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天气条件对重症监护病房患者的结局无影响。

No impact of weather conditions on the outcome of intensive care unit patients.

机构信息

Division of Cardiology, Pulmonary Diseases, and Vascular Medicine, Medical Faculty, University Hospital Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.

Clinic of Internal Medicine II, Department of Cardiology, Paracelsus Medical University of Salzburg, Salzburg, Austria.

出版信息

Wien Med Wochenschr. 2022 Feb;172(1-2):40-51. doi: 10.1007/s10354-021-00830-0. Epub 2021 Mar 18.

Abstract

Global warming leads to increased exposure of humankind to meteorological variation, including short-term weather changes. Weather conditions involve changes in temperature, heat and cold, in air pressure and in air humidity. Every single condition influences the incidence and mortality of different diseases such as myocardial infarction and stroke. This study investigated the impact of weather conditions on short- and long-term mortality of 4321 critically ill patients (66 ± 14 years, 2638 men) admitted to an intensive care unit (ICU) over a period of 5 years. Meteorological information (air temperature, air pressure and humidity) for the same period was retrieved. The influence of absolute weather parameters, different seasons, sudden weather changes including "warm" and "cold" spells on ICU and long-term mortality was analyzed. After correction for Simplified Acute Physiology Score (SAPS-2), no impact of meteorological conditions on mortality was found. Different seasons, sudden weather changes, "warm spells" or "cold spells" did not affect the outcome of critically ill patients.

摘要

全球变暖导致人类暴露于气象变化的风险增加,包括短期天气变化。天气条件包括温度、冷热、气压和空气湿度的变化。每种情况都会影响心肌梗死和中风等不同疾病的发病率和死亡率。本研究调查了 5 年内入住重症监护病房(ICU)的 4321 名危重病患者(66±14 岁,2638 名男性)短期和长期死亡率与天气条件之间的关系。在此期间,还检索了气象信息(气温、气压和湿度)。分析了绝对天气参数、不同季节、包括“暖”和“冷”期在内的突发天气变化对 ICU 和长期死亡率的影响。在简化急性生理学评分(SAPS-2)校正后,未发现气象条件对死亡率有影响。不同季节、突发天气变化、“暖期”或“冷期”并不影响危重病患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42ad/8837525/0319fc31d5dc/10354_2021_830_Fig1_HTML.jpg

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