國家衛生研究院 NHRI:Item 3990099045/11436

NHRI > National Institute of Environmental Health Sciences > Yue-Liang Guo > Periodical Articles > Item 3990099045/11436

Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/11436

Title:	Pre-existing comorbidity modify emergency room visit for out-of-hospital cardiac arrest in association with ambient environments
Authors:	Wang, YC;Chen, YC;Ko, CY;Guo, YL;Sung, FC
Contributors:	National Institute of Environmental Health Sciences
Abstract:	BACKGROUND: This study evaluated risks of emergency room visit (ERV) for out-of-hospital cardiac arrest (OHCA) in 2005-2011, among patients with cardiologic and metabolic syndromes (CMS), in association with ambient environments. METHODS: Pooled and area-specific weather related cumulative six-day (lags 0 to 5) relative risks (RRs) and confidence intervals (CIs) of ERV for OHCA were evaluated for CMS cases, using distributed lag nonlinear models and multivariate meta-analytical second-stage model in association with the daily average temperatures and daily concentrations of air pollutants. RESULTS: ERV risk increased as average temperature dropped to <27 degrees C. At the mean temperature of 14 degrees C, the cumulative six-day RRs of ERV were 1.73 (95% CI: 1.22, 2.46) for all OHCA patients, 1.74 (95% CI: 1.06, 2.84) for OHCA patients younger than 65 years old, and 1.99 (95% CI: 1.03, 3.81) for subjects with pre-existing hypertension. High temperature was also associated with elevated ERV of OHCA. Increased ERV risks in cases with pre-existing hypertension and diabetes mellitus were also associated with concentrations of air pollutants in northern Taiwan. CONCLUSIONS: Our data provided evidences to clinicians, emerging medical services and public health that the ERV risk for OHCA patients is greater at low temperature than at high temperature. Patients with cardio and metabolic disorders need to pay greater attention to low temperature and avoid heat wave.
Date:	2018-09-26
Relation:	PLoS ONE. 2018 Sep 26;13(9):Article number e0204593.
Link to:	http://dx.doi.org/10.1371/journal.pone.0204593
JIF/Ranking 2023:	http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=1932-6203&DestApp=IC2JCR
Cited Times(WOS):	https://www.webofscience.com/wos/woscc/full-record/WOS:000446000200055
Cited Times(Scopus):	https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85054092682
Appears in Collections:	[Yue-Liang Guo] Periodical Articles

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