环境温度升高与血液透析患者心血管疾病风险增加有关
Yuzhi Xi1,2, Zachary S Wettstein3, Abhijit V Kshirsagar4
1Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Kidney international reports
|October 21, 2024
概括
高温增加血液透析患者的死亡率和医疗保健使用率. 这种风险在累积热量暴露时更高,并且因地区而异,特别是在西南和西北地区.
科学领域:
- 环境健康 环境健康
- 腎臟病學 (nephrology) 是一種醫學專業.
- 气候变化影响 气候变化影响
背景情况:
- 气候变化正在增加全球环境温度.
- 功能衰竭会损害热调节,使透析患者容易受到热的影响.
- 评估热量对这一群体的影响至关重要.
研究的目的:
- 为了评估环境热量对死亡率的影响.
- 评估热量对美国血液透析患者医疗保健利用的影响.
主要方法:
- 美国脏数据系统 (USRDS) 数据 (2011-2016) 的回顾性分析.
- 案例交叉设计与有条件的Poisson模型.
- 与患者邮政编码相关的每日温度数据.
主要成果:
- 高温显著增加死亡风险 (RR 1.07).
- 增加流体障碍住院的风险 (RR 1.17) 和心血管ED访问 (RR 1.19).
- 由于累积的热量暴露,效应会被放大,并且在地理上有所不同 (西南/西北更高).
结论:
- 热暴露对血液透析患者构成重大风险.
- 心血管疾病死亡率和医疗保健利用率因高温而上升.
- 短期累积热效应和区域差异是重要的考虑因素.
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