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Table 3 Hospital admissions, LOS, and hospital costs due to CVD according to the 2005 and 2021 WHO air quality guidelines

From: Association of ambient particulate matter with hospital admissions, length of hospital stay, and hospital costs due to cardiovascular disease: time-series analysis based on data from the Shanghai Medical Insurance System from 2016 to 2019

 

Guideline

WHO 2005

WHO 2021

PM

PM2.5

PM10

PM2.5

PM10

Target (µg/m3)

25 (24 h)

50 (24 h)

15 (24 h)

45 (24 h)

Hospital admissions

AN, 95% CI

10,886 (9062, 12,704)

5233 (4107, 6353)

19,419 (16,160, 22,666)

7716 (6053, 9374)

PAF (%), 95% CI

0.574 (0.478, 0.700)

0.276 (0.217, 0.335)

1.024 (0.852, 1.195)

0.407 (0.319, 0.494)

LOS (days)

AN, 95% CI

52,127 (− 74,698, 178,953)

11,407 (− 66,634, 89,448)

93,090 (− 133,398, 319,578)

16,855 (− 98,459, 132,169)

PAF (%), 95% CI

0.352 (− 0.504, 1.207)

0.077 (− 0.449, 0.603)

0.628 (− 0.009,0.0215)

0.114 (− 0.664, 0.891)

Hospital cost (1000 CNY)

AN, 95% CI

459,313 (198,497, 720,129)

216,094 (55,360, 376,829)

820,255 (354,482, 1,286,027)

319,302 (81,800, 556,804)

PAF (%), 95% CI

1.149 (0.496, 1.801)

0.581 (0.127, 1.035)

2.052 (0.887, 3.217)

0.799 (0.205, 1.393)

  1. Particulate matter concentration is lag 0 for admissions, LOS and hospital cost
  2. AN attributable number, LOS length of hospital stay, PM particulate matter, PAF population attributable fraction, CNY Chinese Yuan