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Excess out-of-hospital cardiac arrests due to ambient temperatures in South Korea from 2008 to 2018.
Park, Chaerin; Yang, Juyeon; Lee, Whanhee; Kang, Cinoo; Song, In-Kyung; Kim, Ho.
Afiliação
  • Park C; Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea.
  • Yang J; Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea.
  • Lee W; School of the Environment, Yale University, New Haven, CT, United States.
  • Kang C; Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea.
  • Song IK; Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
  • Kim H; Department of Public Health Science, Graduate School of Public Health, Seoul National University, Seoul, Republic of Korea. Electronic address: hokim@snu.ac.kr.
Environ Res ; 212(Pt A): 113130, 2022 09.
Article em En | MEDLINE | ID: mdl-35339469
ABSTRACT
Out-of-hospital cardiac arrest (OHCA) is a notable public health issue with negative outcomes, such as high mortality and aftereffects. Additionally, the adverse effects of extreme temperatures on health have become more important under climate change; however, few studies have investigated the relationship between temperature and OHCA. In this study, we examined the association between temperature and OHCA and its underlying risk factors. We conducted a two-stage time-series analysis using a Poisson regression model with a distributed lag non-linear model (DLNM) and meta-analysis, based on a nationwide dataset from South Korea (2008-2018). We found that 17.4% of excess OHCA was attributed to cold, while 0.9% was attributed to heat. Based on central estimates, excess OHCA attributed to cold were more prominent in the population with hypertension comorbidity (31.0%) than the populations with diabetes (24.3%) and heart disease (17.4%). Excess OHCA attributed to heat were larger in the populations with diabetes (2.7%) and heart disease comorbidity (2.7%) than the population with hypertension (1.2%) based on central estimates. Furthermore, the time-varying excess OHCA attributed to cold have decreased over time, and although those of heat did not show a certain pattern during the study period, there was a weak increasing tendency since 2011. In conclusion, we found that OHCAs were associated with temperature, and cold temperatures showed a greater impact than that of hot temperatures. The effects of cold and hot temperatures on OHCA were more evident in the populations with hypertension, diabetes, and heart diseases, compared to the general population. In addition, the impacts of heat on OHCA increased in recent years, while those of cold temperatures decreased. Our results provide scientific evidence for policymakers to mitigate the OHCA burden attributed to temperature.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Mellitus / Parada Cardíaca Extra-Hospitalar / Hipertensão Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limite: Humans País/Região como assunto: Asia Idioma: En Revista: Environ Res Ano de publicação: 2022 Tipo de documento: Article País de publicação: HOLANDA / HOLLAND / NETHERLANDS / NL / PAISES BAJOS / THE NETHERLANDS

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Mellitus / Parada Cardíaca Extra-Hospitalar / Hipertensão Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limite: Humans País/Região como assunto: Asia Idioma: En Revista: Environ Res Ano de publicação: 2022 Tipo de documento: Article País de publicação: HOLANDA / HOLLAND / NETHERLANDS / NL / PAISES BAJOS / THE NETHERLANDS