Shuka Naltin, Cabeli Andri, Simoni Leonard, Gina Mirald, Kondi Ledjana, Dado Edvin
Cardiovascular Medicine, University Hospital Center "Mother Teresa", Tirana, ALB.
Physiology, University of Medicine, Tirana, Tirana, ALB.
Cureus. 2024 Feb 24;16(2):e54833. doi: 10.7759/cureus.54833. eCollection 2024 Feb.
This study aims to investigate the impact of temperature and atmospheric pressure on hospitalizations of patients with acute coronary syndrome (ACS).
This is a retrospective, observational, analytical study conducted in a single center, University Hospital Center "Mother Teresa," Tirana, Albania, in the period January-December 2018. This study included 1,165 patients with ACS, who performed urgent coronary angiography, from January 2018 to December 2018. Patients were diagnosed with ACS based on clinical and examination findings. The data were collected retrospectively using patient files. Baseline demographic, clinical, and procedural characteristics were collected. Data on atmospheric parameters, measured at the weather monitoring station, were obtained from the National Meteorological Service database. Measurements from the meteorological service provided values for each parameter: average daily temperature and atmospheric pressure in each country district. Atmospheric data measurements were taken for the day under review. The number of inhabitants for the respective districts is taken from the National Institute of Statistics (INSTAT).
The study involved 1,165 patients, with a mean age of 63.1 years, ranging from 27 years to 89 years old. The majority of patients (78.6%) were male, while 21.4% were female. A statistically significant relationship was observed between seasonal changes in temperature and atmospheric pressure concerning the number of cases with ACS; the autumn season prevails with 27.9% of the total cases, followed by the spring season with 25.6%, the summer season with 24.2%, and winter season with 22.3% (p = 0.04). Additionally, significant changes in the average monthly values of temperature and atmospheric pressure were accompanied by a statistically significant increase in the number of cases as occurred in March-April and October-November (p ≤ 0.05). Most cases in the cold period (November-March) occurred on days with a change in temperature or atmospheric pressure with a statistically significant value of p < 0.05.
An important relationship between seasonal, monthly, and daily changes in temperature and atmospheric pressure concerning the frequency of cases with ACS was observed.
本研究旨在调查温度和大气压对急性冠状动脉综合征（ACS）患者住院情况的影响。
这是一项于2018年1月至12月在阿尔巴尼亚地拉那的“Mother Teresa”大学医院中心进行的单中心回顾性观察分析研究。本研究纳入了2018年1月至2018年12月期间1165例接受紧急冠状动脉造影的ACS患者。根据临床和检查结果诊断患者为ACS。使用患者档案回顾性收集数据。收集了基线人口统计学、临床和手术特征。在气象监测站测量的大气参数数据来自国家气象服务数据库。气象服务的测量提供了每个参数的值：每个县区的日平均温度和大气压。对审查当天进行大气数据测量。各个县区的居民人数取自国家统计局（INSTAT）。
该研究涉及1165例患者，平均年龄为63.1岁，年龄范围为27岁至89岁。大多数患者（78.6%）为男性，而女性占21.4%。观察到温度和大气压的季节性变化与ACS病例数之间存在统计学显著关系；秋季占总病例数的27.9%，居首位，其次是春季，占25.6%，夏季占24.2%，冬季占22.3%（p = 0.04）。此外，温度和大气压的月平均值发生显著变化时，病例数也会在3月至4月和10月至11月出现统计学显著增加（p≤0.05）。寒冷时期（11月至3月）的大多数病例发生在温度或大气压发生变化的日子，p值具有统计学显著意义，p < 0.05。
观察到温度和大气压的季节性、月度和每日变化与ACS病例频率之间存在重要关系。
