瑞士与高温有关的急诊入院人数的风险、可归因比例和可归因人数。

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI:10.3389/ijph.2024.1607349

Florian Schulte, Martin Röösli, Martina S Ragettli

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引用次数: 0

摘要

目的：我们使用临床相关指标评估了瑞士高温与急诊入院率（EHA）之间的关系：我们使用临床相关指标评估了瑞士高温与急诊入院率（EHA）之间的关系：采用分布式滞后非线性模型，我们调查了 1998 年 5 月至 2019 年 9 月期间不同疾病组、不同年龄段和不同性别的气温与入院率之间的关系。我们估算了中度（29°C）和极端（34°C）日最高气温相对于疾病特定最适温度的相对风险（RR），并计算了高温日和随后一周的可归因分数（AF）。我们还计算了与高温相关的 EHA 总次数：我们将 31,387 例（95% 置信区间：21,567-40,408）EHA 归因于高于最佳温度，占总数的 1.1%（0.7%-1.4%）。极端气温增加了精神疾病、传染病和神经系统疾病的 EHA 风险。我们观察到，极端高温导致脱水（85.9%，95% CI：82.4%-88.8%）和急性肾损伤（AKI，56.1%，95% CI：45.3%-64.7%）的 AFs 特别高。虽然EHA风险一般随年龄增长而增加，但我们也发现儿童（0-15岁）感染传染病和年轻成人（15-64岁）急性肾损伤的RR较高：结论：炎热的天气增加了瑞士的 EHA 风险。因此，需要采取全面的临床和公共卫生应对措施。

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Risk, Attributable Fraction and Attributable Number of Cause-Specific Heat-Related Emergency Hospital Admissions in Switzerland.

Objectives: We assessed the relationship between heat and emergency hospital admissions (EHAs) in Switzerland using clinically relevant metrics.

Methods: Applying distributed lag non-linear models, we investigated temperature-admission associations between May and September 1998-2019 for various disease groups, by age class and gender. We estimated the relative risk (RR) for moderate (29°C) and extreme (34°C) daily maximum temperatures relative to disease-specific optimum temperature, and calculated attributable fractions (AFs) for hot days and the following week. We also calculated the total number of heat-related EHAs.

Results: We attributed 31,387 (95% confidence interval: 21,567-40,408) EHAs to above-optimal temperatures, 1.1% (0.7%-1.4%) of the total. Extreme temperatures increased the EHA risk for mental, infectious and neurological diseases. We observed particularly high AFs due to extreme heat for dehydration (85.9%, 95% CI: 82.4%-88.8%) and acute kidney injury (AKI, 56.1%, 95% CI: 45.3%-64.7%). While EHA risk generally increased with age, we also found high RRs for infectious diseases in children (0-15 years) and AKI in young adults (15-64 years).

Conclusion: Hot weather increases the EHA risk in Switzerland. Therefore a comprehensive clinical and public health response is needed.

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来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.