Autor: Teresita M. Hogan, Julio C. Silva, Linda M. Kampe, Dino P. Rumoro, Robert J. Rydman
Rok vydání: 1999
Předmět:
Zdroj: Journal of Medical Systems. 23:41-56
ISSN: 0148-5598
Popis: Objectives: To conduct an Emergency Department (ED)-based treated prevalence study of heat morbidity and to estimate the rate and risk of heat morbid events for all Chicago MSA EDs (N e 95s 2.7 million visits per year). Methods: ED patient log data were compiled from 13 randomly selected hospitals located throughout the Chicago MSA during the 2 weeks of the 1995 heat disaster and from the same 2-week period in 1994 (controls). Measurements included: age, sex, date, and time of ED service, up to three ICD-9 diagnoses, and disposition. Results: Heat morbidity for Chicago MSA hospital EDs was calculated at 4,224 (95%CI e 2964−5488) cases. ED heat morbidity increased significantly 5 days prior to the first heat-related death. In 1995, there was an increase in the estimated relative risk for the city e 3.85 and suburbs e 1.89 over the control year of 1994. Conclusions: Real time ED-based computer automated databanks should be constructed to improve public health response to infectious or noninfectious outbreaks. Rapid area-wide M&M tabulations can be used for advancing the effectiveness of community-based prevention programs, and anticipating hospital ED resource allocation.
Databáze: OpenAIRE