新加坡与热有关的疾病:2008 年至 2020 年对一家三级医疗中心的描述性分析

IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL
Y. Okada, Joel Aik, A. Ho, Yilin Ning, M. Ong
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引用次数: 0

摘要

本研究旨在描述在新加坡一家三级医院就诊的热相关疾病的临床特征和流行病学。这项回顾性观察研究利用了新加坡中央医院急诊科(ED)的电子健康记录。研究分析了 2008 年至 2020 年期间主要诊断为热相关疾病的患者。研究描述了热相关疾病的年度病例数和时间趋势,以及患者的特征。在急诊室登记的 1,833,908 名患者中,有 426 名患者被诊断为热相关疾病。中位年龄(四分位数间距[IQR])为32(22,43)岁,其中303人(71%)为男性,201人(47%)不是新加坡公民。每年的病例数从 2019 年的最少 21 例到 2015 年的最多 49 例不等,只有 2020 年有 4 例。热相关疾病最常发生在周日(233 例,占 55%)和 12 月(97 例,占 23%)。12 月份的大量病例与每年举办的马拉松比赛日重合(91 例,占 21%)。大约一半的病例需要住院治疗,其中 183 例(43%)住进普通病房,31 例(7%)住进重症监护室。30 天死亡率为 2 例(0.5%)。这项描述性研究表明了新加坡一家三级护理医院热相关疾病的独特特点。这些当地情况可能对考虑采取热相关疾病的预防措施,为未来与气候变化相关的极端天气事件做好准备很有价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Heat-related illness in Singapore: Descriptive analysis of a tertiary care center from 2008 to 2020
This study aimed to describe the clinical characteristics and epidemiology of heat-related illnesses presented at a tertiary hospital in Singapore. This retrospective observational study utilized electronic health records from the emergency department (ED) of Singapore General Hospital. Patients primarily diagnosed with heat-related illnesses from 2008 to 2020, were analyzed. The annual number of cases and the temporal trend of heat-related illnesses were described, along with the characteristics of patients. Among the 1,833,908 patients registered at the ED, 426 patients had diagnoses of heat-related illnesses. The median age (interquartile range [IQR]) was 32 (22, 43) years, with 303 (71%) being male and 201 (47%) not being Singapore citizens. The annual number of cases ranged from a minimum of 21 in 2019 to a maximum of 49 cases in 2015, except for four cases in 2020. Heat-related illnesses occurred most commonly on Sundays (233, 55%) and in December (97, 23%). A significant number of cases in December coincided with the day of an annually organized marathon (91, 21%). Approximately half of the total cases required hospitalization, with 183 (43%) admitted to the general ward and 31 (7%) admitted to the intensive care unit. The 30-day mortality was 2 (0.5%). This descriptive study indicated the unique characteristics of heat-related illness in a tertiary care hospital in Singapore. These local contexts may be valuable to consider preventative measures for heat-related illness, in preparation for future extreme weather events related to climate change.
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来源期刊
Proceedings of Singapore Healthcare
Proceedings of Singapore Healthcare MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
42
审稿时长
15 weeks
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