COVID-19大流行作为高温和急诊室访问之间的关联的效果修饰者:在大量人口中进行的一项病例时间序列研究
Laura Salmaso1, Claudio Barbiellini Amidei1, Ugo Fedeli1
1Azienda Zero, Padua, Italy.
Environmental epidemiology (Philadelphia, Pa.)
|September 22, 2025
概括
随着COVID-19的流行,与高温相关的紧急情况部门的访问发生了变化. 一些疾病,如热病,在流行前风险更高,而其他疾病,如心律失常,在流行后风险更高,特别是在特定群体中.
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:
- 升高的温度对热敏条件构成风险.
- 这项研究调查了COVID-19大流行如何影响高温和急诊室 (ED) 访问之间的关系.
研究的目的:
- 为了检查COVID-19大流行对高温和ED访问之间的关系的影响,对13种热敏条件进行了研究.
- 为了识别不同条件和不同人口子组的风险模式的变化.
主要方法:
- 对意大利威尼托地区每日温度,PM2.5和ED访问 (2010-2023) 的案例时间序列分析.
- 使用了条件准-波松模型和分布式滞后非线性模型.
- 纳入一个交互术语来评估COVID-19对温度-ED访问协会的影响修改.
主要成果:
- 低血压和热病风险随着极端温度的增加而增加,高于大流行前.
- 呼吸系统疾病在流行后风险降低,特别是在女性和年轻人中.
- 年轻人患有心律失常和糖尿病的风险在流行病后增加.
结论:
- 随着COVID-19的流行,高温和某些热敏条件的急救室访问之间的关联发生了重大变化.
- 这些影响因病情和人口子组而异,突出显示了差异性影响.
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