气候变化领域集成服务门户(CCPortal): Tropical cyclone exposure is associated with increased hospitalization rates in older adults

CCPortal

DOI	10.1038/s41467-021-21777-1
	Tropical cyclone exposure is associated with increased hospitalization rates in older adults
	Parks R.M.; Anderson G.B.; Nethery R.C.; Navas-Acien A.; Dominici F.; Kioumourtzoglou M.-A.
发表日期	2021
ISSN	2041-1723
卷号	12 期号:1
英文摘要	Hurricanes and other tropical cyclones have devastating effects on society. Previous case studies have quantified their impact on some health outcomes for particular tropical cyclones, but a comprehensive assessment over longer periods is currently missing. Here, we used data on 70 million Medicare hospitalizations and tropical cyclone exposures over 16 years (1999–2014). We formulated a conditional quasi-Poisson model to examine how tropical cyclone exposure (days greater than Beaufort scale gale-force wind speed; ≥34 knots) affect hospitalizations for 13 mutually-exclusive, clinically-meaningful causes. We found that tropical cyclone exposure was associated with average increases in hospitalizations from several causes over the week following exposure, including respiratory diseases (14.2%; 95% confidence interval [CI]: 10.9–17.9%); infectious and parasitic diseases (4.3%; 95%CI: 1.2–8.1%); and injuries (8.7%; 95%CI: 6.0–11.8%). Average decadal tropical cyclone exposure in all impacted counties would be associated with an estimated 16,772 (95%CI: 8,265–25,278) additional hospitalizations. Our findings demonstrate the need for targeted preparedness strategies for hospital personnel before, during, and after tropical cyclones. © 2021, The Author(s).
语种	英语
scopus关键词	aged; Article; cardiovascular disease; chronic obstructive lung disease; connective tissue disease; digestive system disease; endocrine disease; hospitalization; human; hurricane; infection; injury; major clinical study; malignant neoplasm; medicare; mental disease; neurologic disease; parasitosis; respiratory tract disease; upper respiratory tract infection; urogenital tract disease; wind speed; communicable disease; confidence interval; environment; hospitalization; injury; interdisciplinary education; lung disease; parasitosis; public health; risk factor; United States; wind; Aged; Communicable Diseases; Confidence Intervals; Cyclonic Storms; Environment; Hospitalization; Humans; Interdisciplinary Studies; Lung Diseases; Medicare; Parasitic Diseases; Public Health; Risk Factors; United States; Wind; Wounds and Injuries
来源期刊	Nature Communications
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/250749
作者单位	The Earth Institute, Columbia University, New York, NY, United States; Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, United States; Department of Environmental & Radiological Health Sciences, Colorado State University, Fort Collins, CO, United States; Department of Biostatistics, T. H. Chan School of Public Health, Harvard University, Boston, MA, United States
推荐引用方式 GB/T 7714	Parks R.M.,Anderson G.B.,Nethery R.C.,et al. Tropical cyclone exposure is associated with increased hospitalization rates in older adults[J],2021,12(1).
APA	Parks R.M.,Anderson G.B.,Nethery R.C.,Navas-Acien A.,Dominici F.,&Kioumourtzoglou M.-A..(2021).Tropical cyclone exposure is associated with increased hospitalization rates in older adults.Nature Communications,12(1).
MLA	Parks R.M.,et al."Tropical cyclone exposure is associated with increased hospitalization rates in older adults".Nature Communications 12.1(2021).