未经证实:气候变化正在增加受伤的风险,疾病,全球死亡。然而,环境温度与肾脏疾病之间的关联尚未得到充分表征。这项研究旨在量化与环境温度相关的肾脏疾病住院的风险和可归因负担。
UNASSIGNED:在2000年和2015年期间收集了来自巴西1816个城市的每日入院数据。采用时间分层的病例交叉设计来评估温度与肾脏疾病之间的关联。相对风险(RR),可归因分数(AF),并计算其置信区间(CI)来估计关联和归因负担。
UNASSIGNED:在研究期间共记录了2,726,886例肾脏疾病住院治疗。每日平均温度每升高1°C,在全国范围内,延迟0-7天的肾脏疾病住院估计风险增加了0.9%(RR=1·009,95%CI:1·008-1·010).温度与肾脏疾病之间的关联在滞后0天时最大,但在滞后1-2天时仍然存在。女性的风险更为突出,0-4岁儿童,老年人≥80岁。7·4%(95%CI:5·2-9·6%)的肾脏疾病住院率可能归因于温度升高,相当于202,093例(95%CI:141,554-260,594例)。
UNASSIGNED:这项全国性的研究提供了强有力的证据,表明应该制定更多的政策来防止与热有关的住院和缓解气候变化。
UASSIGNED:中国国家奖学金委员会,澳大利亚国家健康和医学研究委员会。
UNASSIGNED: Climate change is increasing the risks of injuries, diseases, and deaths globally. However, the association between ambient temperature and renal diseases has not been fully characterized. This study aimed to quantify the risk and attributable burden for hospitalizations of renal diseases related to ambient temperature.
UNASSIGNED: Daily hospital admission data from 1816 cities in Brazil were collected during 2000 and 2015. A time-stratified
case-crossover design was applied to evaluate the association between temperature and renal diseases. Relative risks (RRs), attributable fractions (AFs), and their confidence intervals (CIs) were calculated to estimate the associations and attributable burden.
UNASSIGNED: A total of 2,726,886 hospitalizations for renal diseases were recorded during the study period. For every 1°C increase in daily mean temperature, the estimated risk of hospitalization for renal diseases over lag 0-7 days increased by 0·9% (RR = 1·009, 95% CI: 1·008-1·010) at the national level. The associations between temperature and renal diseases were largest at lag 0 days but remained for lag 1-2 days. The risk was more prominent in females, children aged 0-4 years, and the elderly ≥ 80 years. 7·4% (95% CI: 5·2-9·6%) of hospitalizations for renal diseases could be attributable to the increase of temperature, equating to 202,093 (95% CI: 141,554-260,594) cases.
UNASSIGNED: This nationwide study provides robust evidence that more policies should be developed to prevent heat-related hospitalizations and mitigate climate change.
UNASSIGNED: China Scholarship Council, and the Australian National Health and Medical Research Council.