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首页> 外文期刊>International Journal of Environmental Research and Public Health >The Impact of Heatwaves on Community Morbidity and Healthcare Usage: A Retrospective Observational Study Using Real-Time Syndromic Surveillance
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The Impact of Heatwaves on Community Morbidity and Healthcare Usage: A Retrospective Observational Study Using Real-Time Syndromic Surveillance

机译：热浪对社区发病率和医疗保健使用的影响：使用实时症状监测的回顾性观察研究。

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We investigated the impact of a moderate heatwave on a range of presenting morbidities in England. Asthma, difficulty breathing, cerebrovascular accident, and cardiovascular symptoms were analysed using general practitioner in hours (GPIH), out of hours (GPOOH) and emergency department (ED) syndromic surveillance systems. Data were stratified by age group and compared between a heatwave year (2013) and non-heatwave years (2012, 2014). Incidence rate ratios were calculated to estimate the differential impact of heatwave compared to non-heatwave summers: there were no apparent differences for the morbidities tested between the 2013 heatwave and non-heatwave years. A subset of GPIH data were used to study individuals at higher risk from heatwaves based on their pre-existing disease. Higher risk patients were not more likely to present at GPs or ED than other individuals. Comparing GPIH consultations and ED attendances for myocardial infarction/ischaemia (MI), there was evidence of a fall in the presentation of MI during the heatwave, which was particularly noted in the 65–74 years age group (and over 75 years in ED attendances). These results indicate the difficulty in identifying individuals at risk from non-fatal health effects of heatwaves and hot weather.
机译：我们调查了中度热浪对英国一系列发病率的影响。哮喘，呼吸困难，脑血管意外和心血管症状使用全科医生（GPIH），非工作时间（GPOOH）和急诊科（ED）症状监测系统进行了分析。数据按年龄层进行分层，并在热浪年（2013年）和非热浪年（2012年，2014年）之间进行比较。计算发病率比率，以估算与非热浪夏季相比热浪的不同影响：2013年热浪和非热浪年份之间的发病率没有明显差异。 GPIH数据的一个子集用于根据患者先前存在的疾病来研究热浪中较高风险的个体。高危患者与其他个体相比，在全科医生或急诊就诊的可能性较小。比较GPIH咨询和急诊就诊的心肌梗死/缺血（MI），有证据表明在热浪中心肌梗死呈下降趋势，尤其是在65-74岁年龄组（急诊就诊超过75年）中）。这些结果表明，难以确定因热浪和炎热天气对非致命健康的影响而处于危险之中的人。

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