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[2015年热浪对健康的影响:德国美因河畔法兰克福的住院情况]

[Health Impact of the Heatwave of 2015: Hospital Admissions in Frankfurt/Main, Germany].

作者信息

Steul Katrin Simone, Latasch Leo, Jung Hans-Georg, Heudorf Ursel

机构信息

Gesundheitsamt Frankfurt am Main.

出版信息

Gesundheitswesen. 2018 Apr;80(4):353-359. doi: 10.1055/a-0586-8255. Epub 2018 Apr 11.

Abstract

Heatwaves are gaining in importance due to increasing climatic changes. They can impair health and increase mortality. A comparison of studies is difficult because of differences in the definition of a heatwave used and/or different populations studied. In this study, morbidity data were collected using the web-based IVENA system. This system registers hospital admissions with diagnosis by the emergency medical services. We analysed hospital admissions in Frankfurt/Main during June-August of 2014-2016. These periods included a heatwave in July 2015 (per definition>32°C for at least 5 days/more than 4 days). On days with "heatwave", there was a 22% increase in hospital admissions of patients brought in by the emergency services (excess morbidity). Considering only "heat-related diagnosis", the increase was 300%. In addition to the increase in hospital admissions on "heatwave" days, there was also a direct correlation between temperature and hospital admissions over the summer days. Using the data on hospital admission of patients brought in by the emergency services turned out to be a valid marker for "heat morbidity".

摘要

由于气候变化加剧,热浪正变得愈发重要。它们会损害健康并增加死亡率。由于所使用的热浪定义不同和/或所研究的人群不同,研究之间的比较很困难。在本研究中,发病数据是使用基于网络的IVENA系统收集的。该系统记录了紧急医疗服务部门诊断的住院情况。我们分析了2014年至2016年6月至8月期间法兰克福/美因的住院情况。这些时间段包括2015年7月的一次热浪(根据定义,气温>32°C至少持续5天/超过4天)。在“热浪”日,紧急服务部门送来的患者住院人数增加了22%(超额发病率)。仅考虑“与热相关的诊断”,这一增幅为300%。除了“热浪”日住院人数增加外,夏季的气温与住院人数之间也存在直接关联。事实证明,使用紧急服务部门送来的患者住院数据是“热发病率”的一个有效指标。

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