Oray Nese Colak, Oray Deniz, Aksay Ersin, Atilla Ridvan, Bayram Basak
Dokuz Eylul University, Faculty of Medicine, Department of Emergency Medicine, Balcova.
Izmir Medicalpark Hospital, Department of Emergency Medicine, Karsiyaka, İzmir, Turkey.
Medicine (Baltimore). 2018 Dec;97(52):e13815. doi: 10.1097/MD.0000000000013815.
Extreme heat wave increases the number of emergency department (ED) admissions and mortality rates. The purpose of our study is to investigate the effects of the heat wave experienced in Izmir province of Turkey on mortality.During a 9-day period between 17th and 25th June 2016 (study period), air temperature values were higher than the seasonal norms in Izmir, Turkey. In this cross-sectional study, nontraumatic admissions and in-hospital mortality rates were compared this historical interval of the extreme heat wave with the same period of the previous year and the other 21 days of June 2016.The average air temperature between 17th and 25th June 2016, was higher than the average air temperature of the previous year's same period and the average air temperature from the other 21 days of June 2016 (27.8 ± 3.6 °C, (24.5 ± 1.9°C, 24.1 ± 2.1°C, respectively) (P <.01)During the study period, the mean number of ED visits and mortality rates were significantly higher than the previous year's same period (320 ± 30/day vs 269 ± 27/day, [P <.01], and 1.6% vs 0.7%, [P <.01]).Although the admission rate was similar between the study period and the other 21 days of June 2016 (320 ± 30/day vs 310 ± 32/ day, [P = .445]); in-hospital mortality rate was significantly higher during study period (1.6% vs 0.7%, [P <.01]).During the extreme heat waves, ED admissions and in-hospital mortality rates are increased. Precautions should be addressed for adaptation of people to extreme hot weather.
极端热浪会增加急诊科（ED）就诊人数和死亡率。我们研究的目的是调查土耳其伊兹密尔省经历的热浪对死亡率的影响。在2016年6月17日至25日的9天期间（研究期），土耳其伊兹密尔的气温值高于季节性标准。在这项横断面研究中，将极端热浪这个历史时期的非创伤性入院人数和住院死亡率与上一年同期以及2016年6月的其他21天进行了比较。2016年6月17日至25日的平均气温高于上一年同期的平均气温以及2016年6月其他21天的平均气温（分别为27.8±3.6°C、（24.5±1.9°C、24.1±2.1°C）（P<.01）。在研究期内，ED就诊的平均人数和死亡率显著高于上一年同期（320±30/天对269±27/天，[P<.01]，以及1.6%对0.7%，[P<.01]）。尽管研究期和2016年6月其他21天的入院率相似（320±30/天对310±32/天，[P =.445]）；但研究期内的住院死亡率显著更高（1.6%对0.7%，[P<.01]）。在极端热浪期间，ED入院人数和住院死亡率会增加。应采取预防措施，使人们适应极端炎热天气。
