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Heat and emergency room admissions in the Netherlands.
van Loenhout, Joris Adriaan Frank; Delbiso, Tefera Darge; Kiriliouk, Anna; Rodriguez-Llanes, Jose Manuel; Segers, Johan; Guha-Sapir, Debarati.
Afiliação
  • van Loenhout JAF; Centre for Research on the Epidemiology of Disasters (CRED), Institute of Health and Society, Université catholique de Louvain, Clos Chapelle-aux-Champs 30, 1200, Woluwé-Saint-Lambert, Brussels, Belgium. joris.vanloenhout@uclouvain.be.
  • Delbiso TD; Centre for Research on the Epidemiology of Disasters (CRED), Institute of Health and Society, Université catholique de Louvain, Clos Chapelle-aux-Champs 30, 1200, Woluwé-Saint-Lambert, Brussels, Belgium.
  • Kiriliouk A; Institute of Statistics, Biostatistics and Actuarial Sciences (ISBA), Université catholique de Louvain, Louvain-la-Neuve, Belgium.
  • Rodriguez-Llanes JM; European Commission, Joint Research Centre, Directorate for Sustainable Resources, Ispra, Italy.
  • Segers J; Institute of Statistics, Biostatistics and Actuarial Sciences (ISBA), Université catholique de Louvain, Louvain-la-Neuve, Belgium.
  • Guha-Sapir D; Centre for Research on the Epidemiology of Disasters (CRED), Institute of Health and Society, Université catholique de Louvain, Clos Chapelle-aux-Champs 30, 1200, Woluwé-Saint-Lambert, Brussels, Belgium.
BMC Public Health ; 18(1): 108, 2018 01 05.
Artigo em Inglês | MEDLINE | ID: mdl-29304777
ABSTRACT

BACKGROUND:

Due to a global warming-related increase in heatwaves, it is important to obtain detailed understanding of the relationship between heat and health. We assessed the relationship between heat and urgent emergency room admissions in the Netherlands.

METHODS:

We collected daily maximum temperature and relative humidity data over the period 2002-2007. Daily urgent emergency room admissions were divided by sex, age group and disease category. We used distributed lag non-linear Poisson models, estimating temperature-admission associations. We estimated the relative risk (RR) for urgent hospital admissions for a range of temperatures compared to a baseline temperature of 21 °C. In addition, we compared the impact of three different temperature scenarios on admissions using the RR.

RESULTS:

There is a positive relationship between increasing temperatures above 21 °C and the RR for urgent emergency room admissions for the disease categories 'Potential heat-related diseases' and 'Respiratory diseases'. This relationship is strongest in the 85+ group. The RRs are strongest for lag 0. For admissions for 'circulatory diseases', there is only a small significant increase of RRs within the 85+ age group for moderate heat, but not for extreme heat. The RRs for a one-day event with extreme heat are comparable to the RRs for multiple-day events with moderate heat.

CONCLUSIONS:

Hospitals should adjust the capacity of their emergency departments on warm days, and the days immediately thereafter. The elderly in particular should be targeted through prevention programmes to reduce harmful effects of heat. The fact that this increase in admissions already occurs in temperatures above 21 °C is different from previous findings in warmer countries. Given the similar impact of three consecutive days of moderate heat and one day of extreme heat on admissions, criteria for activation of national heatwave plans need adjustments based on different temperature scenarios.
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Transtornos de Estresse por Calor / Serviço Hospitalar de Emergência / Temperatura Alta / Hospitalização Limite: Adolescente / Adulto / Idoso / Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino / Meia-Idade País/Região como assunto: Europa Idioma: Inglês Revista: BMC Public Health Assunto da revista: Saúde Pública Ano de publicação: 2018 Tipo de documento: Artigo País de afiliação: Bélgica

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Transtornos de Estresse por Calor / Serviço Hospitalar de Emergência / Temperatura Alta / Hospitalização Limite: Adolescente / Adulto / Idoso / Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino / Meia-Idade País/Região como assunto: Europa Idioma: Inglês Revista: BMC Public Health Assunto da revista: Saúde Pública Ano de publicação: 2018 Tipo de documento: Artigo País de afiliação: Bélgica