Abstract
Some studies suggested that 24-h temperature change (TC24) was one of the potential risk factors for human health. However, evidence of the short-term effect of TC24 on outpatient and emergency department (O&ED) visits and hospitalizations for cause-specific cardiovascular diseases (CVDs) is still limited. The aim of this study is to explore the short-term effects of TC24 on O&ED visits and hospitalizations for CVDs in northwest China which is an area with large temperature variation. The O&ED visits records for CVDs of 3 general hospitals and the inpatient records for CVDs of 4 general hospitals were collected from January 1, 2013, to December 31, 2016, in Jinchang City, northwest China. Meteorological and air pollution data were also obtained during the same study period from local meteorological monitoring station and environmental monitoring station, respectively. A generalized additive model (GAM) with Poisson regression was employed to analyze the effects of TC24 on O&ED visits and hospitalizations for CVDs. V-shaped relationship were found between TC24 and O&ED visits and hospitalizations for CVDs, including total CVD, hypertension, coronary heart disease (CHD) and stroke. Stratified analysis showed that men and patients over 65 years old were more susceptible to temperature changes. The estimates in non-heating months were higher than in full year. TC24 can affect the O&ED visits and hospitalizations for CVDs in this study. This study provides useful data for policy makers to better prepare local responses to the impact of changes in temperature on population health.
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Data Availability
The datasets used during the current study are available from the corresponding author on reasonable request.
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Funding
The study was supported by the National Natural Science Foundation of China (Grant Number: 41505095, 41705122) and the Fundamental Research Funds for the Central Universities in China (Grant Number: lzujbky-2020-sp22).
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Conceptualization: Shan Zheng, Minzhen Wang, and Yufeng Wang; Methodology: Xingfu Wei, Qin Shi, Xiangyan Meng, and Wenzhi Zhu; Formal analysis and investigation: Yanli Liu, Xingfu Wei, and Qin Shi; Writing - original draft preparation: Qin Shi and Yanli Liu; Writing - review and editing: Shan Zheng, Yana Bai, Yonghong Nie, and Feng Kang; Funding acquisition: Shan Zheng.
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Shi, Q., Wei, X., Liu, Y. et al. An effect of 24-hour temperature change on outpatient and emergency and inpatient visits for cardiovascular diseases in northwest China. Environ Sci Pollut Res 28, 45793–45804 (2021). https://doi.org/10.1007/s11356-021-13961-z
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DOI: https://doi.org/10.1007/s11356-021-13961-z