{"id":"https://openalex.org/W7223688080","doi":"https://doi.org/10.1093/eurpub/ckag169.807","title":"Air pollution and respiratory admissions in Poland: a nationwide DLNM analysis of COPD and asthma","display_name":"Air pollution and respiratory admissions in Poland: a nationwide DLNM analysis of COPD and asthma","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223688080","doi":"https://doi.org/10.1093/eurpub/ckag169.807"},"language":"en","primary_location":{"id":"doi:10.1093/eurpub/ckag169.807","doi":"https://doi.org/10.1093/eurpub/ckag169.807","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckag169.807","pdf_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.807/72466151/ckag169.807.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.807/72466151/ckag169.807.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5159613480","display_name":"BR Bochenek","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210139920","display_name":"Institute of Meteorology and Water Management","ror":"https://ror.org/0406s2v03","country_code":"PL","type":"facility","lineage":["https://openalex.org/I4210139920"]}],"countries":["PL"],"is_corresponding":true,"raw_author_name":"BR Bochenek","raw_affiliation_strings":[", Krakow ,","Division of Numerical Weather Prediction, Institute of Meteorology and Water Management \u2013 National Research Institute , Krakow ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":", Krakow ,","institution_ids":[]},{"raw_affiliation_string":"Division of Numerical Weather Prediction, Institute of Meteorology and Water Management \u2013 National Research Institute , Krakow ,","institution_ids":["https://openalex.org/I4210139920"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159673444","display_name":"JM Wieczorek","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210139920","display_name":"Institute of Meteorology and Water Management","ror":"https://ror.org/0406s2v03","country_code":"PL","type":"facility","lineage":["https://openalex.org/I4210139920"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"JM Wieczorek","raw_affiliation_strings":[", Krakow ,","Division of Numerical Weather Prediction, Institute of Meteorology and Water Management \u2013 National Research Institute , Krakow ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":", Krakow ,","institution_ids":[]},{"raw_affiliation_string":"Division of Numerical Weather Prediction, Institute of Meteorology and Water Management \u2013 National Research Institute , Krakow ,","institution_ids":["https://openalex.org/I4210139920"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159654198","display_name":"P Gory\u0144ski","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"P Gory\u0144ski","raw_affiliation_strings":["School of Public Health, Centre of Postgraduate Medical Education , Warszawa,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Public Health, Centre of Postgraduate Medical Education , Warszawa,","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5159714617","display_name":"M Jankowski","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M Jankowski","raw_affiliation_strings":["School of Public Health, Centre of Postgraduate Medical Education , Warszawa,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Public Health, Centre of Postgraduate Medical Education , Warszawa,","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5159613480"],"corresponding_institution_ids":["https://openalex.org/I4210139920"],"apc_list":{"value":2815,"currency":"EUR","value_usd":3181},"apc_paid":{"value":2815,"currency":"EUR","value_usd":3181},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.76955566,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"36","issue":"Supplement_5","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10190","display_name":"Air Quality and Health Impacts","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T10190","display_name":"Air Quality and Health Impacts","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10051","display_name":"Asthma and respiratory diseases","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/air-pollution","display_name":"air pollution","score":0.9940000176429749},{"id":"https://openalex.org/keywords/chronic-obstructive-pulmonary-disease","display_name":"chronic obstructive pulmonary disease","score":0.6079999804496765},{"id":"https://openalex.org/keywords/asthma","display_name":"asthma","score":0.9940000176429749},{"id":"https://openalex.org/keywords/emergency-admissions","display_name":"emergency admissions","score":0.8140000104904175},{"id":"https://openalex.org/keywords/short-term-health-effects","display_name":"short-term health effects","score":0.6620000004768372},{"id":"https://openalex.org/keywords/heating-season","display_name":"heating season","score":0.7870000004768372},{"id":"https://openalex.org/keywords/coal-combustion","display_name":"coal combustion","score":0.7450000047683716},{"id":"https://openalex.org/keywords/sulfur-dioxide","display_name":"sulfur dioxide","score":0.8140000104904175},{"id":"https://openalex.org/keywords/particulate-matter","display_name":"particulate matter","score":0.9909999966621399},{"id":"https://openalex.org/keywords/lead","display_name":"lead","score":0.4699999988079071},{"id":"https://openalex.org/keywords/polycyclic-aromatic-hydrocarbons","display_name":"polycyclic aromatic hydrocarbons","score":0.9929999709129333},{"id":"https://openalex.org/keywords/arsenic","display_name":"arsenic","score":0.9079999923706055},{"id":"https://openalex.org/keywords/ozone","display_name":"ozone","score":0.9480000138282776},{"id":"https://openalex.org/keywords/childhood-asthma","display_name":"childhood asthma","score":0.7089999914169312},{"id":"https://openalex.org/keywords/seasonal-variation","display_name":"seasonal variation","score":0.7310000061988831},{"id":"https://openalex.org/keywords/poland","display_name":"Poland","score":0.8180000185966492},{"id":"https://openalex.org/keywords/distributed-lag-non-linear-model","display_name":"distributed lag non-linear model","score":0.8479999899864197},{"id":"https://openalex.org/keywords/public-health-policy","display_name":"public health policy","score":0.47600001096725464},{"id":"https://openalex.org/keywords/air-quality-monitoring","display_name":"air quality monitoring","score":0.5249999761581421}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8125},{"id":"https://openalex.org/C2776042228","wikidata":"https://www.wikidata.org/wiki/Q35869","display_name":"Asthma","level":2,"score":0.7993999719619751},{"id":"https://openalex.org/C2776780178","wikidata":"https://www.wikidata.org/wiki/Q199804","display_name":"COPD","level":2,"score":0.7289000153541565},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.7242000102996826},{"id":"https://openalex.org/C559116025","wikidata":"https://www.wikidata.org/wiki/Q131123","display_name":"Air pollution","level":2,"score":0.6621999740600586},{"id":"https://openalex.org/C82789193","wikidata":"https://www.wikidata.org/wiki/Q2142611","display_name":"Relative risk","level":3,"score":0.4374000132083893},{"id":"https://openalex.org/C534529494","wikidata":"https://www.wikidata.org/wiki/Q7891","display_name":"Respiratory system","level":2,"score":0.4372999966144562},{"id":"https://openalex.org/C24245907","wikidata":"https://www.wikidata.org/wiki/Q498957","display_name":"Particulates","level":2,"score":0.4133000075817108},{"id":"https://openalex.org/C2992779976","wikidata":"https://www.wikidata.org/wiki/Q3286546","display_name":"Pulmonary disease","level":2,"score":0.4016999900341034},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3702999949455261},{"id":"https://openalex.org/C2987853052","wikidata":"https://www.wikidata.org/wiki/Q131123","display_name":"Air pollutants","level":3,"score":0.3515999913215637},{"id":"https://openalex.org/C125403950","wikidata":"https://www.wikidata.org/wiki/Q2111082","display_name":"Seasonality","level":2,"score":0.33309999108314514},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.31119999289512634},{"id":"https://openalex.org/C159009313","wikidata":"https://www.wikidata.org/wiki/Q5283159","display_name":"Distributed lag","level":2,"score":0.28060001134872437},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.27900001406669617},{"id":"https://openalex.org/C3018952834","wikidata":"https://www.wikidata.org/wiki/Q35869","display_name":"Asthma medication","level":3,"score":0.27320000529289246},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.2619999945163727},{"id":"https://openalex.org/C508106653","wikidata":"https://www.wikidata.org/wiki/Q36933","display_name":"Ozone","level":2,"score":0.25949999690055847}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/eurpub/ckag169.807","doi":"https://doi.org/10.1093/eurpub/ckag169.807","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckag169.807","pdf_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.807/72466151/ckag169.807.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13699611","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13699611/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13699611/pdf/ckag169.807.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eur J Public Health","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/eurpub/ckag169.807","doi":"https://doi.org/10.1093/eurpub/ckag169.807","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckag169.807","pdf_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.807/72466151/ckag169.807.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/13","score":0.685699999332428,"display_name":"Climate action"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223688080.pdf","grobid_xml":"https://content.openalex.org/works/W7223688080.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7165553164","https://openalex.org/W4392091009","https://openalex.org/W4404098939","https://openalex.org/W4404105341","https://openalex.org/W4387980186","https://openalex.org/W4322719399","https://openalex.org/W4280563011","https://openalex.org/W2292418159","https://openalex.org/W3182723395","https://openalex.org/W2913117009"],"abstract_inverted_index":{"Abstract":[0],"Poland":[1,242],"relies":[2],"heavily":[3],"on":[4,61,147],"coal":[5],"for":[6,54,72,153,187,277,329],"residential":[7],"heating,":[8],"resulting":[9],"in":[10,13,101,235,241,252],"seasonal":[11,62],"variation":[12,63],"air":[14,49,299],"pollution,":[15],"Whether":[16],"COPD":[17,55,73,188,255,290],"and":[18,44,51,56,64,77,98,130,158,168,205,215,249,256,280,291,307,326],"asthma":[19,78,258,266,293,316],"exacerbations":[20],"leading":[21],"to":[22,27,34,42,268,298,318],"urgent":[23],"hospitalizations":[24,53,71,148],"respond":[25],"differently":[26],"these":[28],"patterns\u2014and":[29],"whether":[30],"effects":[31,146,183],"are":[32,243,250,295],"limited":[33],"the":[35,86,139,144,176,275,302,311,327],"heating":[36,128,140,303],"season\u2014remains":[37],"unclear.":[38],"This":[39],"study":[40],"aimed":[41],"assess":[43],"compare":[45],"short-term":[46],"associations":[47,134],"between":[48],"pollution":[50,91,262,300],"emergency":[52,70],"asthma,":[57,182],"with":[58,110,181,222,232,305],"a":[59,260],"focus":[60],"pollutant-specific":[65,278],"effects.":[66],"We":[67],"analyzed":[68],"daily":[69],"(n":[74,79],"=":[75,80,166,173,191,195,199,213,218],"625,597)":[76],"153,563;":[81],"including":[82],"32,893":[83],"children)":[84],"from":[85,105],"national":[87,106],"registry":[88],"(2012\u20132019).":[89],"Air":[90],"data":[92],"(PM10,":[93],"PM2.5,":[94],"NO2,":[95],"SO2,":[96],"PAHs,":[97],"heavy":[99],"metals":[100],"PM10)":[102],"were":[103,114,135,152,184,207,220],"obtained":[104],"monitoring":[107,279],"systems,":[108],"along":[109],"meteorological":[111],"variables.":[112],"Associations":[113],"assessed":[115],"using":[116],"distributed":[117],"lag":[118,123],"non-linear":[119],"models":[120],"(DLNM,":[121],"quasi-Poisson,":[122],"0\u201310":[124],"days),":[125],"stratified":[126],"by":[127,246],"(Nov\u2013Mar)":[129],"non-heating":[131],"seasons.":[132],"Significant":[133],"observed":[136],"only":[137],"during":[138,301],"season.":[141,227],"For":[142],"COPD,":[143],"strongest":[145,177],"(RR":[149,165,212,217],"per":[150],"IQR)":[151],"SO2":[154,193,206,306],"(1.055),":[155],"PM2.5":[156],"(1.044),":[157],"PM10":[159,197],"(1.039).":[160],"Among":[161],"PM":[162],"components,":[163],"lead":[164],"1.072)":[167],"PAHs":[169],"(e.g.,":[170],"benzo[a]anthracene":[171],"RR":[172,190,194,198],"1.057)":[174],"showed":[175],"associations.":[178],"In":[179,201],"adults":[180],"stronger":[185],"than":[186],"(PM2.5":[189],"1.100;":[192],"1.082;":[196],"1.069).":[200],"children,":[202],"particulate":[203,308],"matter":[204,309],"not":[208,230],"significant;":[209],"instead,":[210],"arsenic":[211],"1.124)":[214],"ozone":[216],"1.115)":[219],"associated":[221,231],"increased":[223,233],"risk":[224,234],"independent":[225],"of":[226],"NO2":[228],"was":[229],"any":[236],"group.":[237],"Short-term":[238],"respiratory":[239],"risks":[240],"driven":[244],"primarily":[245],"heating-season":[247],"emissions":[248],"underestimated":[251],"annual-average":[253],"analyses.":[254],"adult":[257,292],"reflect":[259],"coal-combustion":[261],"signature,":[263],"while":[264],"childhood":[265],"responds":[267,317],"distinct":[269,324],"toxic":[270],"components.":[271],"These":[272],"findings":[273],"support":[274],"need":[276,328],"seasonally":[281,331],"targeted":[282,332],"public":[283,333],"health":[284,334],"strategies.":[285,335],"Key":[286],"messages":[287],"\u2022":[288,314],"Emergency":[289],"hospitalisations":[294],"strongly":[296],"linked":[297],"season,":[304],"showing":[310],"highest":[312],"risks.":[313],"Children\u2019s":[315],"different":[319],"pollutants":[320],"(arsenic,":[321],"ozone),":[322],"highlighting":[323],"mechanisms":[325],"pollutant-specific,":[330]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-27T00:00:00"}