Relationship between Meteorological Factors and Emergency Department Visits for Epistaxis in Korea
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background and Objectives Epistaxis may be related to changes in weather, but this relationship has not been well-defined. We investigated the effects of climate fluctuations (temperature, humidity, and barometric pressure) on the number of emergency department (ED) visits for epistaxis. Subjects and Method In total, our study population included 1910 patients who visited the ED of a large, urban hospital during a 5-year period for epistaxis. Patients with clear etiology for epistaxis (trauma, iatrogenic, coagulopathy, and/or hypertension) were excluded, leaving 912 patients for subsequent analysis. Daily climate data was collected through the Korea Meteorological Administration. Correlation between epistaxis ED visits and weather variables were investigated using Poisson distribution and multiple regression analysis. The effect of climate factor was evaluated on the day and up to 3 days prior to ED presentation. Additionally, analyses were conducted separately for children (＜15 years-old), adults (15-64 years-old), and elderly patients (≥65 years-old). Results Changes in the lowest temperature 2 days prior to ED presentation significantly increased the number of ED visits for epistaxis (β=-0.043, p=0.033). No associations were found between the number of ED visits and changes in humidity or atmospheric pressure. However, in children, interday changes in the highest atmospheric pressure between 2 and 3 days prior to ED presentation were both significantly associated with increased number of epistaxis ED visits. Conclusion Cold temperatures 2 days prior to ED presentation were related to the increased incidence of epistaxis. Fluctuations in barometric pressure appear to influence the number of pediatric ED visits for epistaxis. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(4):233-8
Abstract
Background and Objectives Epistaxis may be related to changes in weather, but this relationship has not been well-defined. We investigated the effects of climate fluctuations (temperature, humidity, and barometric pressure) on the number of emergency department (ED) visits for epistaxis. Subjects and Method In total, our study population included 1910 patients who visited the ED of a large, urban hospital during a 5-year period for epistaxis. Patients with clear etiology for epistaxis (trauma, iatrogenic, coagulopathy, and/or hypertension) were excluded, leaving 912 patients for subsequent analysis. Daily climate data was collected through the Korea Meteorological Administration. Correlation between epistaxis ED visits and weather variables were investigated using Poisson distribution and multiple regression analysis. The effect of climate factor was evaluated on the day and up to 3 days prior to ED presentation. Additionally, analyses were conducted separately for children (＜15 years-old), adults (15-64 years-old), and elderly patients (≥65 years-old). Results Changes in the lowest temperature 2 days prior to ED presentation significantly increased the number of ED visits for epistaxis (β=-0.043, p=0.033). No associations were found between the number of ED visits and changes in humidity or atmospheric pressure. However, in children, interday changes in the highest atmospheric pressure between 2 and 3 days prior to ED presentation were both significantly associated with increased number of epistaxis ED visits. Conclusion Cold temperatures 2 days prior to ED presentation were related to the increased incidence of epistaxis. Fluctuations in barometric pressure appear to influence the number of pediatric ED visits for epistaxis. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(4):233-8
참고문헌 (20)
- Dano I, "Experimental surgical treatment for recurrent epistaxis", Am J Otolaryngol, 19(6), pp.357~359 (1998)
- Strachan D, "First-aid treatment of epistaxis--confirmation of widespread ignorance", Postgrad Med J, 74(868), pp.113~114 (1998)
- Murata S, "Statistical analysis of epistaxis (author’s transl)", Nihon Jibiinkoka Gakkai Kaiho, 81(7), pp.655~664 (1978)
- Stopa R, "Causes of epistaxis in relation to season and weather status", HNO, 37(5), pp.198~202 (1989)
- Nunez DA, "Epistaxis: a study of the relationship with weather", Clin Otolaryngol Allied Sci, 15(1), pp.49~51 (1990)
- Tomkinson A, "Patterns of hospital attendance with epistaxis", Rhinology, 35(3), pp.129~131 (1997)
- Reddy VM, "Investigation of the influence of ambient temperature, atmospheric pressure and water vapour pressure on epistaxis admission rate", Rhinology, 48(3), pp.348~351 (2010)
- Bray D, "Epistaxis:are temperature and seasonal variations true factors in incidence?", J Laryngol Otol, 119(9), pp.724~726 (2005)
- Danielides V, "The influence of meteorological factors on the frequency of epistaxis", Clin Otolaryngol Allied Sci, 27(2), pp.84~88 (2002)
- Mireku N, "Changes in weather and the effects on pediatric asthma exacerbations", Ann Allergy Asthma Immunol, 103(3), pp.220~224 (2009)
- Ueda K, "air pollutants, and Asian dust on hospitalization for asthma in Fukuoka", Environ Health Prev Med, 15(6), pp.350~357 (2010)
- Ahrens JH, "Computer methods for sampling from gamma, beta, poisson and binomial distributions", Computing, 12(3), pp.223~246 (1974)
- Daniel BS, "Cummings Otolaryngology-Head & Neck Surgery", pp.2010, Mosby
- Modesti PA, "Weather-related changes in 24-hour blood pressure profile:effects of age and implications for hypertension management", Hypertension, 47(2), pp.155~161 (2006)
- Murray AB, "Allergic rhinitis and recurrent epistaxis in children", Ann Allergy Asthma Immunol, 74(1), pp.30~33 (1995)
- Jáuregui I, "Validation of ARIA (Allergic Rhinitis and its Impact on Asthma)classification in a pediatric population: the PEDRIAL study", Pediatr Allergy Immunol, 22(4), pp.388~392 (2011)
- Jehle D, "The incidence of spontaneous subarachnoid hemorrhage with change in barometric pressure", Am J Emerg Med, 12, pp.90~91 (1994)
- Landers AT, "The effect of changes in barometric pressure on the risk of rupture of intracranial aneurysms", Br J Neurosurg, 11(3), pp.191~195 (1997)
- Setzer M, "The influence of barometric pressure changes and standard meteorological variables on the occurrence and clinical features of subarachnoid hemorrhage", Surg Neurol, 67(3), pp.264~272 (2007)
- Altissimi G, "Epistaxis and climatic events", Acta Otorhinolaryngol Ital, 13(4), pp.319~331 (1993)