High ambient temperature impact on the pattern of emergency-room visits due to renal colic in the Middle East
Urolithiasis - 2024
Tóm tắt
Urolithiasis has a seasonal pattern, with an established increase in incidence during the summer months. This study aims to assess the impact of high ambient temperatures on emergency room (ER) visits related to renal colic (RC) in a Middle Eastern country over the past decade. Population data were extracted using the MDClone Big Data platform. We recorded demographic and clinical data on all RC-associated ER visits from January 2012 to April 2023 and calculated the heat index (HI) that combines daily average coastal plane temperatures and humidity percentages. There was a total of 12,770 ER visits (median age 48 years, 9,236 (72%) males). The number of visits increased during the hottest months (July-October), with the highest numbers recorded during August. The number of visits remained stable throughout the study. We identified a linear association between humidity and the incidence of ER visits (p = 0.002), and a non-linear association between ambient temperature (p < 0.0001) and HI (p < 0.0001). There was a direct relationship between high temperatures and ER visits on the same day (risk ratio [RR]: 1.75, p = 0.036), with a 2-day lag (RR: 1.123, p = 0.024). In Conclusion, there is a significant relationship between temperature, humidity, HI, and the number of ER visits due to RC. Adjusted resource allocation and healthcare workforce availability are essential for managing additional cases during heat waves. Clinical implications: Increased demand is expected during heatwaves and within a 2-day lag, emphasizing the importance of proactive strategies to effectively manage RC patients.
Từ khóa
Tài liệu tham khảo
Bikbov B, Purcell CA, Levey AS et al (2020) Global, regional and national burden chronic kidney disease, 1990–2017: a systemic analysis for the global burden of Disease Studt 2017. Lancet 395(10225):709–733
Brikowski TH, Lotan Y, Pearle MS (2008) Climate-related increase in the prevalence of urolithiasis in the United Stated. Proc Natl Acad Sci USA 105(28):9841–9846
Tasian GE, Pulido JE, Gasparrini A, Saigal CS, Horton BP, Landis JR et al (2014) Daily mean temperature and clinical kidney stone presentation in five U.S metropolitan areas: a time series analysis. Environ Health Perspect 122(10):1081–1087
Sirohi M, Katz BF, Moreira DM, Dinlenc C (2014) Monthly variations in urolithiasis presentations and their association with meteorologic factors in New York City. J Endourol 28(5):599–604
Ordon M, Welk B, Li Q, Wang J, Lavigne E, Yagouti A et al (2016) Ambient temperature and the risk of renal colic: a population-based study on the impact of demographics and comorbidity. J Endourol 30(10):1138–1143
Ross ME, Vicedo-Cabrera AM, Kopp RE, Song L, Goldfarb DS, Pulido J et al (2018) Assessment of the combination of temperature and relative humidity on kidney stone presentations. Environ Res 162:97–105
Abreu Junior J, Ferreira Filho SR (2020) Influence of climate on the number of hospitalizations for nephrolithiasis in urban regions in Brazil. J Braz Nefrol 42(2):175–181
Vicedo-Cabrera AM, Goldfarb DS, Kopp RE, Song L, Tasian GE (2020) Sex differences in the temperature dependence of kidney stone presentations: a population-based aggregated case-crossover study. Urolithiasis 48:37–46
Kaufman J, Vicedo-Cabrera AM, Tam V, Song L, Coffel E, Tasian G (2022) The impact of heat on kidney stone presentations in South Carolina under two climate change scenarios. Sci Rep 12:369
Qu Y, Zhang W, Boutelle AM, Ryan I, Deng X, Liu X et al (2023) Associations between ambient extreme heat exposure and emergency department visits related to kidney disease. Am J Kid Dis 81(5):507–516
Lenton TM, Xu C, Abrams JF, Ghadiali A, Loriani S, Sakschewski B et al (2023) Quantifying the human cost of global warming. Nat Sustain 6:1237–1247
Ravindra K, Rattan P, Mor S, Aggarwal AN (2019) Generalized additive models: building evidence of air pollution, climate change and human health. Environ Int 132:104987
Lim YH, So R, Lee C, Hong YC, Park M, Lim K et al (2018) Ambient temperature and hospital admissions for acute kidney injury: a time-series analysis. Sci Total Environ 616–617:1134–1138
Lee WS, Kim WS, Lim YH, Hong YC (2019) High temperatures and kidney disease morbidity: a systemic review and meta-analysis. J Prev Med Public Health 52(1):1–13
Noh TI, Hong J, Kang SH, Jung J (2021) Association of meteorological factors and ambient air pollution on medical care utilization for urolithiasis: a population-based time-series study. BMC Nephrol 22(1):402
Wood SN (2006) Generalized additive models: an introduction with R. Texts Stat Sci 67:391
Gasparrini A (2011) Distributed lag linear and non-linear models in R: the package dlnm. J Stat Softw 43(8):1–20
Anderson GB, Ferreri JM (2012) Weathermetrics: functions to convert between weather metrics (R package). The R project for statistical computing
Geraghty RM, Proietti S, Traxer O, Archer M, Somani BK (2017) Worldwide impact of warmer seasons on the incidence of renal colic and kidney stone disease: evidence from a systemic review literature. J Endourol 31(8):729–735
Fakheri RJ, Goldfarb DS (2011) Ambient temperature as a contributor to kidney stone formation: implications of global warming. Kidney Int 79:1178–1185
Masterson JH, Jourdain VJ, Collard DA, Choe CH, Christman MS, L’Esperance JO et al (2013) Changes in urine parameters after desert exposure: Assessment of stone risk in United States marines transiently exposed to desert environment. J Urol 189:165–170
Eisner BH, Sheth C, Herrick B, Pais VM, Sawyer M, Miller N et al (2012) The effect of ambient temperature, humidity and season of year on urine composition in patients with nephrolithiasis. BJU Int 110:E1014–E1017
Heilberg IP, Schor N (2006) Renal stone disease: causes, evaluation and medical treatment. Arq Bras Endocrinol Metabol 50:823–831
Roche EC, Redmond EJ, Yap LC, Manecksha RP (2019) Seasonal variation in the frequency of presentation with acute ureteral colic and its association with meteorologic factors. J Endourol 33(12):1046–1050
Lin CY, Juan YS, Huang TY, Lee HY (2023) The influence of climatic factors in the seasonal fluctuation of urolithiasis and the trend of stone disease management in the southern Taiwan. Urolithiasis 51:55