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 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 Temporal analysis of determinants for respiratory emergency department visits in a large German hospital

2018 ◽  
Vol 5 (1) ◽  
pp. e000338 ◽  
Author(s):  
Anne Caroline Krefis ◽  
Jana Fischereit ◽  
Peter Hoffmann ◽  
Hans Pinnschmidt ◽  
Christina Sorbe ◽  
...  
Keyword(s):  
Emergency Department ◽  
Air Pollution ◽  
Environmental Variables ◽  
Respiratory Diseases ◽  
Emergency Department Visits ◽  
Environmental Data ◽  
Time Lags ◽  
Linear Quadratic ◽  
Ed Visits ◽  
Day Of The Week

IntroductionAssociations between air pollutants, meteorological conditions and respiratory diseases have been extensively shown. The aim of this study was to investigate associations between daily meteorological data, data on air pollution and emergency department (ED) visits depending on the day of the week, season and year (study period from 2013 to 2015).MethodsHighly correlated environmental data entered a categorical principal components analysis (CATPCA). We analysed cross-correlation functions between the time series of the respective daily environmental factors and daily ED visits. Time lags with peak correlations of environmental variables obtained by the CATPCA on ED visits together with day of the week, year, running day (linear, quadratic and cubic), season and interaction terms entered the univariate analysis of variance (UNIANOVA) model.ResultsThe analyses demonstrated main effects on ED visits for the day of the week with highest admission rates on Mondays (B=10.69; ƞ2=0.333; p<0.001). A significant time trend could be observed showing increasing numbers of ED visits per each year (p<0.001). The variable ‘running day’ (linear, quadratic and cubic) indicated a significant non-linear effect over time. The variable season showed significant results with winter, spring and summer recording fewer ED visits compared with the reference season autumn. Environmental variables showed no direct associations with respiratory ED visits.DiscussionED visits were significantly associated with temporal variables. Our data did not show direct associations between environmental variables and ED visits.In times of rapid urbanisation, increases in respiratory diseases, temperature and air pollution, our analyses can help focus future studies and enhance strategies to reduce increasing numbers of respiratory diseases and ED visits. Because the potential costs of medical care in hospitals can be high compared with physicians, public health recommendations for reducing the increasing ED visits should be promoted and evaluated.

THE DISTRIBUTED LAG BETWEEN AMBIENT AIR POLLUTION AND CARDIORESPIRATORY EMERGENCY DEPARTMENT VISITS

Epidemiology ◽  
2004 ◽  
Vol 15 (4) ◽  
pp. S61-S62 ◽  
Author(s):  
Mitch Klein ◽  
Paige E. Tolbert ◽  
Jennifer L. Peel ◽  
Kristina B. Metzger ◽  
W Dana Flanders
Keyword(s):  
Emergency Department ◽  
Air Pollution ◽  
Ambient Air ◽  
Emergency Department Visits ◽  
Ambient Air Pollution ◽  
Distributed Lag

Emergency Department Visits in the Year Prior to Total Shoulder Arthroplasty as a Risk Factor for Postoperative Emergency Department Visits

2021 ◽  
pp. 155633162199577
Author(s):  
Brian C. Werner ◽  
Francis P. Bustos ◽  
Richard P. Gean ◽  
Matthew J. Deasey
Keyword(s):  
Emergency Department ◽  
Risk Factor ◽  
Lower Extremity ◽  
Shoulder Arthroplasty ◽  
Total Shoulder Arthroplasty ◽  
Significant Risk ◽  
Multivariate Logistic Regression Analysis ◽  
Emergency Department Visits ◽  
Ed Visits ◽  
Increasing Risk

Background: Recent research has found a high rate of emergency department (ED) use after lower extremity arthroplasty; one study found a risk factor for ED presentation after lower extremity arthroplasty was presentation to the ED in the year prior to surgery. It is not known whether a similar association exists for total shoulder arthroplasty (TSA). Questions/Purposes: The goal of this study was to investigate the relationship between preoperative ED visits and postoperative ED visits after anatomic TSA. Methods: The 100% Medicare database was queried for patients who underwent anatomic TSA from 2005 to 2014. Emergency department visits within the year prior to the date of TSA were identified. Patients were additionally stratified by the number and timing of preoperative ED visits. The primary outcome measure was one or more postoperative ED visits within 90 days. A multivariate logistic regression analysis was used to control for patient demographics and comorbidities. Results: Of the 144,338 patients identified, 32,948 (22.8%) had an ED visit in the year prior to surgery. Patients with at least 1 ED visit in the year before surgery presented to the ED at a significantly higher rate than patients without preoperative ED visits (16% versus 6%). An ED visit in the year prior to TSA was the most significant risk factor for postoperative ED visits (in the multivariate analysis). The number of preoperative ED visits in the year prior to surgery demonstrated a significant dose-response relationship with increasing risk of postoperative ED visits. Conclusions: Postoperative ED visits occurred in nearly 10% of Medicare patients who underwent TSA in the period studied. More frequent presentation to the ED in the year prior to anatomic TSA was associated with increasing risk of postoperative ED visits. Future studies are needed to investigate the reasons for preoperative ED visits and if any modifiable risk factors are present to improve the ability to risk stratify and optimize patients for elective TSA.

Sign in / Sign up

Export Citation Format

Share Document