Magnus Grønlund Bendtsen, Bodil Marie Thuesen Schönwandt, Mette Rubæk, Mette Friberg Hitz
Evaluation of an mHealth App on Self-Management of Osteoporosis: Prospective Survey Study
Interactive journal of medical research
climate change increased frequency intensity duration heatwaves posing serious threat public health although link high temperatures premature mortality extensively studied comprehensive quantification heatwave effects morbidity remains underexplored observational study assessed relationship heatwaves daily hospital admissions county level portugal considered major diagnostic categories age groups 18 years 1864 years 65 years 19year period 2000 2018 extended summer season defined may 1 sept 30 comprehensive geospatial analysis integrating 12 million hospital admission records heatwave events indexed excess heat factor ehf covering 278 mainland counties obtained data hospital morbidity database eobs daily gridded meteorological data europe 1950 present derived insitu observations estimate effect heatwaves hospital admissions applied negative binomial regression models national county levels found statistically significant overall increase daily hospital admissions heatwave days incidence rate ratio 1189 95 ci 11791198 p00001 age groups affected children younger 18 years affected 217 206227 increase admissions p00001 followed workingage 197 187207 p00001 elderly individuals 172 162182 p00001 25 major disease diagnostic categories showed significant increases hospital admissions particularly burns 343 287401 p00001 multiple significant trauma 268 222316 p00001 infectious parasitic diseases 254 235273 p00001 also found notable increases endocrine nutritional metabolic diseases 251 234268 p00001 mental diseases disorders 230 211248 p00001 respiratory diseases 224 212236 p00001 circulatory system disorders 158 147169 p00001 results provide statistically significant evidence association heatwaves increased hospitalisations across age groups major causes disease knowledge first study estimate full extent heatwaves impact hospitalisations using ehf index 19year period encompassing entire country spanning 25 disease categories multiple heatwave events data offer crucial information guide policy makers effectively efficiently allocating resources address profound healthcare consequences resulting climate change none