气候变化领域集成服务门户(CCPortal): Impact of extreme weather events on healthcare utilization and mortality in the United States

CCPortal

DOI	10.1038/s41591-024-02833-x
	Impact of extreme weather events on healthcare utilization and mortality in the United States
	Salas, Renee N.; Burke, Laura G.; Phelan, Jessica; Wellenius, Gregory A.; Orav, E. John; Jha, Ashish K.
发表日期	2024
ISSN	1078-8956
EISSN	1546-170X
英文摘要	Climate change is intensifying extreme weather events. Yet a systematic analysis of post-disaster healthcare utilization and outcomes for severe weather and climate disasters, as tracked by the US government, is lacking. Following exposure to 42 US billion-dollar weather disasters (severe storm, flood, flood/severe storm, tropical cyclone and winter storm) between 2011 and 2016, we used a difference-in-differences (DID) approach to quantify changes in the rates of emergency department (ED) visits, nonelective hospitalizations and mortality between fee-for-service Medicare beneficiaries in affected compared to matched control counties in post-disaster weeks 1, 1-2 and 3-6. Overall, disasters were associated with higher rates of ED utilization in affected counties in post-disaster week 1 (DID of 1.22% (95% CI, 0.20% to 2.25%; P < 0.020)) through week 2. Nonelective hospitalizations were unchanged. Mortality was higher in affected counties in week 1 (DID of 1.40% (95% CI, 0.08% to 2.74%; P = 0.037)) and persisted for 6 weeks. Counties with the greatest loss and damage experienced greater increases in ED and mortality rates compared to all affected counties. Thus, billion-dollar weather disasters are associated with excess ED visits and mortality in Medicare beneficiaries. Tracking these outcomes is important for adaptation that protects patients and communities, health system resilience and policy.
语种	英语
WOS研究方向	Biochemistry & Molecular Biology ; Cell Biology ; Research & Experimental Medicine
WOS类目	Biochemistry & Molecular Biology ; Cell Biology ; Medicine, Research & Experimental
WOS记录号	WOS:001180662500002
来源期刊	NATURE MEDICINE
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/296084
作者单位	Harvard University; Massachusetts General Hospital; Harvard University; Harvard Medical School; Harvard University; Harvard T.H. Chan School of Public Health; Harvard University; Beth Israel Deaconess Medical Center; Boston University; Brown University
推荐引用方式 GB/T 7714	Salas, Renee N.,Burke, Laura G.,Phelan, Jessica,et al. Impact of extreme weather events on healthcare utilization and mortality in the United States[J],2024.
APA	Salas, Renee N.,Burke, Laura G.,Phelan, Jessica,Wellenius, Gregory A.,Orav, E. John,&Jha, Ashish K..(2024).Impact of extreme weather events on healthcare utilization and mortality in the United States.NATURE MEDICINE.
MLA	Salas, Renee N.,et al."Impact of extreme weather events on healthcare utilization and mortality in the United States".NATURE MEDICINE (2024).