Scientific Letter
Association Between Forest Fires, Environmental Temperature and Cardiorespiratory Admissions From 2005 to 2014
Asociación entre incendios forestales, temperatura ambiental e ingresos cardiorrespiratorios entre 2005 y 2014
Ignasi Garcia-Olivéa,b,c,d,
, Joaquim Raduae,f,g, Raymond Salvadore,f, Alicia Marina,c,d
Corresponding author
a Servicio de Neumología, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain
b Dirección de Organización y Sistemas de Información, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain
c CibeRes-Ciber de Enfermedades Respiratorias, Bunyola (Mallorca), Spain
d Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona (Barcelona), Spain
e Departamento de Estadística, FIDMAG Research Unit, Sant Boi de Llobregat (Barcelona), Spain
f CiberSam - Ciber de Salud Mental, Madrid, Spain
g Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Estocolmo, Sweden
Read
5046
Timeswas read the article
1861
Total PDF
3185
Total HTML
Share statistics
array:24 [ "pii" => "S1579212917302161" "issn" => "15792129" "doi" => "10.1016/j.arbr.2017.07.002" "estado" => "S300" "fechaPublicacion" => "2017-09-01" "aid" => "1539" "copyright" => "SEPAR" "copyrightAnyo" => "2017" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2017;53:525-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1660 "formatos" => array:3 [ "EPUB" => 133 "HTML" => 1135 "PDF" => 392 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0300289617300169" "issn" => "03002896" "doi" => "10.1016/j.arbres.2016.12.007" "estado" => "S300" "fechaPublicacion" => "2017-09-01" "aid" => "1539" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2017;53:525-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2038 "formatos" => array:3 [ "EPUB" => 124 "HTML" => 1485 "PDF" => 429 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta científica</span>" "titulo" => "Asociación entre incendios forestales, temperatura ambiental e ingresos cardiorrespiratorios entre 2005 y 2014" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "525" "paginaFinal" => "527" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Association between Forest Fires, Environmental Temperature and Cardiorespiratory Admissions from 2005 to 2014" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1056 "Ancho" => 1489 "Tamanyo" => 83025 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Relación entre los ingresos hospitalarios de causa cardiorrespiratoria y la superficie quemada, la temperatura ambiental y la humedad relativa, a lo largo de los meses.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ignasi Garcia-Olivé, Joaquim Radua, Raymond Salvador, Alicia Marin" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Ignasi" "apellidos" => "Garcia-Olivé" ] 1 => array:2 [ "nombre" => "Joaquim" "apellidos" => "Radua" ] 2 => array:2 [ "nombre" => "Raymond" "apellidos" => "Salvador" ] 3 => array:2 [ "nombre" => "Alicia" "apellidos" => "Marin" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212917302161" "doi" => "10.1016/j.arbr.2017.07.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917302161?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617300169?idApp=UINPBA00003Z" "url" => "/03002896/0000005300000009/v2_201708291404/S0300289617300169/v2_201708291404/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1579212917302173" "issn" => "15792129" "doi" => "10.1016/j.arbr.2017.07.003" "estado" => "S300" "fechaPublicacion" => "2017-09-01" "aid" => "1566" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2017;53:527-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1284 "formatos" => array:3 [ "EPUB" => 130 "HTML" => 778 "PDF" => 376 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Persistent Hemoptysis in an Elderly Patient With <span class="elsevierStyleItalic">Pseudoallescheria boydii</span> Mycetoma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "527" "paginaFinal" => "528" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hemoptisis persistente en un paciente anciano con micetoma por <span class="elsevierStyleItalic">Pseudoallescheria boydii</span>" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 941 "Ancho" => 990 "Tamanyo" => 86301 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Mass located within the cavity in the left lower lobe, which moved when the patient changed position, showing an air crescent sign.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cristina Colmenarejo, Ana Milagro, Elena Briz, Luis Borderías" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Cristina" "apellidos" => "Colmenarejo" ] 1 => array:2 [ "nombre" => "Ana" "apellidos" => "Milagro" ] 2 => array:2 [ "nombre" => "Elena" "apellidos" => "Briz" ] 3 => array:2 [ "nombre" => "Luis" "apellidos" => "Borderías" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289617300443" "doi" => "10.1016/j.arbres.2017.01.017" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617300443?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917302173?idApp=UINPBA00003Z" "url" => "/15792129/0000005300000009/v2_201708291344/S1579212917302173/v2_201708291344/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212917302537" "issn" => "15792129" "doi" => "10.1016/j.arbr.2017.02.018" "estado" => "S300" "fechaPublicacion" => "2017-09-01" "aid" => "1565" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2017;53:523-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1333 "formatos" => array:3 [ "EPUB" => 145 "HTML" => 803 "PDF" => 385 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Enteric Adenocarcinoma Arising From a Bronchogenic Cyst" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "523" "paginaFinal" => "524" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Adenocarcinoma de tipo entèc)rico originado a partir de un quiste broncogèc)nico" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 631 "Ancho" => 1600 "Tamanyo" => 104579 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Computed tomography (CT) showing a 10.6<span class="elsevierStyleHsp" style=""></span>cm mass in the right lower lobe with calcified walls, compatible with a bronchogenic cyst (A). PET-CT showing an ametabolic mass with mild increased uptake in the peripheral area (B).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mª Teresa Gómez-Hernández, Nuria Novoa, José Luis Aranda, Marcelo F. Jiménez-López" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Mª Teresa" "apellidos" => "Gómez-Hernández" ] 1 => array:2 [ "nombre" => "Nuria" "apellidos" => "Novoa" ] 2 => array:2 [ "nombre" => "José Luis" "apellidos" => "Aranda" ] 3 => array:2 [ "nombre" => "Marcelo F." "apellidos" => "Jiménez-López" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0300289617300431" "doi" => "10.1016/j.arbres.2017.02.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617300431?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917302537?idApp=UINPBA00003Z" "url" => "/15792129/0000005300000009/v2_201708291344/S1579212917302537/v2_201708291344/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Association Between Forest Fires, Environmental Temperature and Cardiorespiratory Admissions From 2005 to 2014" "tieneTextoCompleto" => true "saludo" => "To the Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "525" "paginaFinal" => "527" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ignasi Garcia-Olivé, Joaquim Radua, Raymond Salvador, Alicia Marin" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Ignasi" "apellidos" => "Garcia-Olivé" "email" => array:1 [ 0 => "ignasi.g.olive@gmail.com" ] "referencia" => array:5 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 4 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Joaquim" "apellidos" => "Radua" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0030" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">g</span>" "identificador" => "aff0035" ] ] ] 2 => array:3 [ "nombre" => "Raymond" "apellidos" => "Salvador" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0030" ] ] ] 3 => array:3 [ "nombre" => "Alicia" "apellidos" => "Marin" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:7 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Dirección de Organización y Sistemas de Información, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "CibeRes-Ciber de Enfermedades Respiratorias, Bunyola (Mallorca), Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona (Barcelona), Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Departamento de Estadística, FIDMAG Research Unit, Sant Boi de Llobregat (Barcelona), Spain" "etiqueta" => "e" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "CiberSam - Ciber de Salud Mental, Madrid, Spain" "etiqueta" => "f" "identificador" => "aff0030" ] 6 => array:3 [ "entidad" => "Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Estocolmo, Sweden" "etiqueta" => "g" "identificador" => "aff0035" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Asociación entre incendios forestales, temperatura ambiental e ingresos cardiorrespiratorios entre 2005 y 2014" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1058 "Ancho" => 1489 "Tamanyo" => 80903 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Relationship between hospital admissions for cardiorespiratory causes and the area burned, ambient temperature and relative humidity, by study month.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Forest fires seriously affect not only the environment and the economy, but also our health.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">1</span></a> Emissions from forest fires have been associated with a general increase in morbidity and mortality.<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">2–8</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Our aim was to analyze the possible effect of forest fires on admissions for acute myocardial infarction, heart failure, chronic obstructive pulmonary disease (COPD) and asthma in Catalonia (Spain).</p><p id="par0015" class="elsevierStylePara elsevierViewall">Figures on the area burned each month during the years of the study were provided by the Department of Agriculture, Livestock, Fisheries, Food and Environment of the Government of Catalonia. Data provided for each region and month were pooled to compute the total area of forest burned in each healthcare area.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Data on hospital admissions were provided by the Department of Health of the Government of Catalonia, using the International Classification of Diseases (ICD-9) diagnostic coding at discharge. For each health region, we obtained the total number of monthly hospital admissions and the number of admissions for heart failure (codes 428.0, 428.1, 428.20, 428.21, 428.22 and 428.23), acute myocardial infarction (410.01, 410.11, 410.21, 410.31, 410.41, 410.51, 410.61, 410.71, 410.81 and 410.91), chronic bronchitis (491.21 and 491.22), and asthma (493.02, 493.12, 493.21, 493.22, 493.81 and 493.82).</p><p id="par0025" class="elsevierStylePara elsevierViewall">Mean monthly temperature and monthly average wind speed during the study period were obtained from the Catalan meteorological agency station located nearest the capital city of each region (<a href="http://www.meteo.cat/">http://www.meteo.cat</a>, consulted 13 February 2016). The mean of the different temperatures in each of the subregions that constitute a healthcare region was calculated.</p><p id="par0030" class="elsevierStylePara elsevierViewall">The relationship between hospital admissions and ambient temperature, relative humidity and the forest area burned was analyzed using quasi-Poisson regressions. The 3 risk factors were initially evaluated separately, and those which reached statistical significance were subsequently entered in a simple multiple regression.</p><p id="par0035" class="elsevierStylePara elsevierViewall">The study protocol was approved by the ethics committee of our hospital.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Results are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> and <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>. An increase in all-cause hospital admissions when temperatures dropped and relative humidity increased was observed in the simple regression procedure. In the multiple regression, only temperature maintained statistical significance (<span class="elsevierStyleItalic">P</span><.001). In the case of acute myocardial infarction, the number of hospital admissions was significantly associated with low temperature (<span class="elsevierStyleItalic">P</span><.001). The number of admissions for heart failure was associated in the multiple regression with low temperature (<span class="elsevierStyleItalic">P</span><.001) and with relative humidity (<span class="elsevierStyleItalic">P</span><.001). All variables in the simple regression were significantly associated with the number of admissions for chronic bronchitis, including the percentage of burned forest surface area (<span class="elsevierStyleItalic">P</span>=.023). However, in the multiple regression, only low temperature (<span class="elsevierStyleItalic">P</span><.001) and relative humidity (<span class="elsevierStyleItalic">P</span>=.004) remained statistically significant. Burned surface area was significantly associated with the number of hospitalizations for asthma when analyzed separately (<span class="elsevierStyleItalic">P</span>=.009). In the multiple regression, only low temperature was significantly associated with the number of hospital admissions (<span class="elsevierStyleItalic">P</span><.001). No differences were found when the data were analyzed using information from whole years or only from the months with more fires.</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0045" class="elsevierStylePara elsevierViewall">Our study reveals a significant association between a drop in ambient temperature and an increase in hospitalizations for acute myocardial infarction, heart failure, chronic bronchitis, and bronchial asthma. However, we were unable to detect a significant association between the burned forest area and hospital admissions for these diseases.</p><p id="par0050" class="elsevierStylePara elsevierViewall">The relationship between fires and respiratory disease exacerbations has been described previously. In 1987, Duclos et al. reported an increase in the number of emergency visits for asthma and COPD.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">2</span></a> Subsequently, Mott et al. found an increase in the rate of urgent consultations for respiratory disease during a forest fire in California, compared to data from the previous year.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">3</span></a> Exposure to environmental smoke has been associated with the appearance of both respiratory and non-respiratory symptoms.<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">4</span></a> Caamano-Isorna et al. reported an increase in the need for medication for obstructive respiratory disease in men living in areas affected by a wave of forest fires in Galicia (Spain).<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">6</span></a> Emmanuel<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">7</span></a> reported an increase in PM10 levels associated with an increase in upper airway diseases, asthma, and rhinitis, with no evidence of an increase in hospital admissions or mortality. Haikerwal et al.<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">8</span></a> described an increased risk of attending the emergency department due to asthma during a period of fires associated with increased concentrations of PM2.5 particulates.</p><p id="par0055" class="elsevierStylePara elsevierViewall">In our study, we found a negative relationship between ambient temperature and the different diseases, an association that has been described previously. In the case of COPD, a fall in temperature is associated with a decline in lung function<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">9</span></a> and an increase in the frequency of exacerbations.<a class="elsevierStyleCrossRefs" href="#bib0120"><span class="elsevierStyleSup">9–12</span></a> With regard to bronchial asthma, an increase in hospitalizations coinciding with an increase in temperature in the hottest months of the year and a decrease during the cold season have been described.<a class="elsevierStyleCrossRefs" href="#bib0140"><span class="elsevierStyleSup">13,14</span></a> An increase in respiratory symptoms, particularly among asthma patients with poorer control, has also been reported.<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">15</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">This study highlights the association between a fall in ambient temperature and admissions for cardiovascular and respiratory disease; however, we were unable to relate the extent of burnt forest with hospitalizations. The main strengths of this work lie primarily in the long study period analyzed. Secondly, the data were retrieved from all hospitals in the public network of an autonomous community.</p><p id="par0065" class="elsevierStylePara elsevierViewall">Our study has several limitations. With regard to exposure, we were unable to factor in changes in the concentrations of the different pollutants or their duration. This would have provided information on the intensity of such exposure and contributed to a better evaluation of the possible adverse effects of forest fires on people's health. We were also unable to determine levels of exposure as a function of the distance between the area of residence and the source of the fire, and we have analyzed all the inhabitants of the region on an equal basis. Another possible limitation is the fact that we analyzed the effect (i.e., hospitalizations) on the basis of the diagnostic code at discharge (ICD-9), which is a potentially unreliable method.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Garcia-Olivé I, Radua J, Salvador R, Marin A. Asociación entre incendios forestales, temperatura ambiental e ingresos cardiorrespiratorios entre 2005 y 2014. Arch Bronconeumol. 2017;53:525–527.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1058 "Ancho" => 1489 "Tamanyo" => 80903 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Relationship between hospital admissions for cardiorespiratory causes and the area burned, ambient temperature and relative humidity, by study month.</p>" ] ] 1 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:5 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Admissions for Any Cause</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Simple Regression</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Multiple Regression</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">exp(<span class="elsevierStyleItalic">β</span>) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">exp(<span class="elsevierStyleItalic">β</span>) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Burnt surface area (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.912 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.226 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mean temperature (°C) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.990 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.990 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Relative humidity (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.003 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.999 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.190 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1501033.png" ] ] 1 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Acute Myocardial Infarction</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Simple Regression</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Multiple Regression</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">exp(<span class="elsevierStyleItalic">β</span>) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">exp(<span class="elsevierStyleItalic">β</span>) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Burnt surface area (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.862 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.150 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mean temperature (°C) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.987 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.987 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Relative humidity (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.004 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.999 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.255 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1501036.png" ] ] 2 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Heart Failure</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Simple Regression</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Multiple Regression</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">exp(<span class="elsevierStyleItalic">β</span>) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">exp(<span class="elsevierStyleItalic">β</span>) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Burnt surface area (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.740 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.100 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">– \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mean temperature (°C) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.974 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.973 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Relative humidity (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.006 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.995 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1501035.png" ] ] 3 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Chronic Bronchitis</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Simple Regression</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Multiple Regression</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">exp(<span class="elsevierStyleItalic">β</span>) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">exp(<span class="elsevierStyleItalic">β</span>) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Burnt surface area (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.270 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.023 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.686 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.281 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mean temperature (°C) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.956 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.955 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Relative humidity (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.011 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.001 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.992 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.004 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1501034.png" ] ] 4 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " colspan="5" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Bronchial Asthma</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Simple Regression</th><th class="td" title="table-head " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Multiple Regression</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">exp(<span class="elsevierStyleItalic">β</span>) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">exp(<span class="elsevierStyleItalic">β</span>) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Burnt surface area (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.145 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.009 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.779 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.487 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mean temperature (°C) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.947 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.948 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Relative humidity (%) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.022 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top"><.001 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.001 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">.826 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1501032.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Association Between Hospitalizations and Environmental Factors.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib0080" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Economic analysis of health effects from forest fires" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Rittmaster" 1 => "W.L. Adamowicz" 2 => "B. Amiro" 3 => "R. Pelletier" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Can J For Res" "fecha" => "2006" "paginaInicial" => "868" "paginaFinal" => "877" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0085" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The 1987 forest fire disaster in California: assessment of emergency room visits" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P. Duclos" 1 => "L.M. Sanderson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/00039896.1990.9935925" "Revista" => array:6 [ "tituloSerie" => "Arch Environ Health" "fecha" => "1990" "volumen" => "45" "paginaInicial" => "53" "paginaFinal" => "58" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2180383" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0090" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Wildland forest fire smoke: health effects and intervention evaluation, Hoopa, California, 1999" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.A. Mott" 1 => "P. Meyer" 2 => "D. Mannino" 3 => "S.C. Redd" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "West J Med" "fecha" => "2002" "volumen" => "176" "paginaInicial" => "157" "paginaFinal" => "162" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12016236" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0095" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An extreme bushfire smoke pollution event: health impacts and public health challenges" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A. Kolbe" 1 => "K.L. Gilchrist" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "N S W Public Health Bull" "fecha" => "2009" "volumen" => "20" "paginaInicial" => "19" "paginaFinal" => "23" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19261212" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0100" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The respiratory health impact of a large urban fire" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. Lipsett" 1 => "K. Waller" 2 => "D. Shusterman" 3 => "S. Thollaug" 4 => "W. Brunner" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Public Health" "fecha" => "1994" "volumen" => "84" "paginaInicial" => "434" "paginaFinal" => "438" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8129061" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0105" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Respiratory and mental health effects of wildfires: an ecological study in Galician municipalities (north-west Spain)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Caamano-Isorna" 1 => "A. Figueiras" 2 => "I. Sastre" 3 => "A. Montes-Martinez" 4 => "M. Taracido" 5 => "M. Piñeiro-Lamas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/1476-069X-10-48" "Revista" => array:5 [ "tituloSerie" => "Environ Health" "fecha" => "2011" "volumen" => "10" "paginaInicial" => "48" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21600035" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0110" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impact to lung health of haze from forest fires: the Singapore experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S.C. Emmanuel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Respirology" "fecha" => "2000" "volumen" => "5" "paginaInicial" => "175" "paginaFinal" => "182" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10894108" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0115" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fine particulate matter (PM2.5) exposure during a prolonged wildfire period and emergency department visits for asthma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Haikerwal" 1 => "M. Akram" 2 => "M.R. Sim" 3 => "M. Meyer" 4 => "M.J. Abramson" 5 => "M. Dennekamp" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/resp.12613" "Revista" => array:6 [ "tituloSerie" => "Respirology" "fecha" => "2016" "volumen" => "21" "paginaInicial" => "88" "paginaFinal" => "94" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26346113" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0120" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effect of temperature on lung function and symptoms in chronic obstructive pulmonary disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G.C. Donaldson" 1 => "T. Seemungal" 2 => "D.J. Jeffries" 3 => "J.A. Wedzicha" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "1999" "volumen" => "13" "paginaInicial" => "844" "paginaFinal" => "849" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10362051" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0125" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The effect of cold temperature on increased exacerbation of chronic obstructive pulmonary disease: a nationwide study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C.M. Tseng" 1 => "Y.T. Chen" 2 => "S.M. Ou" 3 => "Y.H. Hsiao" 4 => "S.Y. Li" 5 => "S.J. Wang" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1371/journal.pone.0057066" "Revista" => array:5 [ "tituloSerie" => "PLOS ONE" "fecha" => "2013" "volumen" => "8" "paginaInicial" => "e57066" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23554858" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0130" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Seasonality ambient temperatures and hospitalizations for acute exacerbation of COPD: a population-based study in a metropolitan area" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P. Almagro" 1 => "C. Hernandez" 2 => "P. Martinez-Cambor" 3 => "R. Tresserras" 4 => "J. Escarrabill" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Int J Chronic Obstr Pulmon Dis" "fecha" => "2015" "volumen" => "10" "paginaInicial" => "899" "paginaFinal" => "908" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0135" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The effects of air pollution and temperature on COPD" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "N.N. Hansel" 1 => "M.C. McCormack" 2 => "V. Kim" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3109/15412555.2015.1089846" "Revista" => array:6 [ "tituloSerie" => "COPD" "fecha" => "2016" "volumen" => "13" "paginaInicial" => "372" "paginaFinal" => "379" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26683097" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0140" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "pii:thoraxjnl-2015-208054 [Epub ahead of print]" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The short-term association between asthma hospitalisations, ambient temperature, other meteorological factors and air pollutants in Hong Kong: a time-series study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "H.C. Lam" 1 => "A.M. Li" 2 => "E.Y. Chan" 3 => "W.B. Goggins 3rd" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/thoraxjnl-2015-208054" "Revista" => array:3 [ "tituloSerie" => "Thorax" "fecha" => "2016" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7570433" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0145" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Influencia de los factores ambientales en el número de ingresos por urgencias en el complejo hospitalario Juan Canalejo de A Coruña: elaboración de un modelo de predicción" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.B. Lage Ferrón" 1 => "J. Díaz Jiménez" 2 => "J.J. Gestal Otero" 3 => "M.S. Pajares Ortiz" 4 => "J.C. Alberdi Odriozola" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Res Esp Salud Pública" "fecha" => "1999" "volumen" => "73" "paginaInicial" => "45" "paginaFinal" => "60" ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0150" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Asthma control and cold weather-related respiratory symptoms" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "H. Hyrkäs" 1 => "T.M. Ikäheimo" 2 => "J.J. Jaakkola" 3 => "M.S. Jaakkola" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rmed.2016.02.005" "Revista" => array:6 [ "tituloSerie" => "Respir Med" "fecha" => "2016" "volumen" => "113" "paginaInicial" => "1" "paginaFinal" => "7" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27021573" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005300000009/v2_201708291344/S1579212917302161/v2_201708291344/en/main.assets" "Apartado" => array:4 [ "identificador" => "49861" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Scientific letters" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005300000009/v2_201708291344/S1579212917302161/v2_201708291344/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917302161?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 6 | 11 |
| 2024 October | 46 | 22 | 68 |
| 2024 September | 53 | 13 | 66 |
| 2024 August | 80 | 46 | 126 |
| 2024 July | 89 | 29 | 118 |
| 2024 June | 79 | 37 | 116 |
| 2024 May | 86 | 26 | 112 |
| 2024 April | 52 | 31 | 83 |
| 2024 March | 54 | 19 | 73 |
| 2024 February | 44 | 17 | 61 |
| 2023 March | 9 | 4 | 13 |
| 2023 February | 56 | 23 | 79 |
| 2023 January | 27 | 32 | 59 |
| 2022 December | 87 | 37 | 124 |
| 2022 November | 64 | 33 | 97 |
| 2022 October | 79 | 34 | 113 |
| 2022 September | 35 | 26 | 61 |
| 2022 August | 26 | 42 | 68 |
| 2022 July | 38 | 42 | 80 |
| 2022 June | 30 | 34 | 64 |
| 2022 May | 26 | 33 | 59 |
| 2022 April | 46 | 38 | 84 |
| 2022 March | 55 | 45 | 100 |
| 2022 February | 39 | 29 | 68 |
| 2022 January | 37 | 42 | 79 |
| 2021 December | 41 | 35 | 76 |
| 2021 November | 54 | 48 | 102 |
| 2021 October | 53 | 58 | 111 |
| 2021 September | 29 | 41 | 70 |
| 2021 August | 39 | 38 | 77 |
| 2021 July | 22 | 42 | 64 |
| 2021 June | 40 | 47 | 87 |
| 2021 May | 56 | 41 | 97 |
| 2021 April | 73 | 87 | 160 |
| 2021 March | 47 | 29 | 76 |
| 2021 February | 29 | 24 | 53 |
| 2021 January | 22 | 18 | 40 |
| 2020 December | 27 | 25 | 52 |
| 2020 November | 34 | 28 | 62 |
| 2020 October | 29 | 22 | 51 |
| 2020 September | 26 | 18 | 44 |
| 2020 August | 31 | 27 | 58 |
| 2020 July | 38 | 37 | 75 |
| 2020 June | 33 | 8 | 41 |
| 2020 May | 23 | 14 | 37 |
| 2020 April | 26 | 20 | 46 |
| 2020 March | 28 | 16 | 44 |
| 2020 February | 35 | 22 | 57 |
| 2020 January | 44 | 20 | 64 |
| 2019 December | 45 | 20 | 65 |
| 2019 November | 23 | 21 | 44 |
| 2019 October | 12 | 12 | 24 |
| 2019 September | 47 | 13 | 60 |
| 2019 August | 20 | 16 | 36 |
| 2019 July | 16 | 18 | 34 |
| 2019 June | 17 | 12 | 29 |
| 2019 May | 28 | 12 | 40 |
| 2019 April | 26 | 10 | 36 |
| 2019 March | 31 | 12 | 43 |
| 2019 February | 33 | 13 | 46 |
| 2019 January | 26 | 22 | 48 |
| 2018 December | 32 | 18 | 50 |
| 2018 November | 66 | 29 | 95 |
| 2018 October | 125 | 32 | 157 |
| 2018 September | 36 | 7 | 43 |
| 2018 May | 6 | 0 | 6 |
| 2018 April | 48 | 13 | 61 |
| 2018 March | 50 | 5 | 55 |
| 2018 February | 69 | 13 | 82 |
| 2018 January | 209 | 25 | 234 |
| 2017 December | 99 | 31 | 130 |
| 2017 November | 0 | 2 | 2 |
Show all
