在心力衰竭患者中,处方火灾,烟雾暴露和医院利用率
Henry Raab1, Joshua Moyer1, Sadia Afrin2,3
1Center for Public Health and Environmental Assessment, US Environmental Protection Agency, Human Studies Building, 104 Mason Farm Rd, Chapel Hill, NC, 27514, USA.
野火烟雾暴露,不接近处方火灾,心力衰竭患者在医院使用的增加. 这凸显了野火烟雾对弱势群体的健康风险.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 心脏病学 心脏病学
背景情况:
- 规定的火灾提供了生态效益,但它们对环境健康的影响,特别是对心力衰竭患者的影响,尚未得到充分研究.
- 调查临近处方火灾,野火烟雾暴露和心力衰竭 (HF) 患者的医院利用之间的联系至关重要.
研究的目的:
- 检查处方火灾附近和野火烟雾暴露与心力衰竭患者医院利用之间的关联.
- 为了比较规定的火灾与野火烟雾对HF患者医院访问和再入院的影响.
主要方法:
- 一项横截面研究利用了北卡罗来纳州高频率队列 (2014-2016) 的电子健康记录.
- 规定的火灾附近 (1,2,5公里) 和邮政编码级野火烟雾密度与医院访问和7/30天再入院有关.
- 准波桑和零膨胀波桑回归模型经过调整,考虑了人口和社会经济因素.
主要成果:
- 靠近规定的火灾通常与医院访问无关,在5公里和2公里处有一些负面关联,但不是1公里.
- 中等到重度的野火烟雾暴露显著与7天 (8.5%) 和30天 (5.4%) 的再入院增加有关.
- 野火烟雾暴露也显示了医院访问的适度增加 (1.5%).
结论:
- 地区范围内的野火烟雾暴露与心力衰竭患者医院利用率的增加有关.
- 对于这个患者群体来说,靠近处方火灾与增加的医院利用率没有显著关联.
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