PDF(Pubmed)
Abstract：
Heat therapy, including saunas, jacuzzi, and hot tub bathing, has gained global popularity. However, the escalating incidents of injuries and fatalities associated with hot tub activities are a significant public health concern. This study aims to comprehensively review and analyze the pathophysiological factors contributing to hot tub-related deaths, addressing the need for awareness and mitigation strategies. A comprehensive search of electronic databases, PubMed and Science Direct, was conducted to identify articles relevant to bath-related deaths. Eligible studies were exported to the Rayyan (Qatar Computing Research Institute, Qatar) software for data analysis. The data extracted from the 18 studies were compiled to elucidate the mechanisms underlying hot tub bath-related deaths and to advocate for the adoption of potential mitigation strategies and future directions to prevent such incidents in the future. The review revealed insights into the current trend of fatalities linked to hot tub bathing. A detailed analysis of pathophysiological aspects, encompassing hemodynamics, electrolyte disturbances, serum glucagon alterations, and the impact of alcohol and substance abuse during hot tub use, was conducted. Furthermore, we explored the effects of temperature and conducted a thorough discussion of postmortem evidence analysis concerning deaths related to bathtub usage. Finally, the paper discusses mitigation strategies to prevent fatalities attributed to hot tub bathing. In conclusion, our review highlights growing public health concerns surrounding injuries and fatalities related to hot tub activities. Through an examination of the incidence rates, pathophysiological factors, and proposed mitigation strategies, we provide crucial insights for enhancing safety and addressing the escalating risks associated with hot tub bathing.
摘要：
热疗,包括桑拿,按摩浴缸,热水浴缸洗澡，已获得全球知名度。然而,与热水浴缸活动有关的受伤和死亡事件不断升级，是一个重大的公共卫生问题。本研究旨在全面回顾和分析导致热水浴缸相关死亡的病理生理因素，解决对意识和缓解战略的需求。全面检索电子数据库,PubMedandScienceDirect,进行了鉴定与沐浴相关死亡相关的文章。合格的研究结果被出口到Rayyan(卡塔尔计算研究所，卡塔尔)数据分析软件。从18项研究中提取的数据经过汇编，以阐明与热水浴缸相关的死亡的潜在机制，并倡导采用潜在的缓解策略和未来的方向，以防止将来发生此类事件。该评论揭示了与热水浴缸沐浴有关的当前死亡趋势的见解。病理生理方面的详细分析，包括血液动力学，电解质干扰，血清胰高血糖素改变，以及使用热水浴缸期间酒精和药物滥用的影响，进行了。此外，我们探讨了温度的影响，并对有关使用浴缸死亡的死后证据分析进行了彻底讨论。最后,本文讨论了预防因热水浴缸洗澡而死亡的缓解策略。总之,我们的审查强调了与热水浴缸活动有关的伤害和死亡的公众健康问题。通过检查发病率，病理生理因素，并提出了缓解策略，我们为提高安全性和解决与热水浴缸沐浴相关的不断升级的风险提供了重要的见解。
