Lewy Jacqueline R, Karim Amani N, Lokotola Christian L, Shannon Carol, Prescott Hallie C, Rice Mary B, Nadeau Kari C, Shankar Hari M, Rabin Alexander S
University of Michigan Medical School, Ann Arbor, MI, USA.
Stellenbosch University, Division of Family Medicine, Department of Family and Emergency Medicine, Cape Town, South Africa.
J Clim Chang Health. 2024 May;17. doi: 10.1016/j.joclim.2024.100313.
Fossil fuel combustion and climate change are endangering respiratory health. As these threats increase, healthcare delivery systems must adapt and build resilience. In this scoping review, we aim to assess the current landscape of respiratory care impacts from climate change, identifying priorities for future study.
We performed a scoping review of scientific and gray literature, and selected institutional websites, to understand the impacts of climate change on respiratory healthcare.
Medline, Embase, Scopus, Cochrane Library, Lens.org, and Google Scholar were searched from database inception through 28 July 2023. The initial search yielded 1207 unique articles. Of the 67 articles identified as relevant to the impacts of climate change on respiratory care, 50 (74.6%) had been published between 2020 and 2023. The most studied climate change and severe weather exposures were extreme heat (n = 31, 46.3%), particulate matter not from wildfires (n = 22, 32.8%), and wildfires (n = 19, 28.4%). Respiratory-related hospital admissions (n = 33, 49.3%) and emergency department visits (n = 24, 35.8%) were the most common study outcomes. Few studies identified potential impacts on telehealth services, facility energy distribution, and pharmaceutical supplies.
Climate change is projected to increase respiratory-related emergency department visits and hospital admissions. Limited research is available on current and projected economic costs, infrastructure effects, and supply chain impacts. While climate change and extreme weather are increasing strain on respiratory care systems, additional work is needed to develop evidence-based strategies for climate adaptation.
化石燃料燃烧和气候变化正危及呼吸健康。随着这些威胁的增加，医疗服务系统必须做出调整并增强适应能力。在本范围综述中，我们旨在评估气候变化对呼吸护理影响的当前状况，确定未来研究的重点。
我们对科学文献和灰色文献以及选定的机构网站进行了范围综述，以了解气候变化对呼吸医疗保健的影响。
从数据库建立至2023年7月28日，我们检索了Medline、Embase、Scopus、Cochrane图书馆、Lens.org和谷歌学术。初步检索得到1207篇独特的文章。在67篇被确定与气候变化对呼吸护理的影响相关的文章中，50篇（74.6%）发表于2020年至2023年之间。研究最多的气候变化和极端天气暴露情况为极端高温（n = 31，46.3%）、非野火产生的颗粒物（n = 22，32.8%）以及野火（n = 19，28.4%）。与呼吸相关的住院（n = 33，49.
