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Studies of the effect of pulmonary impairment on mortality have found significantly increased risk of death for those with moderate or severe impairment (1.6 and 2.7 hazard ratios, respectively).
The few published studies looking at the connection between home care services and mortality, have found no relationship [ 17].
Furthermore, some studies of one-year mortality have found increased mortality in those with assisted living after discharge [ 21, 24], and a longer hospital stay [ 21], but not in all [ 16].
Although national mortality data shows blacks have a substantially increased odds of death due to pneumonia as compared to whites previous studies of short-term mortality have found decreased mortality for blacks.
Some previous long-term synoptic air quality studies investigating nonlinearities and threshold effects between air quality and mortality have found no justification for nonlinear functional forms for air quality predictors [ 33].
Studies reporting the association between O3 and mortality have found no evidence of a confounding effect due to other pollutants [ 36, 37, 41- 43], nor have recent multicenter studies conducted by Bell [ 44] assessing the potential confounding effects of PM.
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A recent review of the relationship between social capital and mortality has found that only one of 20 studies utilized a comprehensive definition of social capital while the remaining focused on one or only a few aspects of the concept [ 9].
Some previous heat mortality studies have found that the number of deaths caused by heat waves is partially offset by a temporary reduction in death rates in subsequent weeks (Braga et al. 2001; Huynen et al. 2001).
This being said, several potential confounders could decrease or further increase the hazard ratios for mortality that we have found.
9, 38 Most HEMS research focus on mortality, and registry studies have found an association between HEMS transport and lower mortality, 8, 9, 20, 39 but the causality is uncertain.
Self-perceived health status is closely associated with cardiovascular disease (CVD) and all-cause mortality and many studies have found that self-health ratings are important predictors of mortality for persons with cardiovascular disease, 9 10 middle-aged subjects 11 and young adults.
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