关键词: COPD age-and sex-specific risks dew point diurnal temperature range emergency department visits

Mesh : Humans Pulmonary Disease, Chronic Obstructive / epidemiology Male Female Middle Aged Weather Hungary / epidemiology Adult Aged Emergency Service, Hospital / statistics & numerical data Risk Factors Vulnerable Populations / statistics & numerical data Risk Assessment / methods Prevalence

来  源:   DOI:10.21873/invivo.13619   PDF(Pubmed)

Abstract:
OBJECTIVE: Chronic obstructive pulmonary disease (COPD) is a major public health concern, affecting over 200 million people worldwide in 2019. The prevalence of COPD has risen by 40% from 1990 to 2010 and continued to increase by 13% from 2010 to 2019, causing over 3 million deaths globally in 2019, ranking it as the third leading cause of death. This study explored how daily weather changes relate to the number of COPD-related emergency department (ED) visits.
METHODS: We collected data on daily COPD-related ED visits in 2017 in Pécs along with corresponding meteorological data to analyze this connection.
RESULTS: High diurnal temperature range (DTR) and day-to-day variability in dew point were linked to a 4.5% increased risk of more COPD-related ED visits. Notably, DTR had a stronger impact on males, contributing to a 6.3% increase, while dew point variability significantly affected males with an odds ratio (OR) of 1.083. (OR=1.083). Stratifying by age revealed heightened risks for those aged 30-39 (43.5% increase) and 50-59 (7.6% increase). Females aged 30-39 and 50-59 faced elevated risks of 42.7% and 9.1%, respectively, whereas males aged 60-69 showed a 9.8% increase.
CONCLUSIONS: Our findings highlight the influence of weather variations on COPD-related ED visits, with nuanced effects based on age and sex.
摘要:
目的:慢性阻塞性肺疾病(COPD)是主要的公共卫生问题,2019年影响全球超过2亿人。COPD的患病率从1990年到2010年上升了40%,从2010年到2019年继续增加13%,2019年在全球造成300多万人死亡,将其列为第三大死亡原因。这项研究探讨了每日天气变化与COPD相关急诊科(ED)就诊次数的关系。
方法:我们收集了2017年Pécs每日COPD相关ED访视的数据以及相应的气象数据,以分析这种联系。
结果:高昼夜温度范围(DTR)和露点的日常变化与更多COPD相关ED就诊的风险增加4.5%有关。值得注意的是,DTR对男性的影响更大,贡献了6.3%的增长,而露点变异性显着影响男性的优势比(OR)为1.083。(OR=1.083)。按年龄分层显示,30-39岁(增加43.5%)和50-59岁(增加7.6%)的风险增加。30-39岁和50-59岁的女性面临42.7%和9.1%的高风险,分别,而60-69岁的男性则增加了9.8%。
结论:我们的研究结果强调了天气变化对COPD相关ED就诊的影响,基于年龄和性别的细微差别的影响。
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