Air Pollution and Acute Kidney Injury in the U.S. Medicare Population: A Longitudinal Cohort Study.


Journal

Environmental health perspectives
ISSN: 1552-9924
Titre abrégé: Environ Health Perspect
Pays: United States
ID NLM: 0330411

Informations de publication

Date de publication:
04 2023
Historique:
medline: 12 4 2023
entrez: 10 4 2023
pubmed: 11 4 2023
Statut: ppublish

Résumé

Recent studies have reported the association between air pollution exposure and reduced kidney function. However, it is unclear whether air pollution is associated with an increased risk of acute kidney injury (AKI). To address this gap in knowledge, we investigated the effect estimates of long-term exposures to fine particulate matter [PM This nationwide population-based longitudinal cohort study included 61,300,754 beneficiaries enrolled in Medicare Part A fee-for-service (FFS) who were Exposure to This study found an association between exposures to air pollution and the risk of the first hospital admission with AKI, and this association persisted even at low concentrations of air pollution. Our findings provide beneficial implications for public health policies and air pollution guidelines to alleviate health care expenditures and the disease burden attributable to AKI. https://doi.org/10.1289/EHP10729.

Sections du résumé

BACKGROUND
Recent studies have reported the association between air pollution exposure and reduced kidney function. However, it is unclear whether air pollution is associated with an increased risk of acute kidney injury (AKI).
OBJECTIVES
To address this gap in knowledge, we investigated the effect estimates of long-term exposures to fine particulate matter [PM
METHODS
This nationwide population-based longitudinal cohort study included 61,300,754 beneficiaries enrolled in Medicare Part A fee-for-service (FFS) who were
RESULTS
Exposure to
DISCUSSION
This study found an association between exposures to air pollution and the risk of the first hospital admission with AKI, and this association persisted even at low concentrations of air pollution. Our findings provide beneficial implications for public health policies and air pollution guidelines to alleviate health care expenditures and the disease burden attributable to AKI. https://doi.org/10.1289/EHP10729.

Identifiants

pubmed: 37036790
doi: 10.1289/EHP10729
pmc: PMC10084931
doi:

Substances chimiques

Air Pollutants 0
Particulate Matter 0
Nitrogen Dioxide S7G510RUBH

Types de publication

Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

47008

Commentaires et corrections

Type : CommentIn

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Auteurs

Whanhee Lee (W)

School of Biomedical Convergence Engineering, Pusan National University, Yangsan, Republic of Korea.

Xiao Wu (X)

Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, New York, USA.

Seulkee Heo (S)

Yale School of the Environment, Yale University, New Haven, Connecticut, USA.

Joyce Mary Kim (JM)

Department of Environmental Medicine, College of Medicine, Ewha Womans University, Seoul, Republic of Korea.

Kelvin C Fong (KC)

Yale School of the Environment, Yale University, New Haven, Connecticut, USA.

Ji-Young Son (JY)

Yale School of the Environment, Yale University, New Haven, Connecticut, USA.

Matthew Benjamin Sabath (MB)

Faculty of Arts and Sciences Research Computing Department, Harvard University, Boston, Massachusetts, USA.

Ana Trisovic (A)

Department of Data Science, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA.

Danielle Braun (D)

Department of Data Science, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA.

Jae Yoon Park (JY)

Department of Internal Medicine, Dongguk University Ilsan Hospital, Republic of Korea.
Department of Internal Medicine, Dongguk University College of Medicine, Republic of Korea.

Yong Chul Kim (YC)

Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.

Jung Pyo Lee (JP)

Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Department of Internal Medicine, Seoul National University Boramae Medical Center, Republic of Korea.

Joel Schwartz (J)

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.

Ho Kim (H)

Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea.
Institute for Sustainable Development, Graduate School of Public Health, Seoul National University, Republic of Korea.

Francesca Dominici (F)

Department of Data Science, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA.

Ziyad Al-Aly (Z)

Nephrology Section, Medicine Service, Veterans Affairs Saint Louis Health Care System, Saint Louis, Missouri, USA.
Department of Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA.
Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, Saint Louis, Missouri, USA.
Institute for Public Health, Washington University School of Medicine, Saint Louis, Missouri, USA.

Michelle L Bell (ML)

Yale School of the Environment, Yale University, New Haven, Connecticut, USA.

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Classifications MeSH