The impact of daily temperature on renal disease incidence: an ecological study.
The impact of daily temperature on renal disease incidence: an ecological study.
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DOI：
10.1186/s12940-017-0331-4
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发表时间：
2017-10-27
期刊：
影响因子：
--
通讯作者：
McDonald S
中科院分区：
文献类型：
--
作者：
Borg M;Bi P;Nitschke M;Williams S;McDonald S
连续多日的极端高温与几个城市肾脏疾病的增加有关。随着气候变化，热浪变得更长，更强烈，更频繁，这变得越来越重要。本研究旨在扩展每日温度与肾脏疾病之间的已知关系，以包括8种温度易感的特定肾脏疾病类别的发生率-总肾脏疾病、尿石症、肾衰竭、急性肾损伤（AKI）、慢性肾脏疾病（CKD）、尿路感染（UTI）、下尿路感染（LUTI）和肾盂肾炎。在2003年7月1日至2014年3月31日期间，在南澳的阿德莱德的暖季（10月至3月），采集了最高、最低和平均温度的每日数据。还获得了所有大都市医院因肾脏疾病每日入院的数据，包括83，519例急诊入院和42，957例住院患者。使用时间分层负二项回归模型分析肾脏结局，结果按天汇总。发病率比（IRR）和95%的置信区间（CI）之间的联系入院人数和每日温度进行了估计。除肾盂肾炎外，每日温度每升高1 °C与所有肾脏疾病类别的发病率增加相关。最低温度与肾脏疾病的最大增加相关，其次是平均温度和最高温度。每日最低气温升高1°C与每日急诊科阿基入院率增加相关（IRR 1.037，95% CI：1.026-1.048），肾衰竭（IRR 1.030，95% CI：1.022-1.039），CKD（IRR 1.017，95% CI：1.001-1.033）尿石症（IRR 1.015，95% CI：1.010-1.020），总体肾脏疾病（IRR 1.009，95% CI：1.006-1.011）、UTI（IRR 1.004，95% CI：1.000-1.007）和LUTI（IRR 1.003，95% CI：1.000-1.006）。随着气候变化导致气温升高，预计包括尿石症、急性肾损伤和尿路感染在内的肾脏疾病的发病率将增加。这些结果对肾脏疾病的管理和需求量身定制的卫生服务具有临床和公共卫生意义。未来的研究有必要分析个体肾脏疾病与更全面的信息有关的肾脏风险因素，研究检查特定肾脏疾病的死亡率。本文的在线版本（10.1186/s12940-017-0331-4）包含补充材料，可供授权用户使用。
Extremely high temperatures over many consecutive days have been linked to an increase in renal disease in several cities. This is becoming increasingly relevant with heatwaves becoming longer, more intense, and more frequent with climate change. This study aimed to extend the known relationship between daily temperature and kidney disease to include the incidence of eight temperature-prone specific renal disease categories – total renal disease, urolithiasis, renal failure, acute kidney injury (AKI), chronic kidney disease (CKD), urinary tract infections (UTIs), lower urinary tract infections (LUTIs) and pyelonephritis. Daily data was acquired for maximum, minimum and average temperature over the period of 1 July 2003 to 31 March 2014 during the warm season (October to March) in Adelaide, South Australia. Data for daily admissions to all metropolitan hospitals for renal disease, including 83,519 emergency department admissions and 42,957 inpatient admissions, was also obtained. Renal outcomes were analyzed using time-stratified negative binomial regression models, with the results aggregated by day. Incidence rate ratios (IRR) and 95% confidence intervals (CI) were estimated for associations between the number of admissions and daily temperature. Increases in daily temperature per 1 °C were associated with an increased incidence for all renal disease categories except for pyelonephritis. Minimum temperature was associated with the greatest increase in renal disease followed by average temperature and then maximum temperature. A 1°C increase in daily minimum temperature was associated with an increase in daily emergency department admissions for AKI (IRR 1.037, 95% CI: 1.026–1.048), renal failure (IRR 1.030, 95% CI: 1.022–1.039), CKD (IRR 1.017, 95% CI: 1.001–1.033) urolithiasis (IRR 1.015, 95% CI: 1.010–1.020), total renal disease (IRR 1.009, 95% CI: 1.006–1.011), UTIs (IRR 1.004, 95% CI: 1.000–1.007) and LUTIs (IRR 1.003, 95% CI: 1.000–1.006). An increased frequency of renal disease, including urolithiasis, acute kidney injury and urinary tract infections, is predicted with increasing temperatures from climate change. These results have clinical and public health implications for the management of renal diseases and demand tailored health services. Future research is warranted to analyze individual renal diseases with more comprehensive information regarding renal risk factors, and studies examining mortality for specific renal diseases. The online version of this article (10.1186/s12940-017-0331-4) contains supplementary material, which is available to authorized users.
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影响因子：
6.6
作者：
Evans, K;Costabile, RA
通讯作者：
Costabile, RA
DOI：
10.1007/s00420-010-0534-2
发表时间：
2010-10-01
影响因子：
3
作者：
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通讯作者：
Dear, Keith
影响因子：
7.3
作者：
Cervellin G;Comelli I;Comelli D;Meschi T;Lippi G;Borghi L
通讯作者：
Borghi L
影响因子：
3.2
作者：
Borissova, A.;Goltz, G. E.;Wilkins, T. A.
通讯作者：
Wilkins, T. A.
影响因子：
5
作者：
Fletcher, Barbara A.;Lin, Shao;Hwang, Syni-An
通讯作者：
Hwang, Syni-An