A team of researchers that included Dr. Russell Griffin, associate professor, and recently graduated doctoral student, Mr. Justin X. Moore, from the department of epidemiology at the University of Alabama at Birmingham School of Public Health examined the association between fine particulate matter (PM2.5) air pollution and risk of sepsis hospitalization. While air pollution has been associated with health complications, its effect on sepsis risk is unknown.
[Photo: Dr. Russell Griffen]
[Photo: Mr. Justin Moore]
The team analyzed data from the 30,239 community-dwelling adults in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) cohort linked with satellite-derived measures of PM2.5 data. They defined sepsis as a hospital admission for a serious infection with ≥2 systemic inflammatory response (SIRS) criteria. They performed incidence density sampling to match sepsis cases with four controls by age (±5 years), sex, and race. For each matched group we calculated mean daily PM2.5 exposures for short-term (30-day) and long-term (one-year) periods preceding the sepsis event.
The research team used conditional logistic regression to evaluate the association between PM2.5 exposure and sepsis, adjusting for education, income, region, temperature, urbanicity, tobacco and alcohol use, and medical conditions. They matched 1386 sepsis cases with 5544 non-sepsis controls. Mean 30-day PM2.5 exposure levels (Cases 12.44 vs. Controls 12.34 µg/m3; p = 0.28) and mean one-year PM2.5 exposure levels (Cases 12.53 vs. Controls 12.50 µg/m3; p = 0.66) were similar between cases and controls.
In adjusted models, there were no associations between 30-day PM2.5 exposure levels and sepsis (4th vs. 1st quartiles OR: 1.06, 95 percent CI: 0.85–1.32). Similarly, there were no associations between one-year PM2.5 exposure levels and sepsis risk (4th vs. 1st quartiles OR: 0.96, 95 percent CI: 0.78–1.18). In the REGARDS cohort, PM2.5 air pollution exposure was not associated with risk of sepsis.