Cumulative effect of indoor temperature on cardiovascular disease–related emergency department visits among older adults in Taiwan

2020 ◽  
Vol 731 ◽  
pp. 138958 ◽  
Author(s):  
Chien-Cheng Jung ◽  
Ying-Fang Hsia ◽  
Nai-Yun Hsu ◽  
Yu-Chun Wang ◽  
Huey-Jen Su
Keyword(s):  
Cardiovascular Disease ◽  
Older Adults ◽  
Emergency Department ◽  
Cumulative Effect ◽  
Emergency Department Visits ◽  
Indoor Temperature

scholarly journals Indoor temperature and respiratory disease–related emergency department visits: a study of cumulative effects among older adults in Taiwan

2020 ◽  
Author(s):  
Chien-Cheng Jung ◽  
Ying-Fang Hsia ◽  
Nai-Yun Hsu ◽  
Yu-Chun Wang ◽  
Huey-Jen Su
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Respiratory Disease ◽  
Emergency Department Visit ◽  
Respiratory Diseases ◽  
Cumulative Effect ◽  
Emergency Department Visits ◽  
Cumulative Effects ◽  
Indoor Temperature ◽  
Temperature Exposure

Abstract Background Studies have demonstrated that exposure to extreme outdoor temperatures increases respiratory diseases related mortality and morbidity, especially in older adults. However, older adults spend over 80% of their time indoors, and the cumulative effects of exposure to indoor temperature on the risk of respiratory diseases have not been investigated. The objective of this study was to study the cumulative effect of indoor temperature exposure on emergency department visit due to respiratory diseases among older adults. Methods Participant data were collected from the Longitudinal Health Insurance Database from 2000 to 2014 in Taiwan. The cumulative degree hour was used to reflect the cumulative effect of indoor temperature exposure. A distributed lag nonlinear model was used to analyze the association between cumulative degree hour and emergency department visit due to respiratory diseases. Results Our findings revealed a significant risk of emergency department visits due to respiratory diseases at 27, 28, 29, 30, and 31 °C when cooling cumulative degree hours exceeded 60, 30, 19, 1, and 1, respectively, during the hot season (May to October) and at 19, 20, 21, 22, and 23 °C when heating cumulative degree hours exceeded 1, 1, 1, 39, and 49, respectively, during the cold season (November to April). Conclusions We conclude that the cumulative effects of indoor temperature exposure should be considered to reduce respiratory disease risk under climate change.

scholarly journals Influence of Indoor Temperature Exposure on Emergency Department Visits Due to Infectious and Non-Infectious Respiratory Diseases for Older People

2021 ◽  
Vol 18 (10) ◽  
pp. 5273
Author(s):  
Chien-Cheng Jung ◽  
Nai-Tzu Chen ◽  
Ying-Fang Hsia ◽  
Nai-Yun Hsu ◽  
Huey-Jen Su
Keyword(s):  
Emergency Department ◽  
Respiratory Diseases ◽  
Significant Risk ◽  
Cumulative Effect ◽  
Emergency Department Visits ◽  
Heating Season ◽  
Indoor Temperature ◽  
Distributed Lag ◽  
Poisson Function ◽  
Temperature Exposure

Previous studies have demonstrated that outdoor temperature exposure was an important risk factor for respiratory diseases. However, no study investigates the effect of indoor temperature exposure on respiratory diseases and further assesses cumulative effect. The objective of this study is to study the cumulative effect of indoor temperature exposure on emergency department visits due to infectious (IRD) and non-infectious (NIRD) respiratory diseases among older adults. Subjects were collected from the Longitudinal Health Insurance Database in Taiwan. The cumulative degree hours (CDHs) was used to assess the cumulative effect of indoor temperature exposure. A distributed lag nonlinear model with quasi-Poisson function was used to analyze the association between CDHs and emergency department visits due to IRD and NIRD. For IRD, there was a significant risk at 27, 28, 29, 30, and 31 °C when the CDHs exceeded 69, 40, 14, 5, and 1 during the cooling season (May to October), respectively, and at 19, 20, 21, 22, and 23 °C when the CDHs exceeded 8, 1, 1, 35, and 62 during the heating season (November to April), respectively. For NIRD, there was a significant risk at 19, 20, 21, 22, and 23 °C when the CDHs exceeded 1, 1, 16, 36, and 52 during the heating season, respectively; the CDHs at 1 was only associated with the NIRD at 31 °C during the cooling season. Our data also indicated that the CDHs was lower among men than women. We conclude that the cumulative effects of indoor temperature exposure should be considered to reduce IRD risk in both cooling and heating seasons and NIRD risk in heating season and the cumulative effect on different gender.

scholarly journals Head Trauma from Falling Increases Subsequent Emergency Department Visits More Than Other Fall-Related Injuries in Older Adults

2016 ◽  
Vol 64 (4) ◽  
pp. 870-874 ◽  
Author(s):  
Lauren T. Southerland ◽  
Julie A. Stephens ◽  
Shari Robinson ◽  
James Falk ◽  
Laura Phieffer ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Head Trauma ◽  
Emergency Department Visits

Primary diagnoses and outcomes of emergency department visits in older people with dementia: a hospital-based retrospective study in Taiwan

2019 ◽  
Vol 32 (1) ◽  
pp. 97-104
Author(s):  
Pei-Chao Lin ◽  
Li-Chan Lin ◽  
Hsiu-Fen Hsieh ◽  
Yao-Mei Chen ◽  
Pi-Ling Chou ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Retrospective Study ◽  
Older People ◽  
Hospital Admission ◽  
Emergency Department Visits ◽  
Urban Setting ◽  
Research Database ◽  
Patient Records ◽  
People With Dementia

ABSTRACTObjectives:The objectives of this study were to investigate the primary diagnoses and outcomes of emergency department visits in older people with dementia and to compare these parameters with those in older adults without dementia.Design and Setting:This hospital-based retrospective study retrieved patient records from a hospital research database, which included the outpatient and inpatient claims of two hospitals.Participants:The patient records were retrieved from the two hospitals in an urban setting. The inclusion criteria were all patients aged 65 and older who had attended the two hospitals as an outpatient or inpatient between January 1, 2009, and December 31, 2016. Patients with dementia were identified to have at least three reports of diagnostic codes, either during outpatient visits, during emergency department visits, or in hospitalized database records. The other patients were categorized as patients without dementia.Measurements:The primary diagnosis during the emergency department visit, cost of emergency department treatment, cost of hospital admission, length of hospital stay, and diagnosis of death were collected.Results:A total of 149,203 outpatients and inpatients aged 65 and older who were admitted to the two hospitals were retrieved. The rate of emergency department visits in patients with dementia (23.2%) was lower than that in those without dementia (48.6%). The most frequent primary reason for emergency department visits and the main cause of patient death was pneumonia. Patients with dementia in the emergency department had higher hospital admission rates and longer hospital stays; however, the cost of treatment did not show a significant difference between the two groups.Conclusions:Future large and prospective studies should explore the severity of disease in older people with dementia and compare results with older adults without dementia in the emergency department.

scholarly journals PEER TO PEER SUPPORT AND HEALTH CARE UTILIZATION AMONG COMMUNITY-DWELLING OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S857-S857
Author(s):  
Elizabeth A Jacobs ◽  
Rebecca Schwei ◽  
Scott Hetzel ◽  
Jane Mahoney ◽  
KyungMann Kim
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Emergency Department ◽  
Health Care Utilization ◽  
Peer Support ◽  
Peer Group ◽  
Peer To Peer ◽  
Emergency Department Visits ◽  
Urgent Care ◽  
Care Utilization

Abstract The majority of older adults want to live and age in their communities. Some community-based organizations (CBOs) have initiated peer-to-peer support services to promote aging in place but the effectiveness of these programs is not clear. Our objective was to compare the effectiveness of a community-designed and implemented peer-to-peer support program vs. access to standard community services, in promoting health and wellness in vulnerable older adult populations. We partnered with three CBOs, one each in California, Florida, and New York, to enroll adults 65 > years of age who received peer support and matched control participants (on age, gender, and race/ethnicity) in an observational study. We followed participants over 12 months, collecting data on self-reported urgent care and emergency department visits and hospitalizations. In order to account for the lack of randomization, we used a propensity score method to compare outcomes between the two groups. We enrolled 222 older adults in the peer-to-peer group and 234 in the control group. After adjustment, we found no differences between the groups in the incidence of hospitalization, urgent and emergency department visits, and composite outcome of any health care utilization. The incidence of urgent care visits was statistically significantly greater in the standard community service group than in the peer-to-peer group. Given that the majority of older adults and their families want them to age in place, the question of how to do this is highly relevant. Peer-to-peer services may provide some benefit to older adults in regard to their health care utilization.

scholarly journals A Descriptive Analysis of Location of Older Adult Falls That Resulted in Emergency Department Visits in the United States, 2015

2020 ◽  
pp. 155982762094218
Author(s):  
Briana L. Moreland ◽  
Ramakrishna Kakara ◽  
Yara K. Haddad ◽  
Iju Shakya ◽  
Gwen Bergen
Keyword(s):  
United States ◽  
Older Adults ◽  
Emergency Department ◽  
The United States ◽  
Emergency Department Visits ◽  
Targeted Prevention ◽  
Injury Surveillance System ◽  
Injurious Falls ◽  
Ed Visits ◽  
At Home

Introduction. Falls among older adults (age ≥65) are a common and costly health issue. Knowing where falls occur and whether this location differs by sex and age can inform prevention strategies. Objective. To determine where injurious falls that result in emergency department (ED) visits commonly occur among older adults in the United States, and whether these locations differ by sex and age. Methods. Using 2015 National Electronic Injury Surveillance System-All Injury Program data we reviewed narratives for ED patients aged ≥65 who had an unintentional fall as the primary cause of injury. Results. More fall-related ED visits (71.6%) resulted from falls that occurred indoors. A higher percentage of men’s falls occurred outside (38.3%) compared to women’s (28.4%). More fall-related ED visits were due to falls at home (79.2%) compared to falls not at home (20.8%). The most common locations for a fall at home were the bedroom, bathroom, and stairs. Conclusion. The majority of falls resulting in ED visits among older adults occurred indoors and varied by sex and age. Knowing common locations of injurious falls can help older adults and caregivers prioritize home modifications. Understanding sex and age differences related to fall location can be used to develop targeted prevention messages.

Sign in / Sign up

Export Citation Format

Share Document