Marmara University, Institute of Pure and Applied Sciences, Occupational Safety, Istanbul, Turkey.
Gebze Technical University, Institute of Earth and Marine Sciences, Gebze, Kocaeli, Turkey.
Medicine (Baltimore). 2023 Jul 14;102(28):e34299. doi: 10.1097/MD.0000000000034299.
Studies show that heat waves (HWs) are among the most important atmospheric phenomena that negatively affect human health. This study aims to determine the effects of HWs on hospital admissions (HA) in the Edirne province of Turkey. Polyclinic admission and atmospheric data, including daily maximum temperatures, were used. HW is defined as temperature at the % 90 threshold of daily maximum temperatures that persists for at least 3 consecutive days or more. With this definition, a 6-day HW was detected, and a lag of 3 days was added to this HW. Logarithmic Z test was used for the analysis. As a result of the study, The Risk Ratio (RR) showing the relationship between 9-day HW and HAs was calculated as 1.19 (95% confident interval [CI]: 1.17-1.21, P < .05), and it was determined that there were 2557 extra HAs in total. When HAs were analyzed according to sex, it was observed that female admissions were higher than male admissions. To analyze admissions by age, the data were divided into 3 groups: children (<15 years), adult (15-64 years), and elderly (≥65 years). As a result of the analysis, the highest increase was observed in patients < 15 years of age, and the RR was 1.33 (95% CI: 1.24-1.42 P < .05). When the patient density in polyclinics was analyzed, the Cardiology polyclinic had the highest number of patient admissions with an RR, 1.36 (95% CI: 1.30-1.43 P < .05). The results of this study will guide measures to be taken against HWs.
研究表明，热浪（HWs）是对人类健康产生负面影响的最重要的大气现象之一。本研究旨在确定土耳其埃迪尔内省热浪对医院入院（HA）的影响。使用了综合诊所入院和大气数据，包括每日最高温度。HW 定义为每日最高温度的 %90 阈值持续至少 3 天或更长时间的温度。根据该定义，检测到一个 6 天的 HW，并在此 HW 上增加了 3 天的滞后。对数 Z 检验用于分析。研究结果表明，9 天 HW 与 HA 之间关系的风险比（RR）计算为 1.19（95%置信区间[CI]：1.17-1.21，P<.05），总共增加了 2557 例 HA。当根据性别分析 HA 时，观察到女性入院人数高于男性。为了按年龄分析入院情况，将数据分为 3 组：儿童（<15 岁）、成人（15-64 岁）和老年人（≥65 岁）。分析结果表明，<15 岁的患者增幅最大，RR 为 1.33（95%CI：1.24-1.42 P<.05）。当分析综合诊所的患者密度时，心脏病学综合诊所的患者入院人数最多，RR 为 1.36（95%CI：1.30-1.43 P<.05）。本研究的结果将指导针对 HWs 采取的措施。
