An adaptation strategy to urban heat: hospital rooms with radiant cooling accelerate patient recovery
Autor: | Christina Hoffmann, Christian Witt, Adrien Holzgreve, Gavin C. Donaldson, Marija Drozdek, Peter Hoffmann, Philipp Humbsch, Uta Liebers, Georg Bolke |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty COPD Exacerbation business.industry Radiant cooling medicine.disease Clinical trial Clinical Practice symbols.namesake Pneumonia Air conditioning Original Research Articles Emergency medicine symbols medicine Medicine Poisson regression Erratum business Asthma |
Zdroj: | ERJ Open Research article-version (VoR) Version of Record ERJ Open Research, Vol 7, Iss 3 (2021) |
ISSN: | 2312-0541 |
Popis: | Background Patients with respiratory diseases are vulnerable to the effects of heat. Therefore, it is important to develop adaptation strategies for heat exposure. One option is to optimise the indoor environment. To this end, we equipped hospital patient rooms with radiant cooling. We performed a prospective randomised clinical trial to investigate potentially beneficial effects of the hospitalisation in rooms with radiant cooling on patients with a respiratory disease exacerbation. Methods Recruitment took place in June, July and August 2014 to 2016 in the Charité – Universitätsmedizin Berlin, Germany. We included patients with COPD, asthma, pulmonary hypertension, interstitial lung disease and pneumonia. 62 patients were allocated to either a standard patient room without air conditioning or a room with radiant cooling set to 23°C (73°F). We analysed the patients’ length of stay with a Poisson regression. Physiological parameters, fluid intake and daily step counts were tested with mixed regression models. Results Patients hospitalised in a room with radiant cooling were discharged earlier than patients in standard rooms (p=0.003). The study participants in chambers with radiant cooling had a lower body temperature (p=0.002), lower daily fluid intake (p A radiant cooling system in hospital patient rooms provides clinical benefits for patients with respiratory disease exacerbations during summertime. Patients hospitalised in rooms with air convection free radiant cooling are discharged earlier. https://bit.ly/3p9Fkqm |
Databáze: | OpenAIRE |
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