气候变化领域集成服务门户(CCPortal): Impact of heatwaves, demographics, and environment on hospitalization rates in Paris

CCPortal

DOI	10.21037/jhmhp-23-115
	Impact of heatwaves, demographics, and environment on hospitalization rates in Paris
	Sabri, Rim; Ahikki, Manal; Baehr, Christophe; Schneider, Michel; Mercier, Gregoire
发表日期	2024
ISSN	2523-2533
起始页码	8
卷号	8
英文摘要	Background: In the era of climate change, urban areas like Paris face heightened public health challenges, especially during heatwave occurrences. Although there is growing awareness, a research void exists regarding the intersectional effects of heatwaves, environmental variables, and demographic factors in dense urban locales such as Paris. Methods: Using a retrospective methodology, we collected comprehensive data from the National Health Data System and the Technical Agency for Information on Hospitalization. This encompassed 471,814 hospital stays from June to September, spanning from 2009 to 2019. Hospitalizations were systematically categorized into ten distinct clusters, each representing a specific set of medical conditions or reasons for hospitalization. These clusters include: (I) electrolyte disorders including dehydration and hyponatremia, (II) renal insufficiency, (III) urinary tract infections and lithiasis, (IV) septicemia, sepsis, and bacteremia, (V) heatstroke, (VI) neurocardiovascular diseases, (VII) chronic heart failure, (VIII) chronic respiratory diseases, (IX) diabetes mellitus, and (X) addictions and mental health issues. Each cluster is defined based on specific criteria, including diagnostic codes and clinical characteristics, allowing for a more precise analysis of hospitalization trends in relation to environmental factors such as heatwaves. Days identified as heatwaves were determined using a percentile -based approach. The study examined the correlations between hospitalization rates and various determinants using mixed -effects log -linear regression models. Results: Our study utilized a comprehensive dataset covering 2,184,193 residents across 20 districts in Paris. The data reflected a range of differences in demographics, building characteristics, and reasons for hospitalization. Notably, the age group over 75 was identified as a significant factor influencing hospitalization rates. This was further analyzed in conjunction with environmental metrics, including peak temperatures and the FDEP15 index. Conclusions: The intricate web of demographics, environmental stimuli, and heatwave events profoundly shapes public health trajectories in Paris. As the climate crisis deepens, there's an urgent call for customized healthcare interventions, especially targeting the vulnerable elderly demographic.
英文关键词	Heatwaves; hospitalizations; France; environmental dynamics; public health
语种	英语
WOS研究方向	Health Care Sciences & Services
WOS类目	Health Care Sciences & Services
WOS记录号	WOS:001223127500004
来源期刊	JOURNAL OF HOSPITAL MANAGEMENT AND HEALTH POLICY
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/302017
作者单位	Universite de Montpellier; CHU de Montpellier; Meteo France; Centre National de la Recherche Scientifique (CNRS); CNRS - National Institute for Earth Sciences & Astronomy (INSU); Meteo France; Universite de Montpellier; Institut National de la Sante et de la Recherche Medicale (Inserm)
推荐引用方式 GB/T 7714	Sabri, Rim,Ahikki, Manal,Baehr, Christophe,et al. Impact of heatwaves, demographics, and environment on hospitalization rates in Paris[J],2024,8.
APA	Sabri, Rim,Ahikki, Manal,Baehr, Christophe,Schneider, Michel,&Mercier, Gregoire.(2024).Impact of heatwaves, demographics, and environment on hospitalization rates in Paris.JOURNAL OF HOSPITAL MANAGEMENT AND HEALTH POLICY,8.
MLA	Sabri, Rim,et al."Impact of heatwaves, demographics, and environment on hospitalization rates in Paris".JOURNAL OF HOSPITAL MANAGEMENT AND HEALTH POLICY 8(2024).