High ambient temperature and child emergency and hospital visits in New York City.

Tytuł:: High ambient temperature and child emergency and hospital visits in New York City.
Autorzy:: Niu L; Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Herrera MT; Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Girma B; Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Liu B; Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Schinasi L; Department of Environmental and Occupational Health and Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Clougherty JE; Department of Environmental and Occupational Health and Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Sheffield PE; Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Źródło:: Paediatric and perinatal epidemiology [Paediatr Perinat Epidemiol] 2022 Jan; Vol. 36 (1), pp. 36-44. Date of Electronic Publication: 2021 Jun 23.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Oxford ; Boston : Blackwell Scientific Publications, [c1987-
MeSH Terms:: Emergency Service, Hospital*
Hot Temperature*
Adolescent ; Child ; Child, Preschool ; Hospitals ; Humans ; New York City/epidemiology ; Temperature
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Grant Information:: R25 HL108857 United States HL NHLBI NIH HHS; R01 ES030717 United States ES NIEHS NIH HHS; R21 CA235153 United States CA NCI NIH HHS; R01ES030717 United States ES NIEHS NIH HHS; P30 ES023515 United States ES NIEHS NIH HHS
Contributed Indexing:: Keywords: New York City; ambient temperature; children and adolescents; climate-sensitive exposures; emergency department visits; heat risk; hospitalisations; urban environments
Entry Date(s):: Date Created: 20210624 Date Completed: 20220106 Latest Revision: 20230131
Update Code:: 20240105
PubMed Central ID:: PMC8957707
DOI:: 10.1111/ppe.12793
PMID:: 34164839
: Czasopismo naukowe

Pełny tekst

Background: Emerging literature has documented heat-related impacts on child health, yet few studies have evaluated the effects of heat among children of different age groups and comparing emergency department (ED) and hospitalisation risks.
Objectives: To examine the differing associations between high ambient temperatures and risk of ED visits and hospitalisations among children by age group in New York City (NYC).
Methods: We used New York Statewide Planning and Research Cooperative System (SPARCS) data on children aged 0-18 years admitted to NYC EDs (n = 2,252,550) and hospitals (n = 228,006) during the warm months (May-September) between 2005 and 2011. Using a time-stratified, case-crossover design, we estimated the risk of ED visits and hospitalisations associated with daily maximum temperature (Tmax) for children of all ages and by age group.
Results: The average Tmax over the study period was 80.3°F (range 50°, 104°F). Tmax conferred the greatest risk of ED visits for children aged 0-4, with a 6-day cumulative excess risk of 2.4% (95% confidence interval [CI] 1.7, 3.0) per 13°F (ie interquartile range) increase in temperature. Children and adolescents 5-12 years (0.8%, 95% CI 0.1, 1.6) and 13-18 years (1.4%, 95% CI 0.6, 2.3) are also sensitive to heat. For hospitalisations, only adolescents 13-18 years had increased heat-related risk, with a cumulative excess risk of 7.9% (95% CI 2.0, 14.2) per 13°F increase in Tmax over 85°F.
Conclusions: This urban study in NYC reinforces that young children are particularly vulnerable to effects of heat, but also demonstrates the sensitivity of older children and adolescents as well. These findings underscore the importance of focussing on children and adolescents in targeting heat illness prevention and emergency response activities, especially as global temperatures continue to rise.
(© 2021 The Authors. Paediatric and Perinatal Epidemiology published by John Wiley & Sons Ltd.)

Comment in: Paediatr Perinat Epidemiol. 2022 Jan;36(1):1-3. (PMID: 34951027)

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