by 63
“However, previous reports have suggested that atrial arrhythmia (Shah et al., 2015) and increasing vasoconstriction are Fig.”
BackgroundAssociation between air pollution exposure and diabetic retinopathy among diabetics
Pan, S.-C., Huang, C. C., Chin, W., Chen, B., Chan, C., & Guo, Y. L. (2019) · Environmental Research · doi:10.1016/j.envres.2019.108960 · Cited by 65
Wu, Y., Song, P., Lin, S., Peng, L., Li, Y., Deng, Y., Deng, X., Lou, W., Yang, S., Zheng, Y., et al. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.740800 · Cited by 66
Ziou, M., Tham, R., Wheeler, A. J., Zosky, G. R., Stephens, N., & Johnston, F. H. (2022) · Environmental Research · doi:10.1016/j.envres.2022.112969 · Cited by 62
Short-term exposure to air pollution and incidence of stroke in the Women's Health Initiative
Sun, S., Stewart, J. D., Eliot, M., Yanosky, J. D., Liao, D., Tinker, L. F., Eaton, C. B., Whitsel, E. A., & Wellenius, G. A. (2019) · Environment International · doi:10.1016/j.envint.2019.105065 · Cited by 62
“These findings were partially in agreement with a meta-analysis of 94 studies across 28 countries, which found NO2, SO2, and O3 were all linked with higher risk of total stroke hospitalizations, but only NO2 was positively associated with ischemic and hemorrhagic stroke (Shah et al., 2015).”
BackgroundResultYue, C., Yang, F., Li, F., & Chen, Y. (2020) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2020.111508 · Cited by 64
Short- and medium-term impacts of strict anti-contagion policies on non-COVID-19 mortality in China
Qi, J., Zhang, D., Zhang, X., Tanaka, T., Pan, Y., Yin, P., Liu, J., Liu, S., Gao, G. F., He, G., et al. (2021) · Nature Human Behaviour · doi:10.1038/s41562-021-01189-3 · Cited by 61
Environmental exposure to volatile organic compounds is associated with endothelial injury
Riggs, D. W., Malovichko, M. V., Gao, H., McGraw, K. E., Taylor, B. S., Krivokhizhina, T. V., Rai, S. N., Keith, R. J., Bhatnagar, A., & Srivastava, S. (2022) · Toxicology and Applied Pharmacology · doi:10.1016/j.taap.2022.115877 · Cited by 63
Möller, P., Christophersen, D. V., Jacobsen, N. R., Skovmand, A., Gouveia, A. C. D., Andersen, M. H. G., Kermanizadeh, A., Jensen, D. M., Danielsen, P. H., Roursgaard, M., et al. (2016) · Critical Reviews in Toxicology · doi:10.3109/10408444.2016.1149451 · Cited by 64
Ambient Air Pollution and Risk for Ischemic Stroke: A Short-Term Exposure Assessment in South China
Guo, P., Wang, Y., Feng, W., Wu, J., Fu, C., Deng, H., Huang, J. G., Wang, L., Zheng, M., & Liu, H. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14091091 · Cited by 62
Air pollution during New Year’s fireworks and daily mortality in the Netherlands
Greven, F. E., Vonk, J. M., Fischer, P. H., Duijm, F., Vink, N. M., & Brunekreef, B. (2019) · Scientific Reports · doi:10.1038/s41598-019-42080-6 · Cited by 61
Assessing schoolchildren's exposure to air pollution during the daily commute - A systematic review
Ma, X., Longley, I. D., Gao, J., & Salmond, J. (2020) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2020.140389 · Cited by 61
Climate change and the prevention of cardiovascular disease
Jacobsen, A. P., Khiew, Y. C., Duffy, E. Y., O'Connell, J., Brown, E., Auwaerter, P. G., Blumenthal, R. S., Schwartz, B. S., & McEvoy, J. W. (2022) · American Journal of Preventive Cardiology · doi:10.1016/j.ajpc.2022.100391 · Cited by 63
“4 cardiovascular death [55–57], myocardial infarction [58,59], stroke [60,61], arrhythmia[62] and heart failure[63] have all been linked to air pollution [32,33,38,64–68].”
BackgroundShort-term Exposure to Air Pollution and Ischemic Stroke
Toubasi, A. A., & Al-Sayegh, T. (2023) · Neurology · doi:10.1212/wnl.0000000000207856 · Cited by 64
“36,37 This fi nding may be explained by epidemiologic studies indicating that the association between PM 10 and acute cardiovascular events is primarily driven by the PM 2.5 fraction within PM 10 , suggesting a higher impact on stroke mortality due to both local and systemic e ff ects.”
BackgroundInfluentialAttributable risk of ambient PM10 on daily mortality and years of life lost in Chengdu, China
Chen, F., Deng, Z., Deng, Y., Qiao, Z., Lan, L., Meng, Q., Luo, B., Zhang, W., Ji, K., Qiao, X., et al. (2017) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2016.12.151 · Cited by 60
Fisher, J. A., Puett, R. C., Laden, F., Wellenius, G. A., Sapkota, A., Liao, D., Yanosky, J. D., Carter‐Pokras, O., He, X., & Hart, J. E. (2019) · Environment International · doi:10.1016/j.envint.2018.12.044 · Cited by 61
“5 and PM10, with suggestions of a stronger effect for ischemic stroke (Shah et al., 2015; Wang et al., 2014).”
BackgroundLuo, K., Li, R., Li, W., Wang, Z., Ma, X., Zhang, R., Fang, X. L., Wu, Z., Cao, Y., & Xu, Q. (2016) · Scientific Reports · doi:10.1038/srep38328 · Cited by 62
Burden of cardiovascular disease attributed to air pollution: a systematic review
Khoshakhlagh, A. H., Mohammadzadeh, M., Gruszecka‐Kosowska, A., & Oikonomou, E. K. (2024) · Globalization and Health · doi:10.1186/s12992-024-01040-0 · Cited by 61
“Short-term exposure to air pollut-ants was found to increase hospital admissions due to cardiorespiratory diseases, causing the government to significantly increase the costs spent on public health [123, 138, 139].”
BackgroundHaberzettl, P., McCracken, J. P., Bhatnagar, A., & Conklin, D. J. (2016) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00369.2015 · Cited by 57
Li, X., Chen, Q., Zheng, X., Li, Y., Han, M., Liu, T., Xiao, J., Guo, L., Zeng, W., Zhang, J. J., et al. (2019) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2019.06.382 · Cited by 57
Chen, C., Liu, X., Wang, X., Qu, W., Li, W., & Dong, L. (2019) · Environmental Science and Pollution Research · doi:10.1007/s11356-019-07236-x · Cited by 57
Long-term exposure to ambient PM2.5 and stroke mortality among urban residents in northern China
Yang, X., Zhang, L., Chen, X., Liu, F., Shan, A., Liang, F., Li, X., Wu, H., Yan, M., Ma, Z., et al. (2021) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2021.112063 · Cited by 55
“Many studies have documented the short-term exposure to particulate matter was significantly associated with elevated risks of stroke mortality (Shah et al., 2015), but the evidence of long-term exposure to PM2.”
BackgroundTaking a stand against air pollution – the impact on cardiovascular disease
Brauer, M. D., Casadei, B., Harrington, R. A., Kovacs, R. J., Sliwa, K. S., the WHF Air Pollution Expert Group, Davaakhuu, N., Hadley, M. B., Kass, D. E., Miller, M. R., et al. (2020) · European Heart Journal · doi:10.1093/eurheartj/ehaa1025 · Cited by 55
Long-Term Exposure to PM2.5 and Cognitive Decline: A Longitudinal Population-Based Study
Grande, G., Wu, J., Ljungman, P. L. S., Stafoggia, M., Bellander, T., & Rizzuto, D. (2021) · Journal of Alzheimer s Disease · doi:10.3233/jad-200852 · Cited by 56
Influence of air quality on the results of in vitro fertilization attempts: A retrospective study
Carré, J., Gatimel, N., Moreau, J., Parinaud, J., & Léandri, R. D. (2016) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2016.12.012 · Cited by 56
Characterizing Ventilation and Exposure in Street Canyons Using Lagrangian Particles
Lo, K. W., & NGAN, K. (2017) · Journal of Applied Meteorology and Climatology · doi:10.1175/jamc-d-16-0168.1 · Cited by 56
Edginton, S., O'Sullivan, D. E., King, W. D., & Lougheed, M. D. (2019) · Occupational and Environmental Medicine · doi:10.1136/oemed-2018-105420 · Cited by 58
Jaganathan, S., Jaacks, L. M., Magsumbol, M. S., Walia, G. K., Sieber, N. L., Shivashankar, R., Dhillon, P. K., Hameed, S. S., Schwartz, J. D., & Prabhakaran, D. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16142541 · Cited by 56
Arregocés, H. A., Rojano, R., & Restrepo, G. M. (2023) · Air Quality Atmosphere & Health · doi:10.1007/s11869-023-01304-5 · Cited by 58
The Novel Relationship between Urban Air Pollution and Epilepsy: A Time Series Study
Xu, C., Fan, Y., Kan, H., Chen, R., Liu, J., Li, Y., Zhang, Y., Ji, A.-L., & Cai, T. (2016) · PLoS ONE · doi:10.1371/journal.pone.0161992 · Cited by 55
Lu, P., Zhang, Y., Xia, G., Zhang, W., Li, S., & Guo, Y. (2019) · Environmental Pollution · doi:10.1016/j.envpol.2019.113030 · Cited by 55
Kurhanewicz, N. A., McIntosh-Kastrinsky, R., Tong, H., Ledbetter, A. D., Walsh, L., Farraj, A. K., & Hazari, M. S. (2016) · Toxicology and Applied Pharmacology · doi:10.1016/j.taap.2016.10.008 · Cited by 54
“…focused on particulate matter (PM), recent data suggest gaseous pollutants likely contribute significantly to acute decrements in cardiac function and result in increased overall risk for cardiovascular dysfunction (Campen et al., 2014; Hazari et al., 2014; Mills et al., 2015; Shah et al., 2015).”
Lin, C., Nicol, C. J. B., Wan, C., Chen, S., Huang, R., & Chiang, M. (2021) · NeuroToxicology · doi:10.1016/j.neuro.2021.10.009 · Cited by 53
Ma, X., Li, X., Kwan, M., & Chai, Y. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17041223 · Cited by 54
“Among these environmental factors, air pollution is a major public health concern [1,2].”
BackgroundBan, J., Wang, Q., Ma, R., Zhang, Y., Shi, W., Zhang, Y., Chen, C., Sun, Q., Wang, Y., Guo, X., et al. (2020) · Environmental Pollution · doi:10.1016/j.envpol.2020.115743 · Cited by 52
Buzea, C., & Pacheco, I. (2019) · Elsevier eBooks · doi:10.1016/b978-0-08-102641-0.00028-1 · Cited by 54
Ou, J. Y., Hanson, H. A., Ramsay, J. M., Kaddas, H. K., Pope, C. A., Leiser, C. L., VanDerslice, J. A., & Kirchhoff, A. C. (2020) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-19-1363 · Cited by 51
Dong, H., Yu, Y., Shen, Y., Lu, Y., Chen, Z., Li, G., Yao, Y., Yao, X., Wang, S., & Zhang, Z. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-020425 · Cited by 51
Gu, Y., Hao, S., Liu, K., Gao, M., Lu, B., Sheng, F., Zhang, L., Xu, Y., Wu, D., Han, Y., et al. (2022) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2022.156563 · Cited by 50
Cai, M., Lin, X., Wang, X., Zhang, S., Qian, Z. M., McMillin, S. E., Aaron, H. E., Lin, H., Wei, J., Zhang, Z., et al. (2022) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2022.159104 · Cited by 50
Butland, B. K., Atkinson, R. W., Crichton, S. L., Barratt, B., Beevers, S. D., Spiridou, A., Hoang, U., Kelly, F. J., & Wolfe, C. D. A. (2017) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2016-208025 · Cited by 50
Black carbon health impacts in the Indo-Gangetic plain: Exposures, risks, and mitigation
Verma, S., Ghosh, S., Boucher, O., Wang, R., & Menut, L. (2022) · Science Advances · doi:10.1126/sciadv.abo4093 · Cited by 49
“Epidemiological studies provide evidence of an association between short-term exposure to elevated ambient air pollution (such as that during wintertime) and a higher risk of acute CVD, with systemic oxidative stress induced by air pollution as a potential underlying mechanism ( 1 , 10 , 11 ).”
Short-term effects of ambient air pollution and cardiovascular events in Shiraz, Iran, 2009 to 2015
Soleimani, Z., Boloorani, A. D., Khalifeh, R., Griffin, D. W., & Mesdaghinia, A. (2019) · Environmental Science and Pollution Research · doi:10.1007/s11356-018-3952-4 · Cited by 49
Balmes, J. R., Arjomandi, M., Bromberg, P. A., Costantini, M. G., Dagincourt, N., Hazucha, M. J., Hollenbeck-Pringle, D., Rich, D. Q., Stark, P. C., & Frampton, M. W. (2019) · PLoS ONE · doi:10.1371/journal.pone.0222601 · Cited by 49
Chen, D., Zhang, F., Yu, C., Jiao, A., Xiang, Q., Yu, Y., Mayvaneh, F., Hu, K., Ding, Z., & Zhang, Y. (2019) · Atmospheric Environment · doi:10.1016/j.atmosenv.2019.04.021 · Cited by 49
Air pollution exposure and heart failure: A systematic review and meta-analysis
Zhang, D., Chen, W., Cheng, C., Huang, H., Li, X., Qin, P., Chen, C., Luo, X., Zhang, M., Li, J., et al. (2023) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2023.162191 · Cited by 49
Hua, Q., Meng, X., Gong, J., Qiu, X., Shang, J., Xue, T., & Zhu, T. (2024) · Fundamental Research · doi:10.1016/j.fmre.2024.02.016 · Cited by 51
“[77] .”
Environmentally Not So Friendly: Global Warming, Air Pollution, and Wildfires
Miller, M. R., Landrigan, P. J., Arora, M., Newby, D. E., Münzel, T. F., & Kovacic, J. C. (2024) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2024.03.424 · Cited by 51
Self-citationTian, L., Qiu, H., Pun, V. C., Ho, K., Chan, C. S., & Yu, I. T.-S. (2015) · International Journal of Cardiology · doi:10.1016/j.ijcard.2015.07.099 · Cited by 48
Mazidi, M., & Speakman, J. R. (2018) · Journal of the American Heart Association · doi:10.1161/jaha.117.008006 · Cited by 50
“varying levels of socioeconomic factors (income, education, and ethnicity) status.(28) In their comprehensive review of the association between particulate air pollution and CVD, Brook and colleagues(5) highlighted several key areas in need of future study.”
BackgroundSuperstatistical approach to air pollution statistics
Williams, G., Schäfer, B., & Beck, C. (2020) · Physical Review Research · doi:10.1103/physrevresearch.2.013019 · Cited by 48
Dastoorpoor, M., Riahi, A., Yazdaninejhad, H., Borsi, S. H., Khanjani, N., Khodadadi, N., Mohammadi, M. J., & Aghababaeian, H. (2020) · Toxin Reviews · doi:10.1080/15569543.2020.1716256 · Cited by 48
Seasonality of stroke in Finland
Sipilä, J., Ruuskanen, J. O., Kauko, T., Rautava, P. T., & Kytö, V. (2016) · Annals of Medicine · doi:10.1080/07853890.2016.1254350 · Cited by 46
“Considering the inverse correlation between air quality and stroke risk (29,30), this could also explain some stroke risk reduction in winter.”
BackgroundChen, L., Zhang, Y., Zhang, W., Chen, G., Lu, P., Guo, Y., & Li, S. (2019) · Environmental Pollution · doi:10.1016/j.envpol.2019.113776 · Cited by 46
Wildfire Smoke Exposure and Incident Dementia
Elser, H. C., Frankland, T. B., Chen, C., Tartof, S. Y., Mayeda, E. R., Lee, G. S., Northrop, A. J., Torres, J. M., Benmarhnia, T., & Casey, J. A. (2024) · JAMA Neurology · doi:10.1001/jamaneurol.2024.4058 · Cited by 51
Gaseous Air Pollution and the Risk for Stroke Admissions: A Case-Crossover Study in Beijing, China
Huang, F., Luo, Y., Tan, P., Xu, Q., Tao, L., Guo, J., Zhang, F., Xie, X., & Guo, X. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14020189 · Cited by 45
“There were two recent meta-analyses examining the acute effects of air pollution on stroke, and both reported a significantly positive association between ambient CO exposure and the same day stroke hospitalizations [33,34].”
BackgroundHealth and Climate Impacts from Long-Haul Truck Electrification
Tong, F., Jenn, A. T., Wolfson, D., Scown, C. D., & Auffhammer, M. (2021) · Environmental Science & Technology · doi:10.1021/acs.est.1c01273 · Cited by 47
Short term exposure to air pollution and mortality in the US: a double negative control analysis
Liu, R., Wei, Y., Qiu, X., Kosheleva, A., & Schwartz, J. D. (2022) · Environmental Health · doi:10.1186/s12940-022-00886-4 · Cited by 45
“5 is associated with mortality from all-causes [3–5], stroke [6], asthma [7, 8], and chronic obstructive pulmonary disease [9–11].”
BackgroundTang, J., Chen, A., He, F., Shipley, M. J., Nevill, A. M., Coe, H., Hu, Z. Q., Zhang, T., Kan, H., Brunner, E. J., et al. (2022) · Environmental Research · doi:10.1016/j.envres.2022.115048 · Cited by 45
Cascio, W. E. (2016) · Biochimica et Biophysica Acta (BBA) - General Subjects · doi:10.1016/j.bbagen.2016.07.016 · Cited by 44
Atrial fibrillation hospitalization is associated with exposure to fine particulate air pollutants
Lee, H. H., Pan, S., Chen, B. Y., Lo, S., & Guo, Y. L. (2019) · Environmental Health · doi:10.1186/s12940-019-0554-7 · Cited by 44
Short-Term Air Pollution as a Risk for Stroke Admission: A Time-Series Analysis
Byrne, C. P., Bennett, K., Hickey, A., Kavanagh, P. M., Broderick, B., O’Mahony, M., & Williams, D. J. (2020) · Cerebrovascular Diseases · doi:10.1159/000510080 · Cited by 44
Long-term exposure to ambient NO2 and adult mortality: A nationwide cohort study in China
Zhang, Y., Li, Z., Wei, J., Zhan, Y., Liu, L., Yang, Z., Zhang, Y., Liu, R., & Ma, Z. (2022) · Journal of Advanced Research · doi:10.1016/j.jare.2022.02.007 · Cited by 44
Metadata
- Authors
- Shah, A. S. V., Lee, K. K., McAllister, D. A., Hunter, A., Nair, H., Whiteley, W., Langrish, J. P., Newby, D. E., & Mills, N. L.
- Affiliations
- University of Edinburgh (GB)
- Corresponding author
- Shah, Anoop S V
- ORCID
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2015-03-24
- Volume
- 350
- Pages
- h1295
- ISSN
- 1756-1833 (ISSN-L)
- PMC
- PMC4373601
- OpenAlex
- W2101986715
- Cited by
- 870
- References
- 155
- Citations by year
- 2026: 42 · 2025: 62 · 2024: 87 · 2023: 86 · 2022: 109 · 2021: 102 · 2020: 98 · 2019: 83 · 2018: 64 · 2017: 68 · 2016: 52 · 2015: 17
- FWCI
- 6.34
- Type
- journal article
- Language
- en
- Update notices
- correction (2016-09-06)
- Open access
- hybrid
- doi.org
- Locations
- BMJ (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by-nc)
- Funders
- Wellcome Trust (103782)
- British Heart Foundation (CH09/002, RG/10/9/28286, SS/CH/09/002, PG/11/27/28842, FS/10/024/28266)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
- Keywords
- air pollution, stroke, short-term exposure, hospitalization, stroke mortality, particulate matter, PM2.5, PM10, nitrogen dioxide, sulfur dioxide, carbon monoxide, ozone, gaseous pollutants, lagged effects, environmental health policy, air pollution regulation, air pollution health effects
- MeSH terms
- Air Pollutants, Air Pollution, Environmental Exposure, Humans, Patient Admission, Risk Factors, Stroke, Particulate Matter
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
