气候变化领域集成服务门户(CCPortal): Association of cause-specific hospital admissions with high and low temperatures in Thailand: a nationwide time series study

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DOI	10.1016/j.lanwpc.2024.101058
	Association of cause-specific hospital admissions with high and low temperatures in Thailand: a nationwide time series study
	Wen, Bo; Kliengchuay, Wissanupong; Suwanmanee, San; Aung, Htoo Wai; Sahanavin, Narut; Siriratruengsuk, Weerayut; Kawichai, Sawaeng; Tawatsupa, Benjawan; Xu, Rongbin; Li, Shanshan; Guo, Yuming; Tantrakarnapa, Kraichat
发表日期	2024
EISSN	2666-6065
起始页码	46
卷号	46
英文摘要	Background Non -optimum temperatures are associated with a considerable mortality burden. However, evidence of temperature with all -cause and cause -specific hospital admissions in tropical countries like Thailand is still limited. Methods Daily all -cause and cause -specific hospital admissions for outpatient and inpatient visits were collected from 77 provinces in Thailand from January 2013 to August 2019. A two -stage time -series approach was applied to assess the association between non -optimum temperatures and hospital admission. We firstfitted the province -specific temperature -morbidity association and then obtained the national association in the second stage using a randomeffects meta -analysis regression. The attributable fraction (AF) of hospital admissions with 95% empirical con fi dence interval (eCI) was calculated. Findings A total of 878,513,460 all -cause outpatient admissions and 32,616,600 all -cause inpatient admissions were included in this study. We observed a J -shaped relationship with the risk of hospital admissions increasing for both cold and hot temperatures. The overall AFs of all -cause hospital admissions due to non -optimum temperatures were 7.57% (95% eCI: 6.47%, 8.39%) for outpatient visits and 6.17% (95% eCI: 4.88%, 7.20%) for inpatient visits. Hot temperatures were responsible for most of the AFs of hospital admissions, with 6.71% (95% eCI: 5.80%, 7.41%) for outpatient visits and 4.50% (95% eCI: 3.62%, 5.19%) for inpatient visits. The burden of hospital admissions was greater in females and in children and adolescents (0 - 19 years). The fractions of hospital admissions attributable to non -optimum temperatures exhibited variation among disease categories and geographical areas. Interpretation The results indicate that low and high temperature has a significant impact on hospital admissions, especially among the females, and children and adolescents (0 - 19 years). The current investigation could provide evidence for policymakers to develop adaptation strategies and mitigate the adverse effects of climate change on public health in Thailand and other tropical countries. Copyright (c) 2024 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). Keywords: High and low temperatures; Cause -speci fi c hospital admissions; Nationwide study
英文关键词	High and low temperatures; Cause -speci fi c hospital admissions; Nationwide study
语种	英语
WOS研究方向	Health Care Sciences & Services ; Public, Environmental & Occupational Health
WOS类目	Health Care Sciences & Services ; Public, Environmental & Occupational Health
WOS记录号	WOS:001224101900001
来源期刊	LANCET REGIONAL HEALTH-WESTERN PACIFIC
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/305694
作者单位	Monash University; Mahidol University; Mahidol University; Mahidol University; Srinakharinwirot University; Mae Fah Luang University; Chiang Mai University; Ministry of Public Health - Thailand
推荐引用方式 GB/T 7714	Wen, Bo,Kliengchuay, Wissanupong,Suwanmanee, San,et al. Association of cause-specific hospital admissions with high and low temperatures in Thailand: a nationwide time series study[J],2024,46.
APA	Wen, Bo.,Kliengchuay, Wissanupong.,Suwanmanee, San.,Aung, Htoo Wai.,Sahanavin, Narut.,...&Tantrakarnapa, Kraichat.(2024).Association of cause-specific hospital admissions with high and low temperatures in Thailand: a nationwide time series study.LANCET REGIONAL HEALTH-WESTERN PACIFIC,46.
MLA	Wen, Bo,et al."Association of cause-specific hospital admissions with high and low temperatures in Thailand: a nationwide time series study".LANCET REGIONAL HEALTH-WESTERN PACIFIC 46(2024).