Association between Ambient Temperature and Hospitalization for Renal Diseases in Brazil during 2000–2015: A Nationwide Case-Crossover Study
Summary: Background: Climate change is increasing the risks of injuries, diseases, and deaths globally. However, the association between ambient temperature and renal diseases has not been fully characterized. This study aimed to quantify the risk and attributable burden for hospitalizations of ren...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-02-01
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| Series: | The Lancet Regional Health. Americas |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667193X21000971 |
| _version_ | 1819043057050320896 |
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| author | Bo Wen Rongbin Xu Yao Wu Micheline de Sousa Zanotti Stagliorio Coêlho Paulo Hilario Nascimento Saldiva Yuming Guo Shanshan Li |
| author_facet | Bo Wen Rongbin Xu Yao Wu Micheline de Sousa Zanotti Stagliorio Coêlho Paulo Hilario Nascimento Saldiva Yuming Guo Shanshan Li |
| author_sort | Bo Wen |
| collection | DOAJ |
| description | Summary: Background: Climate change is increasing the risks of injuries, diseases, and deaths globally. However, the association between ambient temperature and renal diseases has not been fully characterized. This study aimed to quantify the risk and attributable burden for hospitalizations of renal diseases related to ambient temperature. Methods: Daily hospital admission data from 1816 cities in Brazil were collected during 2000 and 2015. A time-stratified case-crossover design was applied to evaluate the association between temperature and renal diseases. Relative risks (RRs), attributable fractions (AFs), and their confidence intervals (CIs) were calculated to estimate the associations and attributable burden. Findings: A total of 2,726,886 hospitalizations for renal diseases were recorded during the study period. For every 1°C increase in daily mean temperature, the estimated risk of hospitalization for renal diseases over lag 0–7 days increased by 0·9% (RR = 1·009, 95% CI: 1·008–1·010) at the national level. The associations between temperature and renal diseases were largest at lag 0 days but remained for lag 1–2 days. The risk was more prominent in females, children aged 0–4 years, and the elderly ≥ 80 years. 7·4% (95% CI: 5·2–9·6%) of hospitalizations for renal diseases could be attributable to the increase of temperature, equating to 202,093 (95% CI: 141,554–260,594) cases. Interpretation: This nationwide study provides robust evidence that more policies should be developed to prevent heat-related hospitalizations and mitigate climate change. Funding: China Scholarship Council, and the Australian National Health and Medical Research Council |
| first_indexed | 2024-12-21T09:50:43Z |
| format | Article |
| id | doaj.art-f9ad05bd9966479b8976336e5019c152 |
| institution | Directory Open Access Journal |
| issn | 2667-193X |
| language | English |
| last_indexed | 2024-12-21T09:50:43Z |
| publishDate | 2022-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Americas |
| spelling | doaj.art-f9ad05bd9966479b8976336e5019c1522022-12-21T19:08:12ZengElsevierThe Lancet Regional Health. Americas2667-193X2022-02-016100101Association between Ambient Temperature and Hospitalization for Renal Diseases in Brazil during 2000–2015: A Nationwide Case-Crossover StudyBo Wen0Rongbin Xu1Yao Wu2Micheline de Sousa Zanotti Stagliorio Coêlho3Paulo Hilario Nascimento Saldiva4Yuming Guo5Shanshan Li6School of Public Health and Preventive Medicine, Monash University, Melbourne, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, AustraliaDepartment of Pathology, Faculty of Medicine, University of São Paulo, São Paulo, BrazilDepartment of Pathology, Faculty of Medicine, University of São Paulo, São Paulo, BrazilSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; Corresponding authors: Dr Shanshan Li, and Professor Yuming Guo, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC, 3004, Australia. Tel: +61 3 9905 6100School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; Corresponding authors: Dr Shanshan Li, and Professor Yuming Guo, School of Public Health and Preventive Medicine, Monash University, Level 2, 553 St Kilda Road, Melbourne, VIC, 3004, Australia. Tel: +61 3 9905 6100Summary: Background: Climate change is increasing the risks of injuries, diseases, and deaths globally. However, the association between ambient temperature and renal diseases has not been fully characterized. This study aimed to quantify the risk and attributable burden for hospitalizations of renal diseases related to ambient temperature. Methods: Daily hospital admission data from 1816 cities in Brazil were collected during 2000 and 2015. A time-stratified case-crossover design was applied to evaluate the association between temperature and renal diseases. Relative risks (RRs), attributable fractions (AFs), and their confidence intervals (CIs) were calculated to estimate the associations and attributable burden. Findings: A total of 2,726,886 hospitalizations for renal diseases were recorded during the study period. For every 1°C increase in daily mean temperature, the estimated risk of hospitalization for renal diseases over lag 0–7 days increased by 0·9% (RR = 1·009, 95% CI: 1·008–1·010) at the national level. The associations between temperature and renal diseases were largest at lag 0 days but remained for lag 1–2 days. The risk was more prominent in females, children aged 0–4 years, and the elderly ≥ 80 years. 7·4% (95% CI: 5·2–9·6%) of hospitalizations for renal diseases could be attributable to the increase of temperature, equating to 202,093 (95% CI: 141,554–260,594) cases. Interpretation: This nationwide study provides robust evidence that more policies should be developed to prevent heat-related hospitalizations and mitigate climate change. Funding: China Scholarship Council, and the Australian National Health and Medical Research Councilhttp://www.sciencedirect.com/science/article/pii/S2667193X21000971Temperaturehospitalizationrenal diseasecase-crossover studyclimate change |
| spellingShingle | Bo Wen Rongbin Xu Yao Wu Micheline de Sousa Zanotti Stagliorio Coêlho Paulo Hilario Nascimento Saldiva Yuming Guo Shanshan Li Association between Ambient Temperature and Hospitalization for Renal Diseases in Brazil during 2000–2015: A Nationwide Case-Crossover Study The Lancet Regional Health. Americas Temperature hospitalization renal disease case-crossover study climate change |
| title | Association between Ambient Temperature and Hospitalization for Renal Diseases in Brazil during 2000–2015: A Nationwide Case-Crossover Study |
| title_full | Association between Ambient Temperature and Hospitalization for Renal Diseases in Brazil during 2000–2015: A Nationwide Case-Crossover Study |
| title_fullStr | Association between Ambient Temperature and Hospitalization for Renal Diseases in Brazil during 2000–2015: A Nationwide Case-Crossover Study |
| title_full_unstemmed | Association between Ambient Temperature and Hospitalization for Renal Diseases in Brazil during 2000–2015: A Nationwide Case-Crossover Study |
| title_short | Association between Ambient Temperature and Hospitalization for Renal Diseases in Brazil during 2000–2015: A Nationwide Case-Crossover Study |
| title_sort | association between ambient temperature and hospitalization for renal diseases in brazil during 2000 2015 a nationwide case crossover study |
| topic | Temperature hospitalization renal disease case-crossover study climate change |
| url | http://www.sciencedirect.com/science/article/pii/S2667193X21000971 |
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