Pre-existing comorbidity modify emergency room visit for out-of-hospital cardiac arrest in association with ambient environments.
BACKGROUND:This study evaluated risks of emergency room visit (ERV) for out-of-hospital cardiac arrest (OHCA) in 2005-2011, among patients with cardiologic and metabolic syndromes (CMS), in association with ambient environments. METHODS:Pooled and area-specific weather related cumulative six-day (la...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC6157874?pdf=render |
| _version_ | 1830431464501542912 |
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| author | Yu-Chun Wang Yi-Chun Chen Chun-Yu Ko Yue-Liang Leon Guo Fung-Chang Sung |
| author_facet | Yu-Chun Wang Yi-Chun Chen Chun-Yu Ko Yue-Liang Leon Guo Fung-Chang Sung |
| author_sort | Yu-Chun Wang |
| collection | DOAJ |
| description | BACKGROUND:This study evaluated risks of emergency room visit (ERV) for out-of-hospital cardiac arrest (OHCA) in 2005-2011, among patients with cardiologic and metabolic syndromes (CMS), in association with ambient environments. METHODS:Pooled and area-specific weather related cumulative six-day (lags 0 to 5) relative risks (RRs) and confidence intervals (CIs) of ERV for OHCA were evaluated for CMS cases, using distributed lag nonlinear models and multivariate meta-analytical second-stage model in association with the daily average temperatures and daily concentrations of air pollutants. RESULTS:ERV risk increased as average temperature dropped to <27°C. At the mean temperature of 14°C, the cumulative six-day RRs of ERV were 1.73 (95% CI: 1.22, 2.46) for all OHCA patients, 1.74 (95% CI: 1.06, 2.84) for OHCA patients younger than 65 years old, and 1.99 (95% CI: 1.03, 3.81) for subjects with pre-existing hypertension. High temperature was also associated with elevated ERV of OHCA. Increased ERV risks in cases with pre-existing hypertension and diabetes mellitus were also associated with concentrations of air pollutants in northern Taiwan. CONCLUSIONS:Our data provided evidences to clinicians, emerging medical services and public health that the ERV risk for OHCA patients is greater at low temperature than at high temperature. Patients with cardio and metabolic disorders need to pay greater attention to low temperature and avoid heat wave. |
| first_indexed | 2024-12-21T02:07:02Z |
| format | Article |
| id | doaj.art-19e7e0cc59d1457eab93e79896e9214e |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-21T02:07:02Z |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-19e7e0cc59d1457eab93e79896e9214e2022-12-21T19:19:27ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01139e020459310.1371/journal.pone.0204593Pre-existing comorbidity modify emergency room visit for out-of-hospital cardiac arrest in association with ambient environments.Yu-Chun WangYi-Chun ChenChun-Yu KoYue-Liang Leon GuoFung-Chang SungBACKGROUND:This study evaluated risks of emergency room visit (ERV) for out-of-hospital cardiac arrest (OHCA) in 2005-2011, among patients with cardiologic and metabolic syndromes (CMS), in association with ambient environments. METHODS:Pooled and area-specific weather related cumulative six-day (lags 0 to 5) relative risks (RRs) and confidence intervals (CIs) of ERV for OHCA were evaluated for CMS cases, using distributed lag nonlinear models and multivariate meta-analytical second-stage model in association with the daily average temperatures and daily concentrations of air pollutants. RESULTS:ERV risk increased as average temperature dropped to <27°C. At the mean temperature of 14°C, the cumulative six-day RRs of ERV were 1.73 (95% CI: 1.22, 2.46) for all OHCA patients, 1.74 (95% CI: 1.06, 2.84) for OHCA patients younger than 65 years old, and 1.99 (95% CI: 1.03, 3.81) for subjects with pre-existing hypertension. High temperature was also associated with elevated ERV of OHCA. Increased ERV risks in cases with pre-existing hypertension and diabetes mellitus were also associated with concentrations of air pollutants in northern Taiwan. CONCLUSIONS:Our data provided evidences to clinicians, emerging medical services and public health that the ERV risk for OHCA patients is greater at low temperature than at high temperature. Patients with cardio and metabolic disorders need to pay greater attention to low temperature and avoid heat wave.http://europepmc.org/articles/PMC6157874?pdf=render |
| spellingShingle | Yu-Chun Wang Yi-Chun Chen Chun-Yu Ko Yue-Liang Leon Guo Fung-Chang Sung Pre-existing comorbidity modify emergency room visit for out-of-hospital cardiac arrest in association with ambient environments. PLoS ONE |
| title | Pre-existing comorbidity modify emergency room visit for out-of-hospital cardiac arrest in association with ambient environments. |
| title_full | Pre-existing comorbidity modify emergency room visit for out-of-hospital cardiac arrest in association with ambient environments. |
| title_fullStr | Pre-existing comorbidity modify emergency room visit for out-of-hospital cardiac arrest in association with ambient environments. |
| title_full_unstemmed | Pre-existing comorbidity modify emergency room visit for out-of-hospital cardiac arrest in association with ambient environments. |
| title_short | Pre-existing comorbidity modify emergency room visit for out-of-hospital cardiac arrest in association with ambient environments. |
| title_sort | pre existing comorbidity modify emergency room visit for out of hospital cardiac arrest in association with ambient environments |
| url | http://europepmc.org/articles/PMC6157874?pdf=render |
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