在中国,非最佳温度与较高的心房动住院率有关:全国性案例交叉研究
Shihao Wang1, Xiaolei Yang1, Shaobo Shi2
1Department of Cardiology, Institute of Cardiovascular Diseases, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
JACC. Advances
|September 17, 2025
概括
极度寒冷显著增加了心房 (AF) 的住院病例,特别是在中国北部. 公共卫生战略应针对AF患者的温度相关风险.
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
- 气候变化和健康问题
背景情况:
- 关于极端温度对心房动 (AF) 住院治疗的具体影响的研究有限.
- 之前的研究还没有全面评估AF在广泛的温度范围内的住院情况.
研究的目的:
- 量化非最佳环境温度和AF住院病人的相关性.
- 调查极端寒冷和高温对AF相关住院病人的影响.
主要方法:
- 一项全国范围的病例交叉研究,涉及2014-2023年超过160万名AF患者.
- 利用条件准-波松和分布式滞后非线性模型来分析温度-AF住院联系.
- 进行了子组和可归因负担分析,以确定脆弱人群.
主要成果:
- 对于AF住院的最佳温度是24.3°C.
- 极端寒冷 (1 个百分位) 增加了32%的AF住院风险 (RR: 1.32),而极端高温 (第99 个百分位) 显示出较小的增加 (RR: 1.03).
- 非最佳温度占AF入院的14.3%,中国北部 (18.4%) 的负担比中国南部 (12.4%) 高.
结论:
- 极度寒冷的温度与增加的AF住院风险显著相关.
- 中国北部因寒冷而面临着不成比例地更高的AF住院负担.
- 强调需要在易受寒冷极端天气影响的地区有针对性的医疗保健管理和资源分配.
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