Risk of Stroke Associated with Temperature and PM2.5: Taiwan Stroke Registry-based Study

Abstract This study aimed to assess seasonal stroke risks related to temperature and PM2.5 in Taiwan. Using data of the Taiwan Stroke Registry and air pollution monitored in 2006–2017, the researchers estimated daily average ischemic and hemorrhagic strokes according to temperature and PM2.5 levels,...

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Main Authors: Fung-Chang Sung, Hei-Tung Yip, Cheng-Li Lin, Jiann-Shing Jeng, Jiunn-Tay Lee, Yu Sun, Cheng-Yu Wei, Po-Yen Yeh, Kuang-Hsi Chang, Shang-Yu Chien, Kai-Cheng Hsu, TSR team
Format: Article
Language:English
Published: Springer 2023-08-01
Series:Aerosol and Air Quality Research
Subjects:
Online Access:https://doi.org/10.4209/aaqr.230131
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author Fung-Chang Sung
Hei-Tung Yip
Cheng-Li Lin
Jiann-Shing Jeng
Jiunn-Tay Lee
Yu Sun
Cheng-Yu Wei
Po-Yen Yeh
Kuang-Hsi Chang
Shang-Yu Chien
Kai-Cheng Hsu
TSR team
author_facet Fung-Chang Sung
Hei-Tung Yip
Cheng-Li Lin
Jiann-Shing Jeng
Jiunn-Tay Lee
Yu Sun
Cheng-Yu Wei
Po-Yen Yeh
Kuang-Hsi Chang
Shang-Yu Chien
Kai-Cheng Hsu
TSR team
author_sort Fung-Chang Sung
collection DOAJ
description Abstract This study aimed to assess seasonal stroke risks related to temperature and PM2.5 in Taiwan. Using data of the Taiwan Stroke Registry and air pollution monitored in 2006–2017, the researchers estimated daily average ischemic and hemorrhagic strokes according to temperature and PM2.5 levels, evaluating stroke risks by categorizing PM2.5 levels in each temperature zone. The results revealed a higher incidence of ischemic strokes in February and a higher incidence of hemorrhagic strokes in January, both decreased to the lowest in July. The study found that incident strokes increased with the PM2.5 level in each temperature zone except for the 30+°C stratum. The highest incidence of ischemic strokes appeared at PM2.5 greater than 37.0 µg m−3 during 20–24°C, whereas the highest incidence of hemorrhagic strokes appeared at PM2.5 greater than 37.0 µg m−3 at less than 15°C. No adjusted RRs of strokes were significantly associated with PM2.5 in all temperature zones after controlling for sex, age, BMI, smoking and drinking. We conclude that stroke incidence decreases as the weather gets warmer, whereas PM2.5 pollution may have little effect on stroke incidence. It is essential to keep warm during cold days.
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publishDate 2023-08-01
publisher Springer
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series Aerosol and Air Quality Research
spelling doaj-art-7828306628374bab87cdae760563a4622025-02-09T12:22:24ZengSpringerAerosol and Air Quality Research1680-85842071-14092023-08-01231111310.4209/aaqr.230131Risk of Stroke Associated with Temperature and PM2.5: Taiwan Stroke Registry-based StudyFung-Chang Sung0Hei-Tung Yip1Cheng-Li Lin2Jiann-Shing Jeng3Jiunn-Tay Lee4Yu Sun5Cheng-Yu Wei6Po-Yen Yeh7Kuang-Hsi Chang8Shang-Yu Chien9Kai-Cheng Hsu10TSR teamDepartment of Health Services Administration, China Medical University College of Public HealthManagement Office for Health Data, China Medical University HospitalManagement Office for Health Data, China Medical University HospitalStroke Center and Department of Neurology, National Taiwan University HospitalDepartment of Neurology, Tri-Service General Hospital, National Defense Medical CenterDepartment of Neurology, En Chu Kong HospitalDepartment of Neurology, Chang Bing Show Chwan Memorial HospitalDepartment of Neurology, St. Martin de Porres HospitalDepartment of Medical Research, Tungs’ Taichung Metroharbor HospitalArtificial Intelligence Center, China Medical University HospitalArtificial Intelligence Center, China Medical University HospitalAbstract This study aimed to assess seasonal stroke risks related to temperature and PM2.5 in Taiwan. Using data of the Taiwan Stroke Registry and air pollution monitored in 2006–2017, the researchers estimated daily average ischemic and hemorrhagic strokes according to temperature and PM2.5 levels, evaluating stroke risks by categorizing PM2.5 levels in each temperature zone. The results revealed a higher incidence of ischemic strokes in February and a higher incidence of hemorrhagic strokes in January, both decreased to the lowest in July. The study found that incident strokes increased with the PM2.5 level in each temperature zone except for the 30+°C stratum. The highest incidence of ischemic strokes appeared at PM2.5 greater than 37.0 µg m−3 during 20–24°C, whereas the highest incidence of hemorrhagic strokes appeared at PM2.5 greater than 37.0 µg m−3 at less than 15°C. No adjusted RRs of strokes were significantly associated with PM2.5 in all temperature zones after controlling for sex, age, BMI, smoking and drinking. We conclude that stroke incidence decreases as the weather gets warmer, whereas PM2.5 pollution may have little effect on stroke incidence. It is essential to keep warm during cold days.https://doi.org/10.4209/aaqr.230131StrokePM2.5TemperatureTaiwan stroke registry
spellingShingle Fung-Chang Sung
Hei-Tung Yip
Cheng-Li Lin
Jiann-Shing Jeng
Jiunn-Tay Lee
Yu Sun
Cheng-Yu Wei
Po-Yen Yeh
Kuang-Hsi Chang
Shang-Yu Chien
Kai-Cheng Hsu
TSR team
Risk of Stroke Associated with Temperature and PM2.5: Taiwan Stroke Registry-based Study
Aerosol and Air Quality Research
Stroke
PM2.5
Temperature
Taiwan stroke registry
title Risk of Stroke Associated with Temperature and PM2.5: Taiwan Stroke Registry-based Study
title_full Risk of Stroke Associated with Temperature and PM2.5: Taiwan Stroke Registry-based Study
title_fullStr Risk of Stroke Associated with Temperature and PM2.5: Taiwan Stroke Registry-based Study
title_full_unstemmed Risk of Stroke Associated with Temperature and PM2.5: Taiwan Stroke Registry-based Study
title_short Risk of Stroke Associated with Temperature and PM2.5: Taiwan Stroke Registry-based Study
title_sort risk of stroke associated with temperature and pm2 5 taiwan stroke registry based study
topic Stroke
PM2.5
Temperature
Taiwan stroke registry
url https://doi.org/10.4209/aaqr.230131
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