Impact of heat waves on human morbidity and hospital admissions in a city of the western mediterranean area.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Archives of Occupational and Environmental Health Pub Date : 2024-09-01 Epub Date: 2024-07-02 DOI:10.1007/s00420-024-02082-y

Adrián Bujosa Mateu, Luis Alegre Latorre, María Villalonga Comas, Jaume Salom, Mercedes García Gasalla, Lluis Planas Bibiloni, Jaime Orfila Timoner, Javier Murillas Angoiti

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Abstract

Purpose: 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.

Conclusion: Heat waves increase hospitalization risk, primarily for thromboembolic and renal diseases and heat strokes.

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热浪对西地中海地区某城市人类发病率和入院率的影响。

目的：热浪对死亡率的影响众所周知，但目前有关发病率的证据却很有限。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这些事件非常重要：因此，我们收集了 2005 年 1 月 1 日至 2021 年 12 月 31 日期间松埃斯帕斯大学医院每日急诊入院总人数、重症监护室入院人数、急诊科入院人数以及因特定诊断而急诊入院人数的数据。热浪的定义是最高气温≥35 °C的时间段≥2天，包括7天的滞后效应（含）。我们采用准泊松广义线性模型来估算与热浪相关的入院人数的相对风险系数（RRs; 95%CI）：结果表明，在热浪期间，急诊入院总人数（RR 1.06；95%CI 1 - 1.12）、急诊科入院人数（RR 1.12；95%CI 1.07 - 1.18）以及缺血性中风（RR 1.26；95%CI 1.02 - 1.54）、急性肾损伤（RR 1.67；95%CI 1.16 - 2.35）和中暑（RR 18.73，95%CI 6.48 - 45.83）的入院人数均有统计学意义的增加：结论：热浪会增加住院风险，主要是血栓栓塞性疾病、肾脏疾病和中暑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

6.70%

发文量

127

审稿时长

3 months

期刊介绍： International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.