环境温度与中风发病率和死亡率风险之间的关联:系统性审查和元分析
Jing Wen1, Li Zou2, Ziwen Jiang3
1School of nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Brain and behavior
|June 3, 2023
概括
极端的热量和寒冷的环境温度都显著增加了中风发病率和死亡率的风险. 建议采取公共卫生措施,以减轻这些与温度相关的中风风险.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 心血管疾病 心血管疾病
背景情况:
- 以前的研究表明,环境温度和中风之间存在联系,但研究结果不一致.
- 温度极端对中风发生率和死亡率的影响需要进一步澄清.
研究的目的:
- 进行元分析,综合现有证据,分析环境温度与中风发病率和死亡率之间的关联.
主要方法:
- 在PubMed,Embase和Web of Science数据库中进行了系统的文献搜索,截至2022年4月13日.
- 使用随机效应模型计算了聚合估计,将极端温度与参考值进行比较.
- 这项综合元分析包括了20项研究.
主要成果:
- 暴露于热量与增加10%的中风发病率风险 (RR: 1.10) 和增加9%的中风死亡率风险 (RR: 1.09) 相关.
- 寒冷暴露显示出更实质性的关联,中风发病率增加33%的风险 (RR: 1.33) 和中风死亡率增加18%的风险 (RR: 1.18).
结论:
- 流行病学数据证实,高和低的环境温度都与中风风险增加有关.
- 应制定公共卫生战略,以解决和减少与环境温度变化相关的中风风险.
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