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温度和湿度对超老龄化社会中脑血管病住院的影响。

Effects of temperature and humidity on cerebrovascular disease hospitalization in a super-aging society.

机构信息

Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.

Department of Medical and Health Information Management, National Cerebral and Cardiovascular Center, Suita, Japan.

出版信息

Sci Rep. 2023 Nov 23;13(1):20602. doi: 10.1038/s41598-023-47998-6.

Abstract

Weather conditions influence the incidence of cardiovascular disease. However, few studies have investigated the association between weather temperature and humidity and cerebrovascular disease hospitalizations in a super-aging society. We included 606,807 consecutive patients with cerebrovascular disease admitted to Japanese acute-care hospitals between 2015 and 2019. The primary outcome was the number of cerebrovascular disease hospitalizations per day. Multilevel mixed-effects linear regression models were used to estimate the association of mean temperature and humidity, 1 day before hospital admission, with cerebrovascular disease hospitalizations, after adjusting for air pollution, hospital, and patient demographics. Lower mean temperatures and humidity < 70% or humidity ≧ 70% are associated with an increased incidence of cerebrovascular disease hospitalization (coefficient, - 1.442 [- 1.473 to - 1.411] per °C, p < 0.001, coefficient, - 0.084 [- 0.112 to - 0.056] per%, p < 0.001, and coefficient, 0.136 [0.103 to 0.168] per %, p < 0.001, respectively). Lower mean temperatures and extremely lower or higher humidity are associated with an increased incidence of cerebrovascular disease hospitalization in a super-aging society.

摘要

天气条件会影响心血管疾病的发病率。然而,很少有研究调查在超老龄化社会中,天气温度和湿度与脑血管病住院之间的关系。我们纳入了 2015 年至 2019 年期间在日本急性护理医院连续收治的 606807 例脑血管病患者。主要结局是每天脑血管病住院人数。使用多水平混合效应线性回归模型,在调整了空气污染、医院和患者人口统计学因素后,估计入院前 1 天的平均温度和湿度与脑血管病住院的关系。平均温度和湿度较低(<70%)或湿度≥70%与脑血管病住院发病率增加相关(系数为-1.442[-1.473 至-1.411]每摄氏度,p<0.001,系数为-0.084[-0.112 至-0.056]每%,p<0.001,以及系数为 0.136[0.103 至 0.168]每%,p<0.001)。在超老龄化社会中,平均温度较低且湿度极低或极高与脑血管病住院发病率增加相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ff4/10667266/06699ab7b1bd/41598_2023_47998_Fig1_HTML.jpg

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