气候变化领域集成服务门户(CCPortal): Short-Term Changes in Weather Conditions and the Risk of Acute Coronary Syndrome Hospitalization with and without ST-Segment Elevation: A Focus on Vulnerable Subgroups

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DOI	10.3390/medicina60030454
	Short-Term Changes in Weather Conditions and the Risk of Acute Coronary Syndrome Hospitalization with and without ST-Segment Elevation: A Focus on Vulnerable Subgroups
	Rus, Andreea-Alexandra; Lazar, Mihai-Andrei; Negrea, Romeo; Cozlac, Alina-Ramona; Vacarescu, Cristina; Sosdean, Raluca; Luca, Silvia-Ana; Gaita, Dan; Mornos, Cristian
发表日期	2024
ISSN	1010-660X
EISSN	1648-9144
起始页码	60
结束页码	3
卷号	60 期号:3
英文摘要	Background and Objectives: Acute coronary syndrome (ACS), a prevalent global cardiovascular disease and leading cause of mortality, is significantly correlated with meteorological factors. This study aims to analyze the impact of short-term changes in meteorological factors on the risk of ACS, both with and without ST-segment elevation, and to identify vulnerable subgroups. Materials and Methods: Daily ACS admissions and meteorological variables were collected from October 2016 to December 2021. A generalized linear model (GLM) with a Poisson distribution was employed to examine how short-term fluctuations in meteorological parameters influence ACS hospitalizations. Subgroup analyses were conducted to identify the populations most vulnerable to climate change. Results: Multiple regression analyses showed that short-term fluctuations in atmospheric pressure (>= 10 mbar) and air temperature (>= 5 degrees C) seven days prior increased the number of ACS hospitalizations by 58.7% (RR: 1.587; 95% CI: 1.501-1.679) and 55.2% (RR: 1.552; 95% CI: 1.465-1.644), respectively, notably impacting ST-segment elevation myocardial infarctions (STEMIs). The least pronounced association was observed between the daily count of ACS and the variation in relative air humidity (>= 20%), resulting in an 18.4% (RR: 1.184; 95% CI: 1.091-1.286) increase in the risk of hospitalization. Subgroup analysis revealed an increased susceptibility among men and older adults to short-term variations in weather parameters. Conclusions: The findings indicate that short-term changes in weather conditions are associated with an increased risk of ACS hospitalizations, particularly STEMIs. Male and older adult patients exhibit heightened susceptibility to variations in climatic factors. Developing effective preventive strategies is imperative to alleviate the adverse consequences of these environmental risk factors.
英文关键词	acute coronary syndrome; climate changes; meteorological factors; older adult patients; vulnerable subgroups; environmental risk factors
语种	英语
WOS研究方向	General & Internal Medicine
WOS类目	Medicine, General & Internal
WOS记录号	WOS:001192475600001
来源期刊	MEDICINA-LITHUANIA
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/302839
作者单位	Victor Babes University of Medicine & Pharmacy, Timisoara; Universitatea Politehnica Timisoara
推荐引用方式 GB/T 7714	Rus, Andreea-Alexandra,Lazar, Mihai-Andrei,Negrea, Romeo,et al. Short-Term Changes in Weather Conditions and the Risk of Acute Coronary Syndrome Hospitalization with and without ST-Segment Elevation: A Focus on Vulnerable Subgroups[J],2024,60(3).
APA	Rus, Andreea-Alexandra.,Lazar, Mihai-Andrei.,Negrea, Romeo.,Cozlac, Alina-Ramona.,Vacarescu, Cristina.,...&Mornos, Cristian.(2024).Short-Term Changes in Weather Conditions and the Risk of Acute Coronary Syndrome Hospitalization with and without ST-Segment Elevation: A Focus on Vulnerable Subgroups.MEDICINA-LITHUANIA,60(3).
MLA	Rus, Andreea-Alexandra,et al."Short-Term Changes in Weather Conditions and the Risk of Acute Coronary Syndrome Hospitalization with and without ST-Segment Elevation: A Focus on Vulnerable Subgroups".MEDICINA-LITHUANIA 60.3(2024).