Tamasauskiene Laura, Rastenyte Daiva, Radisauskas Ricardas, Tamosiunas Abdonas, Tamasauskas Domantas, Vaiciulis Vidmantas, Kranciukaite-Butylkiniene Daina, Milinaviciene Egle
Department of Immunology and Allergology, Lithuanian University of Health Sciences, Eiveniu Str. 2, LT-50009, Kaunas, Lithuania.
Department of Neurology, Lithuanian University of Health Sciences, Eiveniu Str. 2, LT-50009, Kaunas, Lithuania.
Environ Sci Pollut Res Int. 2017 Apr;24(10):9286-9293. doi: 10.1007/s11356-017-8590-8. Epub 2017 Feb 23.
Some researchers have hypothesised that meteorological factors may have an impact on acute cerebrovascular diseases. The aim of this study was to determine an impact of some meteorological factors on occurrence of acute cerebrovascular events in the middle-aged Kaunas population. Kaunas stroke register data were used. Data on meteorological factors for the time period from 2000 to 2010 were obtained from the Lithuanian Hydrometeorological Service Kaunas Meteorological Station. We analysed 4038 cases with stroke. Ischemic strokes composed 80.4% and haemorrhagic strokes-19.6%. According to Poisson regression analysis, significant negative correlation between ischemic, haemorrhagic and all types of stroke and ambient air temperature was found (β coefficient - 0.007, -0.016, -0.009, p < 0.001, respectively). Results of ARIMA showed that ambient temperature of the day of stroke onset was associated with the occurrence of ischemic, haemorrhagic and all types of stroke: when temperature was lower, the risk of stroke was higher (-0.006, -0.003, -0.009, p < 0.001, respectively). Low temperature on the event day and 1 and 2 days before the event was associated with higher incidence of haemorrhagic stroke in women. Low ambient temperature on the event day increased incidence of haemorrhagic stroke in subjects 55-64 years. High wind speed on the event day was associated with higher incidence of ischemic stroke in older subjects. Meteorological factors may have some impact on the risk of acute cerebrovascular events. Health care providers should focus on preventive measures, which can reduce these risks.
一些研究人员推测，气象因素可能对急性脑血管疾病有影响。本研究的目的是确定某些气象因素对考纳斯中年人群急性脑血管事件发生情况的影响。使用了考纳斯中风登记数据。2000年至2010年期间的气象因素数据来自立陶宛水文气象服务中心考纳斯气象站。我们分析了4038例中风病例。缺血性中风占80.4%，出血性中风占19.6%。根据泊松回归分析，发现缺血性中风、出血性中风及所有类型中风与环境气温之间存在显著负相关（β系数分别为-0.007、-0.016、-0.009；p<0.001）。自回归积分移动平均模型（ARIMA）的结果表明，中风发病当天的环境温度与缺血性中风、出血性中风及所有类型中风的发生有关：温度越低中风风险越高（β系数分别为-0.006、-0.003、-0.009；p<0.001））中风当天及中风前1天和2天的低温与女性出血性中风发病率较高有关。中风当天环境温度低会增加55至64岁人群出血性中风的发病率。中风当天的高风速与老年受试者缺血性中风发病率较高有关。气象因素可能对急性脑血管事件的风险有一定影响。医疗保健提供者应关注可降低这些风险的预防措施
