The impact of extreme heat events on hospital admissions to the Royal Hobart Hospital.
The impact of extreme heat events on hospital admissions to the Royal Hobart Hospital.
复制标题
极端高温事件对皇家霍巴特医院入院的影响。
DOI：
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发表时间：
2019
影响因子：
4.4
通讯作者：
Judith A. Singleton
中科院分区：
文献类型：
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作者：
Kaitlyn E. Watson;K. Gardiner;Judith A. Singleton
背景
极端高温(EH)事件的频率和持续时间都在增加，在澳大利亚造成的死亡人数比其他任何极端天气事件都要多。因此，EH事件导致向医院介绍患者的数量增加。
方法
对霍巴特地区的气候观测和皇家霍巴特医院(RHH)急诊科的入院数据进行了回顾，收集了2003-2010年的研究期间。采用拟Poisson族广义线性模型对分布滞后非线性模型(DLNM)进行拟合，得到温度与RHH入院相对风险之间关系的校正估计。
结果
该模型表明，相对于年平均气温14摄氏度，2003-2010年所有高于27摄氏度的气温，被纳入RHH的相对风险明显更高(所有情况下P<；0.05)。入院时的高峰效应与EH事件发生在同一天，然而，该模型表明存在滞后效应，增加了RHH入院14天的可能性。
结论
为了减轻急诊部门在这些事件期间的额外负担，公共卫生组织采取的适应战略可以包括预防性卫生倡议。
BACKGROUND
Extreme heat (EH) events are increasing in frequency and duration and cause more deaths in Australia than any other extreme weather event. Consequently, EH events lead to an increase in the number of patient presentations to hospitals.
METHODS
Climatic observations for Hobart's region and Royal Hobart Hospital (RHH) emergency department admissions data were collected retrospectively for the study period of 2003-2010. A distributed lag non-linear model (DLNM) was fitted using a generalized linear model with quasi-Poisson family to obtain adjusted estimates for the relationship between temperature and the relative risk of being admitted to the RHH.
RESULTS
The model demonstrated that relative to the annual mean temperature of 14°C, the relative risk of being admitted to the RHH for the years 2003-2010 was significantly higher for all temperatures above 27°C (P < 0.05 in all cases). The peak effect upon admission was noted on the same day as the EH event, however, the model suggests that a lag effect exists, increasing the likelihood of admission to the RHH for a further 14 days.
CONCLUSIONS
To relieve the added burden on emergency departments during these events, adaptation strategies adopted by public health organizations could include preventative health initiatives.
老年人因酷热而入院的特定原因风险。
影响因子：
120.7
作者：
Bobb, Jennifer F.;Obermeyer, Ziad;Wang, Yun;Dominici, Francesca
通讯作者：
Dominici, Francesca