热暴露和西班牙特定原因的住院病例:一项全国跨部门研究
Hicham Achebak1,2, Grégoire Rey1, Zhao-Yue Chen2
1Inserm, France Cohortes, Paris, France.
Environmental health perspectives
|May 22, 2024
概括
极端高温显著增加了各种疾病的住院病例,特别是代谢障碍和肥胖. 脆弱性因年龄和性别而异,凸显了有针对性的公共卫生干预措施的需要.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 极端高温事件在全球范围内带来了越来越大的公共健康风险.
- 关于暴露于热量和各种医学诊断之间的具体联系的证据有限.
- 了解这些关联对于制定有效的公共卫生战略至关重要.
研究的目的:
- 综合评估因特定原因入院和高温之间的短期关联.
- 研究温度变化,热浪,湿度和空气污染的附加影响.
- 为了确定特定的诊断和受热影响的弱势群体.
主要方法:
- 利用了西班牙48个省份 (2006-2019) 的因特定病因入院,天气 (温度,湿度) 和空气污染数据.
- 采用准-Poisson通用线性回归模型与分布式滞后非线性模型 (DLNM).
- 在夏季季节使用多层随机效应元分析,汇集了特定省份的协会.
主要成果:
- 高温广泛影响住院,与代谢障碍和肥胖 (RR=1.978),功能衰竭,尿路感染,败血症,尿病和中毒有显著关联.
- 温度变化和热浪对较少的诊断有有限的影响.
- 影响在非常年幼的儿童和老年人中更为明显,高水平的空气污染加剧了与热量有关的影响,导致代谢障碍和糖尿病.
结论:
- 短期暴露于热量与广泛的住院病例有关,包括新诊断,如代谢疾病和肥胖症.
- 湿度影响了与热有关的住院治疗呼吸道和结缔组织疾病.
- 在气候变暖的环境中,鉴别热感脆弱性对于改善临床和公共卫生实践至关重要.
更多相关视频
09:33Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
Published on: December 23, 2022
2.2K
05:12Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
Published on: September 19, 2019
6.6K
相关概念视频
01:19Homeostatic Imbalances in Body Temperature
121
Hyperthermia occurs when the body's temperature becomes unusually high, often due to heat exposure, intense physical activity, or certain illnesses. This condition can create a dangerous cycle where elevated body temperature increases the metabolic rate, generating more heat and potentially leading to organ failure and brain damage. A severe form of hyperthermia, called heat stroke, can raise body temperature to life-threatening levels. Fever, on the other hand, is a controlled form of...
121
01:28Factors Affecting Body Temperature
4.1K
As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
Factors may include:
4.1K
02:59Biological Effects of Radiation
15.4K
All radioactive nuclides emit high-energy particles or electromagnetic waves. When this radiation encounters living cells, it can cause heating, break chemical bonds, or ionize molecules. The most serious biological damage results when these radioactive emissions fragment or ionize molecules. For example, α and β particles emitted from nuclear decay reactions possess much higher energies than ordinary chemical bond energies. When these particles strike and penetrate matter, they...
15.4K
01:11Hazard Rate
104
The hazard rate, also known as the hazard function or failure rate, is a statistical measure used to describe the instantaneous rate at which an event occurs, given that the event has not yet happened. From a probabilistic perspective, it represents the likelihood that a subject will experience the event in a very small time interval, conditional on surviving up to the beginning of that interval. In terms of frequency, the hazard rate can be viewed as the ratio of the number of events to the...
104