The Impact of Heat Waves on Emergency Department Admissions in Charlottesville, Virginia, U.S.A.

The Impact of Heat Waves on Emergency Department Admissions in Charlottesville, Virginia, U.S.A.
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热浪对美国弗吉尼亚州夏洛茨维尔的急诊科入院的影响。

DOI:
10.3390/ijerph15071436
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发表时间:
2018-07-07
影响因子:
--
通讯作者:
Novicoff WM
Novicoff WM
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Davis RE;Novicoff WM

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热浪与紧急情况相关的发病率增加有关,但需要对这些发病率的人口统计学和疾病特异性方面进行更多的研究。使用病例交叉方法,比较了2005-2016年美国弗吉尼亚州夏洛茨维尔市暖季热浪和非热浪期间每天超过700,000例急诊科住院病例。热浪的定义是基于至少连续三天的两个明显温度阈值(35 °C和37 °C)的连续性,这两个阈值分别占记录期间的3%和6%。在热浪期间,白人,黑人,男性,女性和20-49岁的总入院人数和入院人数显着增加,与各种诊断类别相关的入院人数也显着增加,包括糖尿病,妊娠并发症,受伤和中毒。有证据表明,热浪在许多人口统计学和疾病类别中提高了急诊科的入院率,这表明热产生的并发症影响超出了更充分研究的直接关系,如中暑和心脏骤停。
Heat waves have been linked to increases in emergency-related morbidity, but more research is needed on the demographic and disease-specific aspects of these morbidities. Using a case-crossover approach, over 700,000 daily emergency department hospital admissions in Charlottesville, Virginia, U.S.A. from 2005–2016 are compared between warm season heat wave and non-heat wave periods. Heat waves are defined based on the exceedance, for at least three consecutive days, of two apparent temperature thresholds (35 °C and 37 °C) that account for 3 and 6% of the period of record. Total admissions and admissions for whites, blacks, males, females, and 20–49 years old are significantly elevated during heat waves, as are admissions related to a variety of diagnostic categories, including diabetes, pregnancy complications, and injuries and poisoning. Evidence that heat waves raise emergency department admissions across numerous demographic and disease categories suggests that heat exerts comorbidity influences that extend beyond the more well-studied direct relationships such as heat strokes and cardiac arrest.
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