Al-Ghamdi Saeed M, Akbar Hisham O, Qari Yousif A, Fathaldin Omer A, Al-Rashed Rahed S
Department of Medicine, King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia.
Saudi Med J. 2003 Oct;24(10):1073-6.
The pattern of medical conditions necessitating admission differs according to the weather condition in that particular year. Previous studies had been conducted during the hot weather, none over the last 10 years, were carried out during, the milder weather we are experiencing. The aim of this study is to establish the pattern of admission during this mild weather and to elucidate the possible risk factors.
A prospective study was performed in 4 hospitals in 2 different locations in Al-Mashaer, Kingdom of Saudi Arabia. Data were collected during one working shift in 2 hospitals in Arafat on the 9th of Dhul Hijjah 1422, corresponding to 21st of February 2002, and another working shift in 2 hospitals in Mina on the 10th of Dhul Hijjah 1422, corresponding to 22nd of February 2002.
A cohort of 76 patients from Arafat hospitals and 84 patients from Mina hospitals were included (total 160 patients). Males constituted 62% and females 38% with the median age of 60 +/- 15 years. The respiratory system was the most commonly affected (57%), followed by cardiovascular system (19.4%), and gastrointestinal tract (GIT) in 6.3% of cases. There were only 3 cases of heat-related admissions with only one confirmed case of heat stroke. Similarly, only one case of meningitis was confirmed in this cohort. Pneumonia was encountered in 63 cases (39.4%) and exacerbation of asthma and chronic obstructive pulmonary diseases (COPD) in 23 cases (14.4%). Pre-existing co-morbid medical conditions had included bronchial asthma and COPD (22.5%), hypertension (17.5%), and Diabetes mellitus (15%). Short-term follow up (24-48 hours) identified 2 deaths (1.3%), 94 patients (59%) were transferred to other secondary or tertiary care facilities and 64 (40%) were discharged home.
Hospital admission during Hajj is related to old age and occurs in patients with associated co-morbid conditions. During this mild weather lower respiratory tract infections and exacerbation of bronchial asthma and COPD are the most commonly encountered diseases during Hajj.
因特定年份天气状况不同，需要住院治疗的疾病模式也有所差异。以往的研究是在炎热天气期间进行的，在过去10年里，没有研究是在我们正在经历的较为温和的天气期间开展的。本研究的目的是确定在这种温和天气期间的住院模式，并阐明可能的风险因素。
在沙特阿拉伯王国麦加的两个不同地点的4家医院进行了一项前瞻性研究。数据收集于回历1422年12月9日在阿拉法特的2家医院的一个工作日班次，对应于2002年2月21日，以及回历1422年12月10日在米纳的2家医院的另一个工作日班次，对应于2002年2月22日。
纳入了来自阿拉法特医院的76例患者和来自米纳医院的84例患者（共160例患者）。男性占62%，女性占38%，中位年龄为60±15岁。呼吸系统是最常受影响的系统（57%），其次是心血管系统（19.4%），胃肠道（GIT）占6.3%。仅有3例因热相关原因入院，仅1例确诊为中暑。同样，该队列中仅确诊1例脑膜炎。63例（39.4%）患者患有肺炎，23例（14.4%）患者哮喘和慢性阻塞性肺疾病（COPD）加重。既往并存的内科疾病包括支气管哮喘和COPD（22.5%）、高血压（17.5%）和糖尿病（15%）。短期随访（24 - 48小时）发现2例死亡（1.3%），94例患者（59%）被转至其他二级或三级医疗机构，64例（40%）出院回家。
朝觐期间的住院与老年相关，且发生在患有并存疾病的患者中。在这种温和天气期间，下呼吸道感染以及支气管哮喘和COPD加重是朝觐期间最常遇到的疾病。
