人类因素,气象因素和特定原因的急诊室入院之间的关联
Pranav Tewari1, Baihui Xu1, Ma Pei2
1Lee Kong Chian School of Medicine Nanyang Technological University Singapore Singapore.
GeoHealth
|September 6, 2024
概括
诸如空气污染和天气等环境因素对紧急部门的访问有很大的影响. 大量的降雨和风力增加了呼吸道和传染病的入院率,而PM10和CO等污染物与心血管和呼吸道问题有关.
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:
- 无法预测的急诊室 (ED) 招生压力医疗保健资源.
- 了解ED访问的环境触发因素对于资源分配和公共卫生干预至关重要.
研究的目的:
- 分析环境空气污染物,气象因素和特定原因的ED吸收之间的联系.
- 量化这些环境暴露对ED访问负担的贡献.
主要方法:
- 利用通用的添加模型来评估环境暴露和ED录取之间的非线性关联.
- 分析了从2014年至2018年的2,655,861个特定原因的ED入院病例.
- 计算的发病率比率 (IRR) 和人口归因分数 (PAF).
主要成果:
- 降雨量增加与呼吸道感染 (IRR: 1.06) 和传染病 (IRR: 1.09) 的ED入院率较高有关.
- 高风速 (>12.73公里/小时) 与呼吸道感染 (IRR: 1.12) 和口腔疾病 (IRR: 1.58) 的ED访问增加相关.
- 像PM10和CO这样的空气污染物与心血管疾病,呼吸道感染和糖尿病的风险增加有关.
结论:
- 气象因素可能具有保护作用,而空气污染物对各种ED吸收类别产生有害影响.
- 环境暴露显著增加了特定ED入院的负担,凸显了缓解策略的必要性.
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