野火烟雾暴露与西雅图、华盛顿儿科医院服务之间的关系,2006-2020

Daaniya Iyaz, Alexandra Perkins, J. Cogen, A. Doubleday, C. Sack, T. B. Busch Isaksen
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摘要

在过去三十年中,太平洋西北部野火烟雾事件的发生率和严重程度都在增加,导致有记录的成年人健康不良后果。然而,很少有证据表明野火烟雾对儿科人群的影响。评估华盛顿州西雅图儿科三级医疗中心野火烟雾暴露与医疗保健利用之间的关系。我们利用一项病例交叉研究来确定2006-2020年野火季节(6月至9月)野火烟雾日与非野火烟雾日在西雅图儿童医院儿科急诊科(ED)就诊/住院的几率。健康结果数据集报告了两类医院就诊情况:急诊科就诊或住院或观察目的的入院。健康结果数据集报告了两类医院就诊情况:急诊科就诊或住院或观察目的的入院。报告的遭遇类型是互斥的。我们按个体水平特征进行分层分析,并检查入院前0-7天的滞后暴露的相关性。在校正分析中,烟雾暴露与全因住院的几率增加7.0% (95% CI: 3.0% - 12.0%)和全因急诊科就诊的几率增加0.0% (95% CI: - 3.0%, 3.0%)相关。我们还观察到,在1-7天的滞后暴露中,全因住院率增加了4.0%至8.0%。当按健康结果分层时,我们发现因呼吸道和呼吸道感染相关问题就诊的几率分别增加了9.0% (95% CI: 1.0%-17.0%)和11.0% (95% CI: 1.0%-21.0%)。我们的研究结果表明,野火烟雾与儿童的负面健康影响之间存在关联。与其他研究类似,我们发现野火烟雾暴露与儿科呼吸相关急诊科就诊和全因住院的增加有关。这些结果将有助于告知患者教育和激励干预措施,以减少儿童发病率在野火季节。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between wildfire smoke exposure and Seattle, Washington Pediatric Hospital services, 2006–2020
Pacific Northwest wildfire smoke events have been increasing in prevalence and severity over the past three decades, resulting in documented negative health outcomes in adults. However, there is less evidence demonstrating the effect of wildfire smoke in pediatric populations. To evaluate the association between wildfire smoke exposure and healthcare utilization in a pediatric tertiary medical center in Seattle, WA. We utilized a case–crossover study to determine the odds of pediatric emergency department (ED) visit/ hospital admission at Seattle Children’s Hospital on wildfire smoke days versus non-wildfire smoke days during wildfire season (June to September), 2006–2020. The health outcomes dataset reports hospital encounters in two categories: ED visits or admissions that are for inpatient or observational purposes. The health outcomes dataset reports hospital encounters in two categories: ED visits or admissions that are for inpatient or observational purposes. The reported encounter types are mutually exclusive. We stratified analyses by individual-level characteristics and examined associations for lagged exposures 0–7 d prior to admission. In adjusted analyses, smoke exposure was associated with a 7.0% (95% CI: 3.0%–12.0%) increase in odds of all-cause hospital admissions and a 0.0% (95% CI: −3.0%, 3.0%) change in odds of all-cause ED visits. We also observed increases in the odds of all-cause hospital admissions ranging from 4.0% to 8.0%, for lagged exposure on days 1–7. When stratified by health outcomes, we found a 9.0% (95% CI: 1.0%–17.0%) and an 11.0% (95% CI:1.0%–21.0%) increase in the odds of ED visits for respiratory and respiratory infection-related concerns, respectively. Our results demonstrate associations between wildfire smoke and negative health effects in children. Similar to other studies, we found that wildfire smoke exposure was associated with an increase in respiratory-related ED visits and all-cause hospital admissions in a pediatric population. These results will help inform patient education and motivate interventions to reduce pediatric morbidity during wildfire season.
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