Department of Life, Health and Environmental Sciences, University of L'Aquila, Piazzale Salvatore Tommasi, 1-67100 L'Aquila (AQ), Italy.
Department of Life, Health and Environmental Sciences, Graduate School of Hygiene and Preventive Medicine, University of L'Aquila, Piazzale Salvatore Tommasi, 1-67100 L'Aquila (AQ), Italy.
Int J Environ Res Public Health. 2019 Jun 14;16(12):2109. doi: 10.3390/ijerph16122109.
The study aims to investigate the impact of the earthquake on public health, in terms of hospitalizations for respiratory diseases in the Abruzzo region, focusing on the area damaged by the earthquake "Crater". We collected data of hospitalizations of residents in Abruzzo between 2009 and 2015. Hospital Discharge Records (HDRs) with a primary diagnosis of respiratory disease were included and divided into pneumonia, Chronic Obstructive Pulmonary Disease (COPD), and respiratory insufficiency. Absolute frequencies and standardized hospitalization rates were calculated to perform both a short-term and a medium-long term analysis. A linear regression was performed using standardized hospitalization rates and the time. A total of 108.669 respiratory-related records were collected and the most frequent subgroup was respiratory insufficiency. Standardized Hospitalization Rates (SHRs) for respiratory diseases resulted higher in the non-Crater than Crater area, but the short-term analysis showed a significant increase in hospitalizations for pneumonia and respiratory insufficiency in the Crater area. The medium-long term analysis reported a significant difference on the slope decrease of hospitalizations for acute and chronic respiratory diseases in the Crater versus the non-Crater area. The earthquake may have played a triggering role in the increased detection of respiratory diseases. A temporal relationship between the quake and an increase in admissions was found although it is not yet possible to detect a direct cause-effect relationship.
本研究旨在调查地震对公共卫生的影响，具体来说，是阿布鲁佐地区因呼吸系统疾病住院的情况，重点关注受地震“火山口”影响的地区。我们收集了 2009 年至 2015 年期间阿布鲁佐地区居民的住院数据。包括以呼吸系统疾病为主要诊断的住院患者病历（HDR），并将其分为肺炎、慢性阻塞性肺疾病（COPD）和呼吸功能不全。我们计算了绝对频率和标准化住院率，以进行短期和中长期分析。使用标准化住院率和时间进行线性回归。共收集了 108669 份与呼吸系统相关的记录，最常见的亚组是呼吸功能不全。非火山口地区的呼吸系统疾病标准化住院率（SHR）高于火山口地区，但短期分析显示，火山口地区肺炎和呼吸功能不全的住院人数显著增加。中长期分析报告称，火山口地区与非火山口地区急性和慢性呼吸系统疾病的住院人数斜率下降存在显著差异。地震可能在检测到呼吸系统疾病的增加方面发挥了触发作用。尽管目前还无法检测到直接的因果关系，但我们发现地震与住院人数增加之间存在时间关系。
