在接受透析的患者中,暴露于极端湿热和死亡率
Matthew F Blum1, Yijing Feng2, Cascade P Tuholske3
1Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
概括
接受维持透析的患者在极端高温事件中面临更高的死亡风险. 这凸显了在全球气温上升的背景下,对这一脆弱群体采取保护措施的必要性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 环境健康 环境健康
- 公共卫生 公共卫生
背景情况:
- 极端高温事件与增加的发病率和死亡率有关.
- 接受维持透析的患者可能特别容易受到与热有关的风险.
- 了解这些风险对于患者安全和公共卫生准备至关重要.
研究的目的:
- 调查美国接受维持透析的患者极端高温事件与死亡风险之间的关联.
- 量化在极端湿热暴露期间增加的死亡风险.
- 确定死亡风险的潜在区域差异.
主要方法:
- 使用美国脏数据系统 (1997-2016) 的数据进行了回顾性队列研究.
- 在城市地区识别的成年患者开始维持透析.
- 使用热指数值定义的极端热事件 (≥2天≥40.6°C或≥1天≥46.1°C).
主要成果:
- 这项研究包括245个城市定居点的945,251名患者.
- 暴露于极端高温事件与18%的死亡风险增加有关 (HR 1.18;95% CI,1.15-1.20).
- 与西南相比,东南地区的高温事件死亡风险明显高于西南地区.
结论:
- 接受维持透析的患者在极端潮湿热的事件中存在高死亡风险.
- 这些发现强调了透析患者对气候变化和极端天气的脆弱性.
- 科界应该考虑在热浪期间为透析患者实施保护策略.
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