测量环境热暴露-急性医疗保健利用协会在安全网中的新方法:一个回顾性,纵向研究
Elizabeth Gillespie1,2, Abigail Steiner3, Josh Durfee3
1Denver Health Medical Center, Denver, CO, USA. Elizabeth.Gillespie@dhha.org.
Journal of general internal medicine
|December 11, 2024
概括
极端的热量显著增加了热敏条件的个人对医疗保健的利用率. 有针对性的干预措施可以缓解与热有关的疾病,并减少弱势群体对医疗保健的使用.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 极端高温事件对公众健康构成重大风险,导致与天气有关的死亡率.
- 在极端炎热期间,个人层面的医疗保健利用模式尚不清楚.
研究的目的:
- 为了比较与高温期间 (HHP) 与低温期间 (LHP) 医疗保健利用相关的人口和临床因素.
主要方法:
- 一项为期5年的回顾性研究分析了急性护理利用率,比较HHP和LHP.
- 包括4岁以上的患者,在365天内至少进行两次访问.
- 使用率使用波桑回归进行了比较,调整了共变量和热脆弱性.
主要成果:
- 虽然LHP的整体利用率类似或更高,但某些群体 (美洲原住民,心脏/肝功能衰竭患者,酒精使用) 显示HHP利用率更高.
- 年龄,性别,种族/族裔,临床条件和邻里热的脆弱性与利用有关.
- 热敏条件的个体具有明显更高的HHP与LHP利用率 (aIRR=1.93).
结论:
- 热敏的临床条件与与热相关的医疗保健利用量有关.
- 人口统计和特殊情况,如肝衰竭,增加了脆弱性.
- 积极的慢性疾病管理可以识别与热有关的干预措施的风险人群.
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