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短期暴露于极端温度与心血管疾病住院风险。

Short-term exposure to extreme temperature and risk of hospital admission due to cardiovascular diseases.

机构信息

Occupational Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences , Yazd, Iran.

Department of Occupational Health, School of Public Health, Shahid Sadoughi University of Medical Sciences , Yazd, Iran.

出版信息

Int J Environ Health Res. 2021 Apr;31(3):344-354. doi: 10.1080/09603123.2019.1663496. Epub 2019 Sep 5.

Abstract

: Numerous epidemiological studies have reported relevance of morbidity and mortality from cardiovascular diseases with short-term exposure to environmental temperature. In this study, we examined the hypothesis between temperature indices and hospital admission because of cardiovascular diseases. : The daily number of CVDs was obtained from all hospitals of the Sabzevar city. A semi-parametric generalized additive model (GAM) following a quasi-Poisson distribution with distributed lag non-linear model (dlnm) was selected as a modeling framework for time-series analysis. : The overall CVD risk comparing the 1st percentile and the 99th percentile relative to the mean temperature (at lag 0) was 1.33 (95% CI, 1.11: 1.61), and 1.34 (95% CI, 1.10: 1.64), respectively. For all indicators, the extremely cold effects persisted for the initial 7 days. : Our results suggest that extremely cold and extremely hot temperatures increase the relative risk of cardiovascular diseases.

摘要

大量流行病学研究报告称,短期暴露于环境温度与心血管疾病的发病率和死亡率有关。在这项研究中,我们检验了温度指数与心血管疾病住院之间的假设。

我们从萨布泽瓦尔市的所有医院获得了每日心血管疾病(CVD)的数量。采用带有分布滞后非线性模型(dlnm)的拟泊松分布的半参数广义加性模型(GAM)作为时间序列分析的建模框架。

与平均温度(滞后 0)相比,第 1 百分位和第 99 百分位的整体 CVD 风险分别为 1.33(95%CI,1.11:1.61)和 1.34(95%CI,1.10:1.64)。对于所有指标,极寒效应持续最初的 7 天。

我们的结果表明,极寒和极热天气会增加心血管疾病的相对风险。

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