The Impact of Heatwaves on Community Morbidity and Healthcare Usage: A Retrospective Observational Study Using Real-Time Syndromic Surveillance
We investigated the impact of a moderate heatwave on a range of presenting morbidities in England. Asthma, difficulty breathing, cerebrovascular accident, and cardiovascular symptoms were analysed using general practitioner in hours (GPIH), out of hours (GPOOH) and emergency department (ED) syndromi...
Gespeichert in:
| Veröffentlicht in: | International journal of environmental research and public health 2016-01, Vol.13 (1), p.1-1 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1 |
|---|---|
| container_issue | 1 |
| container_start_page | 1 |
| container_title | International journal of environmental research and public health |
| container_volume | 13 |
| creator | Smith, Sue Elliot, Alex J Hajat, Shakoor Bone, Angie Bates, Chris Smith, Gillian E Kovats, Sari |
| description | We investigated the impact of a moderate heatwave on a range of presenting morbidities in England. Asthma, difficulty breathing, cerebrovascular accident, and cardiovascular symptoms were analysed using general practitioner in hours (GPIH), out of hours (GPOOH) and emergency department (ED) syndromic surveillance systems. Data were stratified by age group and compared between a heatwave year (2013) and non-heatwave years (2012, 2014). Incidence rate ratios were calculated to estimate the differential impact of heatwave compared to non-heatwave summers: there were no apparent differences for the morbidities tested between the 2013 heatwave and non-heatwave years. A subset of GPIH data were used to study individuals at higher risk from heatwaves based on their pre-existing disease. Higher risk patients were not more likely to present at GPs or ED than other individuals. Comparing GPIH consultations and ED attendances for myocardial infarction/ischaemia (MI), there was evidence of a fall in the presentation of MI during the heatwave, which was particularly noted in the 65-74 years age group (and over 75 years in ED attendances). These results indicate the difficulty in identifying individuals at risk from non-fatal health effects of heatwaves and hot weather. |
| doi_str_mv | 10.3390/ijerph13010132 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4730523</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1768577291</sourcerecordid><originalsourceid>FETCH-LOGICAL-c451t-b4728abd40cd247c92e6aeff1435333fa6e272fe3d34b30fe99a501ea96e0cd33</originalsourceid><addsrcrecordid>eNqNkk1v1DAQhi0EoqVw5YgsceklxV_54oBUrYBWKqrEbs_WxJnsepXEwXaC9lf0LzehpWo5cZqR5plX8_ES8p6zMylL9snu0Q87LhlnXIoX5JhnGUtUxvjLJ_kReRPCnjFZqKx8TY5ElhdKcHVMbjc7pJfdACZS19ALhPgbJgzU9XTlum7sbTzQH85Xtl4y6OsFauPOgEd6E2CLn-k5_YnRuzCgiXZCel0F9BNE63po6TqO9WFGbb-dOWiTje2Qrg997V1nDV2PfkLbttAbfEteNdAGfPcQT8jNt6-b1UVydf39cnV-lRiV8phUKhcFVLViphYqN6XADLBpuJKplLKBDEUuGpS1VJVkDZYlpIwjlBnOLVKekC_3usNYdVgb7KOHVg_eduAP2oHVzyu93emtm7TKJUvFInD6IODdrxFD1J0NBpct0I1B8zwr0jwXJf8flJXzc_JF9eM_6N6Nfj7iH0pJpgQrZursnjLzzYPH5nFuzvRiC_3cFnPDh6fbPuJ_fSDvAAedtts</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1764304208</pqid></control><display><type>article</type><title>The Impact of Heatwaves on Community Morbidity and Healthcare Usage: A Retrospective Observational Study Using Real-Time Syndromic Surveillance</title><source>MEDLINE</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Smith, Sue ; Elliot, Alex J ; Hajat, Shakoor ; Bone, Angie ; Bates, Chris ; Smith, Gillian E ; Kovats, Sari</creator><creatorcontrib>Smith, Sue ; Elliot, Alex J ; Hajat, Shakoor ; Bone, Angie ; Bates, Chris ; Smith, Gillian E ; Kovats, Sari</creatorcontrib><description>We investigated the impact of a moderate heatwave on a range of presenting morbidities in England. Asthma, difficulty breathing, cerebrovascular accident, and cardiovascular symptoms were analysed using general practitioner in hours (GPIH), out of hours (GPOOH) and emergency department (ED) syndromic surveillance systems. Data were stratified by age group and compared between a heatwave year (2013) and non-heatwave years (2012, 2014). Incidence rate ratios were calculated to estimate the differential impact of heatwave compared to non-heatwave summers: there were no apparent differences for the morbidities tested between the 2013 heatwave and non-heatwave years. A subset of GPIH data were used to study individuals at higher risk from heatwaves based on their pre-existing disease. Higher risk patients were not more likely to present at GPs or ED than other individuals. Comparing GPIH consultations and ED attendances for myocardial infarction/ischaemia (MI), there was evidence of a fall in the presentation of MI during the heatwave, which was particularly noted in the 65-74 years age group (and over 75 years in ED attendances). These results indicate the difficulty in identifying individuals at risk from non-fatal health effects of heatwaves and hot weather.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph13010132</identifier><identifier>PMID: 26784214</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Asthma - epidemiology ; Child ; Child, Preschool ; Climate ; Coronary Artery Disease - epidemiology ; Emergency medical care ; Emergency Service, Hospital - statistics & numerical data ; England - epidemiology ; Female ; Heat ; Hot Temperature ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Morbidity ; Retrospective Studies ; Seasons ; Stroke - epidemiology ; Telemedicine ; Young Adult</subject><ispartof>International journal of environmental research and public health, 2016-01, Vol.13 (1), p.1-1</ispartof><rights>Copyright Molecular Diversity Preservation International Jan 2016</rights><rights>2016 by the authors; licensee MDPI, Basel, Switzerland. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-b4728abd40cd247c92e6aeff1435333fa6e272fe3d34b30fe99a501ea96e0cd33</citedby><cites>FETCH-LOGICAL-c451t-b4728abd40cd247c92e6aeff1435333fa6e272fe3d34b30fe99a501ea96e0cd33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4730523/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4730523/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26784214$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Smith, Sue</creatorcontrib><creatorcontrib>Elliot, Alex J</creatorcontrib><creatorcontrib>Hajat, Shakoor</creatorcontrib><creatorcontrib>Bone, Angie</creatorcontrib><creatorcontrib>Bates, Chris</creatorcontrib><creatorcontrib>Smith, Gillian E</creatorcontrib><creatorcontrib>Kovats, Sari</creatorcontrib><title>The Impact of Heatwaves on Community Morbidity and Healthcare Usage: A Retrospective Observational Study Using Real-Time Syndromic Surveillance</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>We investigated the impact of a moderate heatwave on a range of presenting morbidities in England. Asthma, difficulty breathing, cerebrovascular accident, and cardiovascular symptoms were analysed using general practitioner in hours (GPIH), out of hours (GPOOH) and emergency department (ED) syndromic surveillance systems. Data were stratified by age group and compared between a heatwave year (2013) and non-heatwave years (2012, 2014). Incidence rate ratios were calculated to estimate the differential impact of heatwave compared to non-heatwave summers: there were no apparent differences for the morbidities tested between the 2013 heatwave and non-heatwave years. A subset of GPIH data were used to study individuals at higher risk from heatwaves based on their pre-existing disease. Higher risk patients were not more likely to present at GPs or ED than other individuals. Comparing GPIH consultations and ED attendances for myocardial infarction/ischaemia (MI), there was evidence of a fall in the presentation of MI during the heatwave, which was particularly noted in the 65-74 years age group (and over 75 years in ED attendances). These results indicate the difficulty in identifying individuals at risk from non-fatal health effects of heatwaves and hot weather.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Asthma - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Climate</subject><subject>Coronary Artery Disease - epidemiology</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>England - epidemiology</subject><subject>Female</subject><subject>Heat</subject><subject>Hot Temperature</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Retrospective Studies</subject><subject>Seasons</subject><subject>Stroke - epidemiology</subject><subject>Telemedicine</subject><subject>Young Adult</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNkk1v1DAQhi0EoqVw5YgsceklxV_54oBUrYBWKqrEbs_WxJnsepXEwXaC9lf0LzehpWo5cZqR5plX8_ES8p6zMylL9snu0Q87LhlnXIoX5JhnGUtUxvjLJ_kReRPCnjFZqKx8TY5ElhdKcHVMbjc7pJfdACZS19ALhPgbJgzU9XTlum7sbTzQH85Xtl4y6OsFauPOgEd6E2CLn-k5_YnRuzCgiXZCel0F9BNE63po6TqO9WFGbb-dOWiTje2Qrg997V1nDV2PfkLbttAbfEteNdAGfPcQT8jNt6-b1UVydf39cnV-lRiV8phUKhcFVLViphYqN6XADLBpuJKplLKBDEUuGpS1VJVkDZYlpIwjlBnOLVKekC_3usNYdVgb7KOHVg_eduAP2oHVzyu93emtm7TKJUvFInD6IODdrxFD1J0NBpct0I1B8zwr0jwXJf8flJXzc_JF9eM_6N6Nfj7iH0pJpgQrZursnjLzzYPH5nFuzvRiC_3cFnPDh6fbPuJ_fSDvAAedtts</recordid><startdate>20160116</startdate><enddate>20160116</enddate><creator>Smith, Sue</creator><creator>Elliot, Alex J</creator><creator>Hajat, Shakoor</creator><creator>Bone, Angie</creator><creator>Bates, Chris</creator><creator>Smith, Gillian E</creator><creator>Kovats, Sari</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7ST</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>SOI</scope><scope>5PM</scope></search><sort><creationdate>20160116</creationdate><title>The Impact of Heatwaves on Community Morbidity and Healthcare Usage: A Retrospective Observational Study Using Real-Time Syndromic Surveillance</title><author>Smith, Sue ; Elliot, Alex J ; Hajat, Shakoor ; Bone, Angie ; Bates, Chris ; Smith, Gillian E ; Kovats, Sari</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-b4728abd40cd247c92e6aeff1435333fa6e272fe3d34b30fe99a501ea96e0cd33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Asthma - epidemiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Climate</topic><topic>Coronary Artery Disease - epidemiology</topic><topic>Emergency medical care</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>England - epidemiology</topic><topic>Female</topic><topic>Heat</topic><topic>Hot Temperature</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Retrospective Studies</topic><topic>Seasons</topic><topic>Stroke - epidemiology</topic><topic>Telemedicine</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smith, Sue</creatorcontrib><creatorcontrib>Elliot, Alex J</creatorcontrib><creatorcontrib>Hajat, Shakoor</creatorcontrib><creatorcontrib>Bone, Angie</creatorcontrib><creatorcontrib>Bates, Chris</creatorcontrib><creatorcontrib>Smith, Gillian E</creatorcontrib><creatorcontrib>Kovats, Sari</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Environment Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Environment Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smith, Sue</au><au>Elliot, Alex J</au><au>Hajat, Shakoor</au><au>Bone, Angie</au><au>Bates, Chris</au><au>Smith, Gillian E</au><au>Kovats, Sari</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Heatwaves on Community Morbidity and Healthcare Usage: A Retrospective Observational Study Using Real-Time Syndromic Surveillance</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2016-01-16</date><risdate>2016</risdate><volume>13</volume><issue>1</issue><spage>1</spage><epage>1</epage><pages>1-1</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>We investigated the impact of a moderate heatwave on a range of presenting morbidities in England. Asthma, difficulty breathing, cerebrovascular accident, and cardiovascular symptoms were analysed using general practitioner in hours (GPIH), out of hours (GPOOH) and emergency department (ED) syndromic surveillance systems. Data were stratified by age group and compared between a heatwave year (2013) and non-heatwave years (2012, 2014). Incidence rate ratios were calculated to estimate the differential impact of heatwave compared to non-heatwave summers: there were no apparent differences for the morbidities tested between the 2013 heatwave and non-heatwave years. A subset of GPIH data were used to study individuals at higher risk from heatwaves based on their pre-existing disease. Higher risk patients were not more likely to present at GPs or ED than other individuals. Comparing GPIH consultations and ED attendances for myocardial infarction/ischaemia (MI), there was evidence of a fall in the presentation of MI during the heatwave, which was particularly noted in the 65-74 years age group (and over 75 years in ED attendances). These results indicate the difficulty in identifying individuals at risk from non-fatal health effects of heatwaves and hot weather.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>26784214</pmid><doi>10.3390/ijerph13010132</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1660-4601 |
| ispartof | International journal of environmental research and public health, 2016-01, Vol.13 (1), p.1-1 |
| issn | 1660-4601 1661-7827 1660-4601 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4730523 |
| source | MEDLINE; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Asthma - epidemiology Child Child, Preschool Climate Coronary Artery Disease - epidemiology Emergency medical care Emergency Service, Hospital - statistics & numerical data England - epidemiology Female Heat Hot Temperature Humans Incidence Infant Infant, Newborn Male Middle Aged Morbidity Retrospective Studies Seasons Stroke - epidemiology Telemedicine Young Adult |
| title | The Impact of Heatwaves on Community Morbidity and Healthcare Usage: A Retrospective Observational Study Using Real-Time Syndromic Surveillance |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T00%3A39%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Impact%20of%20Heatwaves%20on%20Community%20Morbidity%20and%20Healthcare%20Usage:%20A%20Retrospective%20Observational%20Study%20Using%20Real-Time%20Syndromic%20Surveillance&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Smith,%20Sue&rft.date=2016-01-16&rft.volume=13&rft.issue=1&rft.spage=1&rft.epage=1&rft.pages=1-1&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph13010132&rft_dat=%3Cproquest_pubme%3E1768577291%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1764304208&rft_id=info:pmid/26784214&rfr_iscdi=true |