Risk, Attributable Fraction and Attributable Number of Cause-Specific Heat-Related Emergency Hospital Admissions in Switzerland.
| Autor: | Schulte F; Swiss Tropical and Public Health Institute (Swiss TPH), Allschwil, Switzerland.; University of Basel, Basel, Switzerland., Röösli M; Swiss Tropical and Public Health Institute (Swiss TPH), Allschwil, Switzerland.; University of Basel, Basel, Switzerland., Ragettli MS; Swiss Tropical and Public Health Institute (Swiss TPH), Allschwil, Switzerland.; University of Basel, Basel, Switzerland. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of public health [Int J Public Health] 2024 Oct 07; Vol. 69, pp. 1607349. Date of Electronic Publication: 2024 Oct 07 (Print Publication: 2024). |
| DOI: | 10.3389/ijph.2024.1607349 |
| Abstrakt: | Objectives: We assessed the relationship between heat and emergency hospital admissions (EHAs) in Switzerland using clinically relevant metrics. Methods: Applying distributed lag non-linear models, we investigated temperature-admission associations between May and September 1998-2019 for various disease groups, by age class and gender. We estimated the relative risk (RR) for moderate (29°C) and extreme (34°C) daily maximum temperatures relative to disease-specific optimum temperature, and calculated attributable fractions (AFs) for hot days and the following week. We also calculated the total number of heat-related EHAs. Results: We attributed 31,387 (95% confidence interval: 21,567-40,408) EHAs to above-optimal temperatures, 1.1% (0.7%-1.4%) of the total. Extreme temperatures increased the EHA risk for mental, infectious and neurological diseases. We observed particularly high AFs due to extreme heat for dehydration (85.9%, 95% CI: 82.4%-88.8%) and acute kidney injury (AKI, 56.1%, 95% CI: 45.3%-64.7%). While EHA risk generally increased with age, we also found high RRs for infectious diseases in children (0-15 years) and AKI in young adults (15-64 years). Conclusion: Hot weather increases the EHA risk in Switzerland. Therefore a comprehensive clinical and public health response is needed. Competing Interests: The authors declare that they do not have any conflicts of interest. (Copyright © 2024 Schulte, Röösli and Ragettli.) |
| Databáze: | MEDLINE |
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