DOI: 10.1007/s10584-016-1747-5
Scopus记录号: 2-s2.0-84978914878
论文题名: Outcomes of hospitalizations for common illnesses associated with a comorbid heat-related illness in the United States, 2001–2010
作者: Schmeltz M.T. ; Marcotullio P.J. ; Himmelstein D.U. ; Woolhandler S. ; Sembajwe G.
刊名: Climatic Change
ISSN: 0165-0009
EISSN: 1573-1480
出版年: 2016
卷: 138, 期: 2018-03-04 起始页码: 567
结束页码: 584
语种: 英语
英文关键词: Climate change
; Heat
; Heat-related illness
; Respiratory health
; Temperature
Scopus关键词: Cardiology
; Climate change
; Health
; Health risks
; Heating
; Hospitals
; Temperature
; Cardiac disease
; Health outcomes
; Hospital admissions
; Length of stay
; Multivariable regression
; Respiratory illness
; Sociodemographics
; Stratified analysis
; Diseases
; climate change
; disease incidence
; health risk
; heat wave
; hospital sector
; mortality
; research work
; respiratory disease
; United States
英文摘要: This research examines whether inpatients with common illnesses and comorbid heat-related illness (HRI) suffer worse health outcomes and use more hospital resources than similar patients without a diagnosed HRI. We used the Nationwide Inpatient Sample, 2001–2010 to compare outcomes, including inpatient length of stay, number of procedures, total charges, discharge status and death, for hospitalization of common illnesses with and without HRI. We used bivariate and multivariable regressions to identify risk factors for health outcomes among inpatients with common illnesses and comorbid HRI. Stratified analyses examined outcomes according to sociodemographics and hospital characteristics to further identify specific risk factors. Among inpatients with respiratory illnesses, negative outcomes were more frequent when a comorbid HRI was present. Additionally, inpatients with cardiac diseases showed increased mortality when a comorbid HRI was present. Overall, comorbid HRI was not associated with worse outcomes among the other common illnesses analyzed. While heat may precipitate hospital admissions for renal and diabetic conditions, these conditions have similar outcomes whether or not a HRI is present. However, comorbid HRI is associated with worse outcomes for respiratory illness hospitalizations and higher risk of death among cardiac disease hospitalizations. © 2016, Springer Science+Business Media Dordrecht. Citation statistics:
资源类型: 期刊论文
标识符: http://119.78.100.158/handle/2HF3EXSE/84206
Appears in Collections: 气候减缓与适应 气候变化事实与影响
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作者单位: ASPPH/EPA Environmental Health Fellowship Program, National Center for Environmental Assessment, Office of Research and Development, US Environmental Protection Agency, Washington, DC, United States; School of Public Health, City University of New York (CUNY), New York, NY, United States; Hunter College, City University of New York (CUNY), New York, NY, United States; Institute for Sustainable Cities, City University of New York (CUNY), New York, NY, United States
Recommended Citation:
Schmeltz M.T.,Marcotullio P.J.,Himmelstein D.U.,et al. Outcomes of hospitalizations for common illnesses associated with a comorbid heat-related illness in the United States, 2001–2010[J]. Climatic Change,2016-01-01,138(2018-03-04)