2025年洛杉矶野火和门诊急性医疗保健利用情况
Joan A Casey1,2, Yuqian M Gu3, Lara Schwarz4
1Department of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle.
JAMA health forum
|November 26, 2025
概括
2025年1月洛杉矶野火显著增加了门诊和虚拟医疗保健访问,特别是呼吸道和心血管问题. 这凸显了医疗保健对气候相关灾害的准备能力的需要.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 2025年1月,洛杉矶 (LA) 县的毁灭性野火导致严重的空气质量问题,财产破坏和流离失所.
- 这些野火对急性医疗保健利用的影响需要立即调查.
研究的目的:
- 为了确定2025年1月的洛杉矶野火是否导致门诊急性医疗保健利用率增加.
- 量化火灾后特定医疗保健访问类别的增加.
主要方法:
- 一项队列研究分析了370万凯泽永久南加州会员的电子健康记录.
- 暴露被分为高度暴露 (20公里内燃烧区域) 或中度暴露 (在洛杉矶县内,距离燃烧区域>20公里).
- 一个采用机器学习的2阶段中断时间序列模型,分析了针对所有原因,心血管,损伤,神经精神和呼吸系统疾病的每日门诊和虚拟访问.
主要成果:
- 在火灾发生后,虚拟呼吸系统检查 (42%高于高暴露,36%高于中度暴露) 和虚拟心血管检查 (44%和40%高,分别) 的数量显著增加.
- 门诊呼吸器诊断也增加了 (分别增加了27%和31%).
- 高度暴露的成员在1月7日增加了门诊和虚拟损伤访问以及门诊神经精神病学访问.
结论:
- 该研究观察到,在洛杉矶野火发生后,急性医疗保健利用率大幅增加,特别是虚拟医疗保健.
- 这些发现对于为医疗保健准备和应对策略提供信息至关重要,因为破坏性气候事件变得越来越频繁.
- 这些数据强调了与野火事件相关的重大公共卫生负担.
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