Association Between Work-Related Hyperthermia Emergency Department Visits and Ambient Heat in Five Southeastern States, 2010-2012-A Case-Crossover Study.

Autor: Shire J; National Institute for Occupational Safety and Health Centers for Disease Control and Prevention Cincinnati OH USA., Vaidyanathan A; National Center for Environmental Health Centers for Disease Control and Prevention Atlanta GA USA., Lackovic M; Louisiana Public Health Institute New Orleans LA., Bunn T; Kentucky Injury Prevention and Research Center, Department of Preventive Medicine and Environmental Health University of Kentucky College of Public Health Lexington KY USA.
Jazyk: angličtina
Zdroj: GeoHealth [Geohealth] 2020 Aug 16; Vol. 4 (8), pp. e2019GH000241. Date of Electronic Publication: 2020 Aug 16 (Print Publication: 2020).
DOI: 10.1029/2019GH000241
Abstrakt: The objective of this study is to assess ambient temperatures' and extreme heat events' contribution to work-related emergency department (ED) visits for hyperthermia in the southeastern United States to inform prevention. Through a collaborative network and established data framework, work-related ED hyperthermia visits in five participating southeastern U.S. states were analyzed using a time stratified case-crossover design. For exposure metrics, day- and location-specific measures of ambient temperatures and county-specific identification of extreme heat events were used. From 2010 to 2012, 5,017 work-related hyperthermia ED visits were seen; 2,298 (~46%) of these visits occurred on days when the daily maximum heat index was at temperatures the Occupational Safety and Health Administration designates as having "lower" or "moderate" heat risk. A 14% increase in risk of ED visit was seen for a 1°F increase in average daily mean temperature, modeled as linear predictor across all temperatures. A 54% increase in risk was seen for work-related hyperthermia ED visits during extreme heat events (two or more consecutive days of unusually high temperatures) when controlling for average daily mean temperature. Despite ambient heat being a well-known risk to workers' health, this study's findings indicate ambient heat contributed to work-related ED hyperthermia visits in these five states. Used alone, existing OSHA heat-risk levels for ambient temperatures did not appear to successfully communicate workers' risk for hyperthermia in this study. Findings should inform future heat-alert communications and policies, heat prevention efforts, and heat-illness prevention research for workers in the southeastern United States.
Competing Interests: The authors declare no conflict of interest relevant to this study.
(©2020. The Authors.)
Databáze: MEDLINE
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