关键词: Climate change Critical care unit admissions Heat stroke Heat wave Hospital admissions Morbidity

来  源:   DOI:10.1007/s00420-024-02082-y

Abstract:
OBJECTIVE: The effect of heat waves on mortality is well known, but current evidence on morbidity is limited. Establishing the consequences of these events in terms of morbidity is important to ensure communities and health systems can adapt to them.
METHODS: We thus collected data on total daily emergency hospital admissions, admissions to critical care units, emergency department admissions, and emergency admissions for specific diagnoses to Hospital Universitario de Son Espases from 1 January 2005 to 31 December 2021. A heat wave was defined as a period of ≥ 2 days with a maximum temperature ≥ 35 °C, including a 7 day lag effect (inclusive). We used a quasi-Poisson generalized linear model to estimate relative risks (RRs; 95%CI) for heat wave-related hospital admissions.
RESULTS: Results showed statistically significant increases in total emergency admissions (RR 1.06; 95%CI 1 - 1.12), emergency department admissions (RR 1.12; 95%CI 1.07 - 1.18), and admissions for ischemic stroke (RR 1.26; 95%CI 1.02 - 1.54), acute kidney injury (RR 1.67; 95%CI 1.16 - 2.35), and heat stroke (RR 18.73, 95%CI 6.48 - 45.83) during heat waves.
CONCLUSIONS: Heat waves increase hospitalization risk, primarily for thromboembolic and renal diseases and heat strokes.
摘要:
目的:热浪对死亡率的影响是众所周知的,但是目前关于发病率的证据是有限的。确定这些事件在发病率方面的后果对于确保社区和卫生系统能够适应它们很重要。
方法:因此,我们收集了每日急诊住院总人数的数据,重症监护病房的入院,急诊科招生,2005年1月1日至2021年12月31日,在儿子大学医院进行特殊诊断的紧急入院。热浪定义为≥2天,最高温度≥35°C,包括7天滞后效应(含)。我们使用准泊松广义线性模型来估计与热浪相关的住院患者的相对风险(RR;95CI)。
结果:结果显示,急诊入院总数有统计学意义的显着增加(RR1.06;95CI1-1.12),急诊科入院(RR1.12;95CI1.07-1.18),和缺血性卒中入院(RR1.26;95CI1.02-1.54),急性肾损伤(RR1.67;95CI1.16-2.35),热浪期间中暑(RR18.73,95CI6.48-45.83)。
结论:热浪增加住院风险,主要用于血栓栓塞和肾脏疾病以及中暑。
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