Seasonal impact of diurnal temperature range on intracerebral hemorrhage in middle-aged and elderly people in central China
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
OBJECTIVES: This study investigated the seasonal impact of diurnal temperature range (DTR) on hospitalization rates for intracerebral hemorrhage (ICH) in middle-aged and elderly adults.METHODS: We collected data on the DTR and hospitalization records of ≥45-year-old patients with ICH in 2019 in Hunan Province, central China. Time-series analyses were performed using a distributed lag non-linear model.RESULTS: Overall, 54,690 hospitalizations for ICH were recorded. DTR showed a non-linear relationship with ICH hospitalization in both middle-aged and elderly populations (45-59 and ≥60 years, respectively). During spring, a low DTR coupled with persistently low temperatures increased ICH risk in both age groups, while a high DTR was associated with an increased risk in the middle-aged group only (relative risk [RR], 1.24; 95% confidence interval [CI], 1.21 to 1.27). In the summer, a low DTR combined with persistently high temperatures was linked to a higher risk exclusively in the middle-aged group. A high DTR in the autumn was correlated with increased risk in both age groups. In winter, either a low DTR with a continuously low temperature or a high DTR elevated the risk solely in the elderly population (RR, 1.37; 95% CI, 1.00 to 1.69). In the elderly group, the impact of DTR on hospitalization risk manifested within a 5-day period.CONCLUSIONS: The impact of DTR on ICH hospitalization risk differed significantly across seasons and between age groups. Elderly individuals demonstrated greater sensitivity to the impact of DTR. Weather forecasting services should emphasize DTR values, and interventions targeting sensitive populations are needed.
Abstract
OBJECTIVES: This study investigated the seasonal impact of diurnal temperature range (DTR) on hospitalization rates for intracerebral hemorrhage (ICH) in middle-aged and elderly adults.METHODS: We collected data on the DTR and hospitalization records of ≥45-year-old patients with ICH in 2019 in Hunan Province, central China. Time-series analyses were performed using a distributed lag non-linear model.RESULTS: Overall, 54,690 hospitalizations for ICH were recorded. DTR showed a non-linear relationship with ICH hospitalization in both middle-aged and elderly populations (45-59 and ≥60 years, respectively). During spring, a low DTR coupled with persistently low temperatures increased ICH risk in both age groups, while a high DTR was associated with an increased risk in the middle-aged group only (relative risk [RR], 1.24; 95% confidence interval [CI], 1.21 to 1.27). In the summer, a low DTR combined with persistently high temperatures was linked to a higher risk exclusively in the middle-aged group. A high DTR in the autumn was correlated with increased risk in both age groups. In winter, either a low DTR with a continuously low temperature or a high DTR elevated the risk solely in the elderly population (RR, 1.37; 95% CI, 1.00 to 1.69). In the elderly group, the impact of DTR on hospitalization risk manifested within a 5-day period.CONCLUSIONS: The impact of DTR on ICH hospitalization risk differed significantly across seasons and between age groups. Elderly individuals demonstrated greater sensitivity to the impact of DTR. Weather forecasting services should emphasize DTR values, and interventions targeting sensitive populations are needed.
참고문헌 (50)
- Hostettler IC, "Intracerebral hemorrhage : an update on diagnosis and treatment", Expert Rev Neurother, 19, pp.679~694 (2019)[DOI]
- Schrag M, "Management of intracerebral hemorrhage : JACC focus seminar", J Am Coll Cardiol, 75, pp.1819~1831 (2020)[DOI]
- Guo H, "Screening and identification of biomarkers associated with the immune infiltration of intracerebral hemorrhage", J Clin Lab Anal, 36, pp.e24361~ (2022)[DOI]
- Liebetrau M, "Stroke in 85-year-olds : prevalence, incidence, risk factors, and relation to mortality and dementia", Stroke, 34, pp.2617~2622 (2003)[DOI]
- GBD 2019 Diseases and Injuries Collaborators, "Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019 : a systematic analysis for the Global Burden of Disease Study 2019", Lancet, 396, pp.1204~1222 (2020)[DOI]
- Ma Q, "Temporal trend and attributable risk factors of stroke burden in China, 1990-2019 : an analysis for the Global Burden of Disease Study 2019", Lancet Public Health, 6, pp.e897~e906 (2021)[DOI]
- Alimohammadi E, "Baseline neutrophil-lymphocyte ratio can be associated with hematoma expansion in patients with intracerebral hemorrhage : a retrospective observational study", BMC Neurosci, 23, pp.18~ (2022)[DOI]
- Olié V, "Patients hospitalized for ischemic stroke and intracerebral hemorrhage in France : time trends(2008-2019), in-hospital outcomes, age and sex differences", J Clin Med, 11, pp.1669~ (2022)[DOI]
- Ma P, "Differences of hemorrhagic and ischemic strokes in age spectra and responses to climatic thermal conditions", Sci Total Environ, 644, pp.1573~1579 (2018)[DOI]
- Wang W, "Prevalence, incidence, and mortality of stroke in China : results from a nationwide population-based survey of 480 687 adults", Circulation, 135, pp.759~771 (2017)[DOI]
- Smajlović D, "Strokes in young adults : epidemiology and prevention", Vasc Health Risk Manag, 11, pp.157~164 (2015)[DOI]
- Patz JA, "Impact of regional climate change on human health", Nature, 438, pp.310~317 (2005)[DOI]
- Caprio FZ, "Cerebrovascular disease : primary and secondary stroke prevention", Med Clin North Am, 103, pp.295~308 (2019)[DOI]
- Broderick J, "Guidelines for the management of spontaneous intracerebral hemorrhage in adults : 2007 update : a guideline from the American Heart Association", American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group, 2007, pp.38, 2001~2023
- Wu X, "Prevalence, incidence, and mortality of stroke in the chinese island populations : a systematic review", PLoS One, 8, pp.e78629~ (2013)[DOI]
- Guzik A, "Stroke epidemiology and risk factor management", Continuum(Minneap Minn), 23, pp.15~39 (2017)[DOI]
- Luo Y, "The cold effect of ambient temperature on ischemic and hemorrhagic stroke hospital admissions : a large database study in Beijing, China between years 2013 and 2014-utilizing a distributed lag non-linear analysis", Environ Pollut, 232, pp.90~96 (2018)[DOI]
- Chiu HC, "To explore intracerebral hematoma with a hybrid approach and combination of discriminative factors", Methods Inf Med, 55, pp.450~454 (2016)[DOI]
- Hankey GJ, "Secondary stroke prevention", Lancet Neurol, 13, pp.178~194 (2014)[DOI]
- Ly J, "Stroke and aging", Rev Med Liege, 69, pp.315~317 (2014)
- Mirzaei H, "Stroke in women : risk factors and clinical biomarkers", J Cell Biochem, 118, pp.4191~4202 (2017)[DOI]
- Sarikaya H, "Stroke prevention--medical and lifestyle measures", Eur Neurol, 73, pp.150~157 (2015)[DOI]
- Roy-O’Reilly M, "Age and sex are critical factors in ischemic stroke pathology", Endocrinology, 159, pp.3120~3131 (2018)[DOI]
- Foster L, "Effect of deferoxamine on trajectory of recovery after intracerebral hemorrhage : a post hoc analysis of the i-DEF trial", Stroke, 53, pp.2204~2210 (2022)[DOI]
- Lei L, "Effects of diurnal temperature range on first-ever strokes in different seasons : a time-series study in Shenzhen, China", BMJ Open, 10, pp.e033571~ (2020)[DOI]
- Anadani M, "Race", ethnicity and response to blood pressure lowering treatment after intracerebral hemorrhage, 2021, pp.6, 343~348
- Grundtvig J, "Sex-differences in oral anticoagulant-related intracerebral hemorrhage", Front Neurol, 13, pp.832903~ (2022)[DOI]
- Hsieh MT, "Validation of stroke risk factors in patients with acute ischemic stroke, transient ischemic attack, or intracerebral hemorrhage on Taiwan’s National Health Insurance claims data", Clin Epidemiol, 14, pp.327~335 (2022)[DOI]
- Lavados PM, "Ambient temperature and stroke risk : evidence supporting a short-term effect at a population level from acute environmental exposures", Stroke, 49, pp.255~261 (2018)[DOI]
- Tian Y, "Association between ambient air pollution and daily hospital admissions for ischemic stroke : a nationwide time-series analysis", PLoS Med, 15, pp.e1002668~ (2018)[DOI]
- He Y, "Effect modification of the association between diurnal temperature range and hospitalisations for ischaemic stroke by temperature in Hefei, China", Public Health, 194, pp.208~215 (2021)[DOI]
- Estol CJ, "Is breathing our polluted air a risk factor for stroke?", Int J Stroke, 14, pp.340~350 (2019)[DOI]
- Chu SY, "Temperature and precipitation associate with ischemic stroke outcomes in the United States", J Am Heart Assoc, 7, pp.e010020~ (2018)[DOI]
- Lichtman JH, "Average temperature, diurnal temperature variation, and stroke hospitalizations", J Stroke Cerebrovasc Dis, 25, pp.1489~1494 (2016)[DOI]
- Ding Z, "High diurnal temperature range and mortality : effect modification by individual characteristics and mortality causes in a case-only analysis", Sci Total Environ, 544, pp.627~634 (2016)[DOI]
- Yang J, "Diurnal temperature range in relation to death from stroke in China", Environ Res, 164, pp.669~675 (2018)[DOI]
- Ponjoan A, "Extreme diurnal temperature range and cardiovascular emergency hospitalisations in a Mediterranean region", Occup Environ Med, 78, pp.62~68 (2021)[DOI]
- Vered S, "High ambient temperature in summer and risk of stroke or transient ischemic attack : a national study in Israel", Environ Res, 187, pp.109678~ (2020)[DOI]
- "Splendid xiaoxiang" (2023)[URL]
- He W, "The epidemiological characteristics of stroke in Hunan Province, China", Front Neurol, 9, pp.583~ (2018)[DOI]
- Ge J, "Internal medicine" (2018), People’s Health Publishing House
- Chen R, "Association between ambient temperature and mortality risk and burden : time series study in 272 main Chinese cities", BMJ, 363, pp.k4306~ (2018)[DOI]
- Tian Y, "Association between temperature variability and daily hospital admissions for cause-specific cardiovascular disease in urban China : a national time-series study", PLoS Med, 16, pp.e1002738~ (2019)[DOI]
- Krishnamurthi RV, "Global, regional and country-specific burden of ischaemic stroke, intracerebral haemorrhage and subarachnoid haemorrhage : a systematic analysis of the Global Burden of Disease Study 2017", Neuroepidemiology, 54, pp.171~179 (2020)[DOI]
- Agyemang C, "Socioeconomic inequalities in stroke incidence among migrant groups : analysis of nationwide data", Stroke, 45, pp.2397~2403 (2014)[DOI]
- Lian H, "Short-term effect of ambient temperature and the risk of stroke : a systematic review and meta-analysis", Int J Environ Res Public Health, 12, pp.9068~9088 (2015)[DOI]
- Cheng J, "Impact of diurnal temperature range on human health : a systematic review", Int J Biometeorol, 58, pp.2011~2024 (2014)[DOI]
- Ruiz-Sandoval JL, "Hospital arrival and functional outcome after intracerebral hemorrhage", Rev Invest Clin, 74, pp.51~60 (2022)[DOI]
- Pinho J, "Intracerebral hemorrhage outcome : a comprehensive update", J Neurol Sci, 398, pp.54~66 (2019)[DOI]
- Hostettler IC, "Intracerebral hemorrhage : an update on diagnosis and treatment", Expert Rev Neurother, 19, pp.679~694 (2019)[DOI]
