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天气状况与缺血性卒中和蛛网膜下腔出血入院情况之间的关系。

Relationship between weather conditions and admissions for ischemic stroke and subarachnoid hemorrhage.

作者信息

Tarnoki Adam D, Turker Acar, Tarnoki David L, Iyisoy Mehmet S, Szilagyi Blanka K, Duong Hoang, Miskolczi Laszlo

机构信息

Adam Domonkos Tarnoki, Department of Radiology and Oncotherapy, Semmelweis University, 78/A Ulloi street, Budapest 1082, Hungary,

出版信息

Croat Med J. 2017 Feb 28;58(1):56-62. doi: 10.3325/cmj.2017.58.56.

Abstract

AIM

To assess impacts of different weather conditions on hospitalizations of patients with ischemic strokes and subarachnoid hemorrhages (SAH) in South Florida.

METHODS

Diagnostic data of patients with spontaneous SAH and strokes were recorded between June 2010 and July 2013. Daily synchronous forecast charts were collected from the National Weather Service and the whole data were matched prospectively. The incidence rate ratio (IRR) was calculated.

RESULTS

Increased incidence rate of ischemic stroke was consistent with the daily lowest and highest air pressure (IRR 1.03, P=0.128 and IRR 0.98, P=0.380, respectively), highest air temperature (IRR 0.99, P=0.375), and presence of hurricanes or storms (IRR 0.65, P=0.054). Increased incidence of SAH cases was consistent with daily lowest and highest air pressure (IRR 0.87, P<0.001 and IRR 1.08, P=0.019, respectively) and highest air temperature (IRR 0.98, P<0.001). Presence of hurricanes and/or tropical storms did not influence the frequency of SAH. We found no relationship between the presence of fronts and the admissions for ischemic stroke or SAH.

CONCLUSION

Higher number of ischemic stroke and SAH cases can be expected with the daily lowest and highest air pressure, highest air temperature. Presence of hurricanes or tropical storms increased the risk of ischemic stroke but not the SAH. These findings can help to develop preventive health plans for cerebrovascular diseases.

摘要

目的

评估不同天气状况对南佛罗里达州缺血性中风和蛛网膜下腔出血(SAH)患者住院情况的影响。

方法

记录2010年6月至2013年7月间自发性SAH和中风患者的诊断数据。从国家气象局收集每日同步预报图,并对所有数据进行前瞻性匹配。计算发病率比(IRR)。

结果

缺血性中风发病率的增加与每日最低和最高气压(IRR分别为1.03,P = 0.128和IRR为0.98,P = 0.380)、最高气温(IRR为0.99,P = 0.375)以及飓风或风暴的出现(IRR为0.65,P = 0.054)相一致。SAH病例发病率的增加与每日最低和最高气压(IRR分别为0.87,P < 0.001和IRR为1.08,P = 0.019)以及最高气温(IRR为0.98,P < 0.001)相一致。飓风和/或热带风暴的出现并未影响SAH的发生频率。我们发现锋面的存在与缺血性中风或SAH的入院情况之间没有关系。

结论

预计每日最低和最高气压、最高气温时缺血性中风和SAH病例数会增加。飓风或热带风暴的出现增加了缺血性中风的风险,但未增加SAH的风险。这些发现有助于制定脑血管疾病的预防性健康计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0cf/5346902/d97eba5ba8dc/CroatMedJ_58_0056-F1.jpg

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