Table 2– Concentration-response functions (CRFs) used in the evaluation in relation to coronary heart disease and related acute morbidity
OutcomeUnit of CRFLocation, age of study participantsDefinition of outcome and/or frequency outcome in study populationCRF (95% CI)#Study
Prevalence of underlying chronic diseases
 CHD prevalenceBusy road ≤150 m from home (defined as autobahn and federal highways: 10-110×103 vehicles per day)
Prevalence exposure 31.4%
North-Rhine-Westphalia, Germany, 45–74 years7.1%, prevalence, defined as self-reported history of MI or application of a coronary stent or angioplasty or bypass surgery1.85 (1.21–2.84)[11]
Exacerbations
 Non-fatal MIPM2.5 per 10 μg·m−3Ausburg 1999–2001, >18 yearsWHO algorithm (includes evaluation chest pain, Q waves examination, levels creatine kinase and other)1.105 (0.987–1.226)[25]
Transformed to PM10 per 1 μg·m−31.005 (0.999–1.012)
 Hospital admission for MINO2 per 10 μg·m−3Rome 1995–1997, >18 yearsICD9-4101.026 (1.002–1.052)[26]
NO2 per 8 μg·m−35 European studies, >35 yearsICD9: 4101.005 (1.00–1.01)[27]
NO2 per 57.3 μg·m−3London 1987–1994, all agesICD9:4101.0274 (1.0084–1.0479)[28]
Meta-analytic estimate, NO2 per 1 μg·m−31.0005(1.0002–1.0008)
 Hospital admission for strokePM10 per 12 μg·m−3Helsinki 1998–2004, ≥65 yearsICD10: I60-61 and I63–I640.9922 (0.069–1.016)[29]
PM10 per 10 μg·m−39 French cities, ≥65 yearsICD10: I60–I64; G45-G461.008 (0.991-1.025)[30]
PM10 per 10 μg·m−3APHEA, 8 European cities, all agesICD9: 430–81.000 (0.997–1.003)[31]
PM10 per 25 μg·m−3Southwestern Sweden, median age 70 yearsIschaemic stroke1.13 (1.04–1.22)[32]
Meta-analytic estimate, PM10 per 1 μg·m−31.0007 (0.9993–1.0020)
  • CHD: coronary heart disease; MI: myocardial infarction; PM2.5: particulate matter up to 2.5 μm; PM10: particulate matter up to 10 μm; WHO: World Health Organization; ICD: international classification of diseases; APHEA: Air pollution and health, a European approach. #: when estimates were reported as odds ratios, odds ratios were corrected with the formula CRF/(1+It(CRF-1)), where It is estimated as the frequency of the outcome in the population [24].