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越南首都的环境温度与呼吸疾病住院治疗之间的关联。

The Association Between Ambient Temperatures and Hospital Admissions Due to Respiratory Diseases in the Capital City of Vietnam.

机构信息

Environmental Health Department, Hanoi Medical University School of Public Health, Hanoi, Vietnam.

Division of Environmental Health Sciences, University of Minnesota School of Public Health, Minneapolis, MN, United States.

出版信息

Front Public Health. 2022 Jul 19;10:903623. doi: 10.3389/fpubh.2022.903623. eCollection 2022.

Abstract

This study aimed to examine the short-term effects of ambient temperature on hospital admissions due to respiratory diseases among Hanoi residents. We collected 34,653 hospital admissions for 365 days (November 1, 2017, to November 31, 2018) from two hospitals in Hanoi. A quasi-Poisson regression model with time series analysis was used to explore the temperature-health outcome relationship's overall pattern. The non-linear curve indicated the temperatures with the lowest risk range from 22 degrees (Celcius) to 25 degrees (Celcius). On average, cold temperatures showed a higher risk than hot temperatures across all genders and age groups. Hospital admissions risk was highest at 13 degrees (Celcius) ( = 1.39; 95% = 1.26-1.54) for cold effects and at 33 degrees (Celcius) ( = 1.21, 95% = 1.04-1.39) for the hot effects. Temporal pattern analysis showed that the most effect on respiratory diseases occurred at a lag of 0 days for hot effect and at a lag of 1 day for cold effect. The risk of changing temperature among women and people over 5 years old was higher than other groups. Our results suggest that the risk of respiratory admissions was greatest when the temperature was low. Public health prevention programs should be enhanced to improve public awareness about the health risks of temperature changes, especially respiratory diseases risked by low temperatures.

摘要

本研究旨在探讨环境温度对河内居民因呼吸疾病住院的短期影响。我们收集了两家河内医院 365 天(2017 年 11 月 1 日至 2018 年 11 月 31 日)的 34653 例住院病例。采用时间序列分析的拟泊松回归模型探讨了温度-健康结果关系的总体模式。非线性曲线表明,风险最低的温度范围在 22 摄氏度到 25 摄氏度之间。平均而言,在所有性别和年龄组中,寒冷温度的风险均高于炎热温度。在所有性别和年龄组中,寒冷温度的风险均高于炎热温度。在所有性别和年龄组中,寒冷温度的风险均高于炎热温度。寒冷温度的风险均高于炎热温度。寒冷温度的风险均高于炎热温度。寒冷温度的风险最高,为 13 摄氏度(摄氏度)(=1.39;95%置信区间=1.26-1.54),而炎热温度的风险最高,为 33 摄氏度(摄氏度)(=1.21,95%置信区间=1.04-1.39)。时间模式分析表明,对呼吸道疾病最具影响的是炎热效应的 0 天滞后和寒冷效应的 1 天滞后。女性和 5 岁以上人群的温度变化风险高于其他人群。我们的研究结果表明,当温度较低时,呼吸道疾病的住院风险最大。公共卫生预防计划应得到加强,以提高公众对温度变化的健康风险,特别是低温对呼吸道疾病风险的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36de/9350518/67fcbb0cf406/fpubh-10-903623-g0001.jpg

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