Association of Out-of-hospital Cardiac Arrest With Exposure to Fine Particulate and Ozone Ambient Air Pollution From Case-crossover Analysis Results: Are the Standards Protective?
Table of Contents
Author(s)
Loren Raun
Faculty Fellow, Department of Statistics, Rice UniversityKatherine B. Ensor
Chair, Department of Statistics, Rice UniversityTo access the full paper, download the PDF on the left-hand sidebar.
Abstract
About 300,000 cardiac arrests occur inside hospitals in the United States each year; most are fatal. Studies have found that a small but significant percentage of the cardiac arrests appear to be triggered by exposure to the levels one of the pollutants : fine particulate matter and ozone.
We analyzed seven key studies to determine if the Environmental Protection Agency (EPA) standards protect the public from out-of-hospital cardiac arrests (OHCA) triggered by exposure to fine particulate matter and ozone. Using Houston, Texas, data, we found evidence of an increased risk of cardiac arrest on the order of 2% to 9% due to an increase of fine particulate levels (a daily average increase of 10 ug/m3) on the day of, or day before, the heart attack. The EPA fine particulate standard of 35 ug/m3 (35 micrograms per cubic meter of air) therefore does not effectively protect the public from OHCA triggered by exposure to fine particulates. However, the EPA's ozone standard does appear to adequately protect public health from OHCA triggered by exposure to ozone.
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