Association between ambient temperature and hospitalization for renal diseases in Brazil during 2000-2015: A nationwide case-crossover study

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art_WEN_Association_between_ambient_temperature_and_hospitalization_for_renal_2022.PDF (1.2 MB)
Citações na Scopus
23
Tipo de produção
article
Data de publicação
2022
DOI
Scopus
Web of Science
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER
Autores
WEN, Bo
XU, Rongbin
WU, Yao
GUO, Yuming
LI, Shanshan
Citação
LANCET REGIONAL HEALTH-AMERICAS, v.6, article ID 100101, 13p, 2022
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background Climate change is increasing the risks of injuries, diseases, and deaths globally. However, the association between ambient temperature and renal diseases has not been fully characterized. This study aimed to quantify the risk and attributable burden for hospitalizations of renal diseases related to ambient temperature. Methods Daily hospital admission data from 1816 cities in Brazil were collected during 2000 and 2015. A time-stratified case-crossover design was applied to evaluate the association between temperature and renal diseases. Relative risks (RRs), attributable fractions (AFs), and their confidence intervals (CIs) were calculated to estimate the associations and attributable burden. Findings A total of 2,726,886 hospitalizations for renal diseases were recorded during the study period. For every (1) over barC increase in daily mean temperature, the estimated risk of hospitalization for renal diseases over lag 0-7 days increased by 0 center dot 9% (RR = 1 center dot 009, 95% CI: 1 center dot 008-1 center dot 010) at the national level. The associations between temperature and renal diseases were largest at lag 0 days but remained for lag 1-2 days. The risk was more prominent in females, children aged 0-4 years, and the elderly >= 80 years. 7 center dot 4% ( 95% CI: 5 center dot 2-9 center dot 6%) of hospitalizations for renal diseases could be attributable to the increase of temperature, equating to 202,093 (95% CI: 141,554- 260,594) cases. Interpretation This nationwide study provides robust evidence that more policies should be developed to prevent heat-related hospitalizations and mitigate climate change.
Palavras-chave
Temperature, hospitalization, renal disease, case-crossover study, climate change
URI
https://observatorio.fm.usp.br/handle/OPI/51622
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MPT
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/05
Artigos e Materiais de Revistas Científicas - ODS/13