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热相关疾病的流行病学特征:台湾的一项全国性研究
Wan-Yin Kuo1,2,3,4, Chien-Cheng Huang1,4,5, Chi-An Chen3
1Department of Emergency Medicine, Chi Mei Medical Center, 901 Zhonghua Road, Yongkang Dist., Tainan, 71004, Taiwan.
BMC public health
|September 24, 2025
概括
热相关疾病 (HRI) 在台湾不成比例地影响20-44岁的男性. 热中风是最常见的HRI,并携带最高的死亡风险,需要有针对性的预防和治疗策略.
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:
- 全球变暖和气候变化正在增加与热有关的疾病 (HRI) 的发生率.
- 以前的HRI流行病学研究范围有限,专注于特定的人群或环境.
- 本研究通过在国家一级描述HRI流行病学来解决数据缺口.
研究的目的:
- 描述台湾一般人口中与热相关疾病 (HRI) 的流行病学特征.
- 为了识别HRI患者的人口结构差异,特别是性别差异.
- 分析与不同类型的HRI相关的死亡率.
主要方法:
- 利用国家健康保险研究数据库来识别2000年至2018年的HRI患者.
- 描述了流行病学特征,包括年龄,性别和治疗环境.
- 评估各种HRI诊断的基于性别的差异和死亡率.
主要成果:
- 确定了101,614名HRI患者;男性占病例的56.2%.
- 大多数患者年龄在20-44岁之间 (44.8%),平均年龄为48.2岁.
- 与女性相比,男性患者更年轻,在医院接受治疗的频率更高. 热中风是最常见的诊断,死亡率最高 (0.5%在7天,0.7%在1个月,1.0%在3个月).
结论:
- 台湾的HRI主要影响20-44岁的男性.
- 患有HRI的男性往往更年轻,更容易入院.
- 热中风是主要的HRI诊断,死亡率最高,强调需要加强预防和治疗策略.
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