| Autor: |
Cicci KR; Department of Epidemiology and Biostatistics, Western University, London, ON N6G 2M1, Canada., Maltby A; Department of Epidemiology and Biostatistics, Western University, London, ON N6G 2M1, Canada., Clemens KK; Department of Epidemiology and Biostatistics, Western University, London, ON N6G 2M1, Canada.; Lawson Health Research Institute, London, ON N6C 2R5, Canada.; Department of Medicine, Western University, London, ON N6A 5A5, Canada.; ICES, London, ON N6A 5W9, Canada.; St. Joseph's Health Care, London, ON N6A 4V2, Canada., Vicedo-Cabrera AM; Institute of Social and Preventive Medicine, University of Bern, 3012 Bern, Switzerland.; Oeschger Center for Climate Change Research, University of Bern, 3012 Bern, Switzerland., Gunz AC; Department of Paediatrics, Western University, London, ON N6A 5W9, Canada.; Child Health Research Institute, London, ON N6A 5W9, Canada., Lavigne É; Air Health Science Division, Health Canada, Ottawa, ON K1A 0K9, Canada.; School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON K1G 5Z3, Canada., Wilk P; Department of Epidemiology and Biostatistics, Western University, London, ON N6G 2M1, Canada.; Lawson Health Research Institute, London, ON N6C 2R5, Canada.; ICES, London, ON N6A 5W9, Canada.; Institute of Social and Preventive Medicine, University of Bern, 3012 Bern, Switzerland.; Department of Paediatrics, Western University, London, ON N6A 5W9, Canada.; Child Health Research Institute, London, ON N6A 5W9, Canada. |
| Abstrakt: |
The primary objective of this review was to synthesize studies assessing the relationships between high temperatures and cardiovascular disease (CVD)-related hospital encounters (i.e., emergency department (ED) visits or hospitalizations) in urban Canada and other comparable populations, and to identify areas for future research. Ovid MEDLINE, EMBASE, CINAHL, Cochrane Database of Systematic Reviews, and Scopus were searched between 6 April and 11 April 2020, and on 21 March 2021, to identify articles examining the relationship between high temperatures and CVD-related hospital encounters. Studies involving patients with pre-existing CVD were also included. English language studies from North America and Europe were included. Twenty-two articles were included in the review. Studies reported an inconsistent association between high temperatures and ischemic heart disease (IHD), heart failure, dysrhythmia, and some cerebrovascular-related hospital encounters. There was consistent evidence that high temperatures may be associated with increased ED visits and hospitalizations related to total CVD, hyper/hypotension, acute myocardial infarction (AMI), and ischemic stroke. Age, sex, and gender appear to modify high temperature-CVD morbidity relationships. Two studies examined the influence of pre-existing CVD on the relationship between high temperatures and morbidity. Pre-existing heart failure, AMI, and total CVD did not appear to affect the relationship, while evidence was inconsistent for pre-existing hypertension. There is inconsistent evidence that high temperatures are associated with CVD-related hospital encounters. Continued research on this topic is needed, particularly in the Canadian context and with a focus on individuals with pre-existing CVD. |
