温度对心血管原因的紧急救护车呼叫的影响:范围审查
Santiago Gestal Romaní1, Adolfo Figueiras2,3,4, Dominic Royé2,5
1Hospital Clínico Universitario de Santiago de Compostela, Servicio de Cardiología. Rua Choupana s/n, 15706 Santiago de Compostela, A Coruña, Spain.
Environment & health (Washington, D.C.)
|October 30, 2024
概括
极端温度影响心血管健康,增加了对心脏事件的救护车呼叫. 寒冷的天气和热浪显著增加了对心脏病的紧急医疗服务需求.
科学领域:
- 环境健康 环境健康
- 心血管流行病学心血管流行病学
- 紧急医疗 紧急医疗
背景情况:
- 气候变化提高了人们对热环境对心血管健康的影响的担忧.
- 医院前护理数据提供了对心血管疾病全谱的实时洞察力,与死亡率数据不同.
- 救护车呼叫数据为在医院前环境中评估心血管病率提供了有价值的指标.
研究的目的:
- 综合流行病学证据关于热环境对心血管疾病的影响,使用医院前救护车呼叫数据.
- 审查有关天气状况与心血管事件紧急医疗服务利用相关的研究.
主要方法:
- 从2000年1月到2023年3月,在PubMed数据库中进行了分阶段的文献搜索.
- 为了识别相关出版物,使用了MeSH术语"天气"和"紧急医疗服务".
- 包括的研究主要采用生态时间序列设计,表现出方法的变化.
主要成果:
- 低温与整体心血管病理和特定亚型的救护车呼叫增加有关.
- 高温没有对整体心血管调用产生影响,除了在热浪期间.
- 对于心脏骤停的救护车需求在低温和高温以及热浪期间都增加了.
结论:
- 对心血管疾病的救护车呼叫随着低温和热浪而增加.
- 高温不会显著增加整体心血管急救医疗服务需求,心脏骤停是例外.
- 极端寒冷和热浪,特别是热浪,都提高了对心血管事件,特别是心脏骤停的紧急医疗服务的需求.
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