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法国大都市的气象因素与孔源性视网膜脱离。

Meteorological factors and rhegmatogenous retinal detachment in metropolitan France.

机构信息

Retina Unit, Ophthalmology Department, Pierre-Paul Riquet Hospital, Toulouse University Hospital, Place Baylac, 31059, Toulouse, France.

Clinical Investigation Center, Toulouse University Hospital, Toulouse, France.

出版信息

Sci Rep. 2024 Aug 14;14(1):18857. doi: 10.1038/s41598-024-69591-1.

Abstract

Rhegmatogenous retinal detachment (RRD) is a sight-threatening condition with rising global incidence. Identifying factors contributing to seasonal variations in RRD would allow a better understanding of RRD pathophysiology. We therefore performed a retrospective case series study investigating the relationship between RRD occurrence and meteorological factors throughout metropolitan France (the METEO-POC study), particularly the mean temperature over the preceding 10-day period (T-1). Adult patients having undergone RRD surgery and residing in one of the three most populated urban areas of each French region were included (January 2011-December 2018). The study involved 21,166 patients with idiopathic RRD (61.1% males, mean age 59.8-65.1 years). RRD incidence per 100,000 inhabitants increased from 7.79 to 11.81. RRD occurrence was not significantly associated with mean temperature over T-1 in the majority of urban areas (31/36). In a minority of areas (5/36) we observed correlations between RRD incidence and mean temperature over T-1, however these were extremely weak (r = 0.1-0.2; p < 0.05). No associations were found between RRD incidence and secondary outcomes: mean daily temperature over the 10 days prior T-1, minimum/maximum temperatures, rainfall, duration of sunshine, atmospheric pressure, overall radiation, relative humidity, wind speed. Overall, we found no relationships between meteorological parameters and RRD occurrence.

摘要

孔源性视网膜脱离(RRD)是一种具有全球发病率上升趋势的致盲性疾病。确定导致 RRD 季节性变化的因素将有助于更好地了解 RRD 的病理生理学。因此,我们进行了一项回顾性病例系列研究,调查了法国大都市地区(METEO-POC 研究)RRD 发生与气象因素之间的关系,特别是前 10 天的平均温度(T-1)。研究纳入了在法国每个地区人口最多的三个城市之一居住并接受 RRD 手术的成年患者(2011 年 1 月至 2018 年 12 月)。该研究涉及 21,166 例特发性 RRD 患者(61.1%为男性,平均年龄 59.8-65.1 岁)。每 10 万居民 RRD 发病率从 7.79 增加到 11.81。在大多数城市(31/36),RRD 发生与 T-1 期间的平均温度之间没有显著相关性。在少数地区(5/36),我们观察到 RRD 发病率与 T-1 期间的平均温度之间存在相关性,但相关性非常弱(r=0.1-0.2;p<0.05)。RRD 发病率与次要结局之间也没有发现相关性:T-1 前 10 天的平均每日温度、最低/最高温度、降雨量、日照时间、大气压力、总辐射、相对湿度、风速。总体而言,我们没有发现气象参数与 RRD 发生之间存在关系。

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