Loading…

Differences of hemorrhagic and ischemic strokes in age spectra and responses to climatic thermal conditions

The risks of emergency room (ER) visits for cerebral infarction (CI) and intracerebral hemorrhage (ICH) is found to differ in different age groups under different climatic thermal environments. Based on CI and ICH related ER-visit records from three major hospitals in Beijing, China, from 2008 to 20...

Full description

Saved in:
Bibliographic Details
Published in:The Science of the total environment 2018-12, Vol.644, p.1573-1579
Main Authors: Ma, Pan, Zhou, Ji, Wang, ShiGong, Li, TanShi, Fan, XinGang, Fan, Jin, Xie, Jiajun
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c371t-bfc3009a85959958a3b9556f8961c1705a35df83c0c42785f68fe426b5869daf3
cites cdi_FETCH-LOGICAL-c371t-bfc3009a85959958a3b9556f8961c1705a35df83c0c42785f68fe426b5869daf3
container_end_page 1579
container_issue
container_start_page 1573
container_title The Science of the total environment
container_volume 644
creator Ma, Pan
Zhou, Ji
Wang, ShiGong
Li, TanShi
Fan, XinGang
Fan, Jin
Xie, Jiajun
description The risks of emergency room (ER) visits for cerebral infarction (CI) and intracerebral hemorrhage (ICH) is found to differ in different age groups under different climatic thermal environments. Based on CI and ICH related ER-visit records from three major hospitals in Beijing, China, from 2008 to 2012, the advanced Universal Thermal Climate Index (UTCI), was adopted in this study to assess the climatic thermal environment. Particularly, daily mean UTCI was used as a predictor for the risk of ER visits for CI and ICH. A generalized quasi-Poisson additive model combined with a distributed lag non-linear model was performed to quantify their association. The results indicated that (i) the highest growth rate of ER visits for ICH occurred in age 38 to 48, whereas an increasing ER admissions for CI maintained at age 38 to 78. (ii) The frequency distribution of UTCI in Beijing peaked at −8 and 30 °C, corresponding to moderate cold stress and moderate heat stress, respectively. (iii) Correlation analysis indicated that ICH morbidity was negatively correlated with UTCI, whereas occurrence of CI showed no significant association with UTCI. (iv) The estimated relative risk of ER visits corresponding to 1 °C change in UTCI, which was then stratified by age and gender, indicated that all sub-groups of ICH patients responded similarly to thermal stress. Namely, there is an immediate ICH risk (UTCI = −13 °C, RR = 1.35, 95% CIs: 1.11–1.63) from cold stress on the onset day, but non-significant impact from heat stress. As for CI occurrences, no effect from cold stress was identified, except for only those aged 45 to 65 were threatened by heat stress (UTCI = 38 °C, RR = 1.64, 95% CIs: 1.10–2.44) on lag 0–2 d. [Display omitted] •Higher proportions of ER admissions for intracerebral hemorrhage were found in middle-aged group than in the elder group.•Number of cerebral infarction patients increased with aging.•A single advanced universal thermal climate index (UTCI) was adopted to quantify the thermal conditions in Beijing, China.•The health impact of UTCI on hemorrhagic and ischemic strokes showed different patterns.
doi_str_mv 10.1016/j.scitotenv.2018.07.080
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2185573609</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0048969718325658</els_id><sourcerecordid>2185573609</sourcerecordid><originalsourceid>FETCH-LOGICAL-c371t-bfc3009a85959958a3b9556f8961c1705a35df83c0c42785f68fe426b5869daf3</originalsourceid><addsrcrecordid>eNqFkE1PGzEQhq2KqgToX2j3yGWX8Tr-OiJooRISF3q2HO-YOOyuU9tB6r_HIcAVXyzbz8z4fQj5SaGjQMXFpssulFhwfu56oKoD2YGCL2RBldQthV4ckQXAUrVaaHlMTnLeQF1S0W_kmIFcMiX0gjxdB-8x4ewwN9E3a5xiSmv7GFxj56EJ2dWresglxafKhLmxj9jkLbqS7CuTMG_jnOtjiY0bw2RLLShrTJMdGxfnIZRQgTPy1dsx4_e3_ZT8_f3r4eq2vbu_-XN1edc6JmlpV94xAG0V11xrrixbac6FV1pQRyVwy_jgFXPglr1U3AvlcdmLFa-JBuvZKTk_9N2m-G-HuZipxsBxtDPGXTY9VZxLJkBXVB5Ql2LOCb3Zpvr_9N9QMHvTZmM-TJu9aQPSVNO18sfbkN1qwuGj7l1tBS4PANaozwHTvtHe8xBSdWeGGD4d8gLZppVw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2185573609</pqid></control><display><type>article</type><title>Differences of hemorrhagic and ischemic strokes in age spectra and responses to climatic thermal conditions</title><source>ScienceDirect Freedom Collection</source><creator>Ma, Pan ; Zhou, Ji ; Wang, ShiGong ; Li, TanShi ; Fan, XinGang ; Fan, Jin ; Xie, Jiajun</creator><creatorcontrib>Ma, Pan ; Zhou, Ji ; Wang, ShiGong ; Li, TanShi ; Fan, XinGang ; Fan, Jin ; Xie, Jiajun</creatorcontrib><description>The risks of emergency room (ER) visits for cerebral infarction (CI) and intracerebral hemorrhage (ICH) is found to differ in different age groups under different climatic thermal environments. Based on CI and ICH related ER-visit records from three major hospitals in Beijing, China, from 2008 to 2012, the advanced Universal Thermal Climate Index (UTCI), was adopted in this study to assess the climatic thermal environment. Particularly, daily mean UTCI was used as a predictor for the risk of ER visits for CI and ICH. A generalized quasi-Poisson additive model combined with a distributed lag non-linear model was performed to quantify their association. The results indicated that (i) the highest growth rate of ER visits for ICH occurred in age 38 to 48, whereas an increasing ER admissions for CI maintained at age 38 to 78. (ii) The frequency distribution of UTCI in Beijing peaked at −8 and 30 °C, corresponding to moderate cold stress and moderate heat stress, respectively. (iii) Correlation analysis indicated that ICH morbidity was negatively correlated with UTCI, whereas occurrence of CI showed no significant association with UTCI. (iv) The estimated relative risk of ER visits corresponding to 1 °C change in UTCI, which was then stratified by age and gender, indicated that all sub-groups of ICH patients responded similarly to thermal stress. Namely, there is an immediate ICH risk (UTCI = −13 °C, RR = 1.35, 95% CIs: 1.11–1.63) from cold stress on the onset day, but non-significant impact from heat stress. As for CI occurrences, no effect from cold stress was identified, except for only those aged 45 to 65 were threatened by heat stress (UTCI = 38 °C, RR = 1.64, 95% CIs: 1.10–2.44) on lag 0–2 d. [Display omitted] •Higher proportions of ER admissions for intracerebral hemorrhage were found in middle-aged group than in the elder group.•Number of cerebral infarction patients increased with aging.•A single advanced universal thermal climate index (UTCI) was adopted to quantify the thermal conditions in Beijing, China.•The health impact of UTCI on hemorrhagic and ischemic strokes showed different patterns.</description><identifier>ISSN: 0048-9697</identifier><identifier>EISSN: 1879-1026</identifier><identifier>DOI: 10.1016/j.scitotenv.2018.07.080</identifier><identifier>PMID: 30743869</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Age of onset ; Aged ; Beijing ; Brain Ischemia - epidemiology ; China - epidemiology ; Climate ; Environmental Exposure - statistics &amp; numerical data ; Female ; Heat Stress Disorders - epidemiology ; Hospitalization ; Hot Temperature ; Humans ; Male ; Meteorological condition ; Middle Aged ; Stroke - epidemiology ; Thermal stress</subject><ispartof>The Science of the total environment, 2018-12, Vol.644, p.1573-1579</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-bfc3009a85959958a3b9556f8961c1705a35df83c0c42785f68fe426b5869daf3</citedby><cites>FETCH-LOGICAL-c371t-bfc3009a85959958a3b9556f8961c1705a35df83c0c42785f68fe426b5869daf3</cites><orcidid>0000-0002-0142-330X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30743869$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ma, Pan</creatorcontrib><creatorcontrib>Zhou, Ji</creatorcontrib><creatorcontrib>Wang, ShiGong</creatorcontrib><creatorcontrib>Li, TanShi</creatorcontrib><creatorcontrib>Fan, XinGang</creatorcontrib><creatorcontrib>Fan, Jin</creatorcontrib><creatorcontrib>Xie, Jiajun</creatorcontrib><title>Differences of hemorrhagic and ischemic strokes in age spectra and responses to climatic thermal conditions</title><title>The Science of the total environment</title><addtitle>Sci Total Environ</addtitle><description>The risks of emergency room (ER) visits for cerebral infarction (CI) and intracerebral hemorrhage (ICH) is found to differ in different age groups under different climatic thermal environments. Based on CI and ICH related ER-visit records from three major hospitals in Beijing, China, from 2008 to 2012, the advanced Universal Thermal Climate Index (UTCI), was adopted in this study to assess the climatic thermal environment. Particularly, daily mean UTCI was used as a predictor for the risk of ER visits for CI and ICH. A generalized quasi-Poisson additive model combined with a distributed lag non-linear model was performed to quantify their association. The results indicated that (i) the highest growth rate of ER visits for ICH occurred in age 38 to 48, whereas an increasing ER admissions for CI maintained at age 38 to 78. (ii) The frequency distribution of UTCI in Beijing peaked at −8 and 30 °C, corresponding to moderate cold stress and moderate heat stress, respectively. (iii) Correlation analysis indicated that ICH morbidity was negatively correlated with UTCI, whereas occurrence of CI showed no significant association with UTCI. (iv) The estimated relative risk of ER visits corresponding to 1 °C change in UTCI, which was then stratified by age and gender, indicated that all sub-groups of ICH patients responded similarly to thermal stress. Namely, there is an immediate ICH risk (UTCI = −13 °C, RR = 1.35, 95% CIs: 1.11–1.63) from cold stress on the onset day, but non-significant impact from heat stress. As for CI occurrences, no effect from cold stress was identified, except for only those aged 45 to 65 were threatened by heat stress (UTCI = 38 °C, RR = 1.64, 95% CIs: 1.10–2.44) on lag 0–2 d. [Display omitted] •Higher proportions of ER admissions for intracerebral hemorrhage were found in middle-aged group than in the elder group.•Number of cerebral infarction patients increased with aging.•A single advanced universal thermal climate index (UTCI) was adopted to quantify the thermal conditions in Beijing, China.•The health impact of UTCI on hemorrhagic and ischemic strokes showed different patterns.</description><subject>Age of onset</subject><subject>Aged</subject><subject>Beijing</subject><subject>Brain Ischemia - epidemiology</subject><subject>China - epidemiology</subject><subject>Climate</subject><subject>Environmental Exposure - statistics &amp; numerical data</subject><subject>Female</subject><subject>Heat Stress Disorders - epidemiology</subject><subject>Hospitalization</subject><subject>Hot Temperature</subject><subject>Humans</subject><subject>Male</subject><subject>Meteorological condition</subject><subject>Middle Aged</subject><subject>Stroke - epidemiology</subject><subject>Thermal stress</subject><issn>0048-9697</issn><issn>1879-1026</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNqFkE1PGzEQhq2KqgToX2j3yGWX8Tr-OiJooRISF3q2HO-YOOyuU9tB6r_HIcAVXyzbz8z4fQj5SaGjQMXFpssulFhwfu56oKoD2YGCL2RBldQthV4ckQXAUrVaaHlMTnLeQF1S0W_kmIFcMiX0gjxdB-8x4ewwN9E3a5xiSmv7GFxj56EJ2dWresglxafKhLmxj9jkLbqS7CuTMG_jnOtjiY0bw2RLLShrTJMdGxfnIZRQgTPy1dsx4_e3_ZT8_f3r4eq2vbu_-XN1edc6JmlpV94xAG0V11xrrixbac6FV1pQRyVwy_jgFXPglr1U3AvlcdmLFa-JBuvZKTk_9N2m-G-HuZipxsBxtDPGXTY9VZxLJkBXVB5Ql2LOCb3Zpvr_9N9QMHvTZmM-TJu9aQPSVNO18sfbkN1qwuGj7l1tBS4PANaozwHTvtHe8xBSdWeGGD4d8gLZppVw</recordid><startdate>20181210</startdate><enddate>20181210</enddate><creator>Ma, Pan</creator><creator>Zhou, Ji</creator><creator>Wang, ShiGong</creator><creator>Li, TanShi</creator><creator>Fan, XinGang</creator><creator>Fan, Jin</creator><creator>Xie, Jiajun</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0142-330X</orcidid></search><sort><creationdate>20181210</creationdate><title>Differences of hemorrhagic and ischemic strokes in age spectra and responses to climatic thermal conditions</title><author>Ma, Pan ; Zhou, Ji ; Wang, ShiGong ; Li, TanShi ; Fan, XinGang ; Fan, Jin ; Xie, Jiajun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-bfc3009a85959958a3b9556f8961c1705a35df83c0c42785f68fe426b5869daf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Age of onset</topic><topic>Aged</topic><topic>Beijing</topic><topic>Brain Ischemia - epidemiology</topic><topic>China - epidemiology</topic><topic>Climate</topic><topic>Environmental Exposure - statistics &amp; numerical data</topic><topic>Female</topic><topic>Heat Stress Disorders - epidemiology</topic><topic>Hospitalization</topic><topic>Hot Temperature</topic><topic>Humans</topic><topic>Male</topic><topic>Meteorological condition</topic><topic>Middle Aged</topic><topic>Stroke - epidemiology</topic><topic>Thermal stress</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ma, Pan</creatorcontrib><creatorcontrib>Zhou, Ji</creatorcontrib><creatorcontrib>Wang, ShiGong</creatorcontrib><creatorcontrib>Li, TanShi</creatorcontrib><creatorcontrib>Fan, XinGang</creatorcontrib><creatorcontrib>Fan, Jin</creatorcontrib><creatorcontrib>Xie, Jiajun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Science of the total environment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ma, Pan</au><au>Zhou, Ji</au><au>Wang, ShiGong</au><au>Li, TanShi</au><au>Fan, XinGang</au><au>Fan, Jin</au><au>Xie, Jiajun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences of hemorrhagic and ischemic strokes in age spectra and responses to climatic thermal conditions</atitle><jtitle>The Science of the total environment</jtitle><addtitle>Sci Total Environ</addtitle><date>2018-12-10</date><risdate>2018</risdate><volume>644</volume><spage>1573</spage><epage>1579</epage><pages>1573-1579</pages><issn>0048-9697</issn><eissn>1879-1026</eissn><abstract>The risks of emergency room (ER) visits for cerebral infarction (CI) and intracerebral hemorrhage (ICH) is found to differ in different age groups under different climatic thermal environments. Based on CI and ICH related ER-visit records from three major hospitals in Beijing, China, from 2008 to 2012, the advanced Universal Thermal Climate Index (UTCI), was adopted in this study to assess the climatic thermal environment. Particularly, daily mean UTCI was used as a predictor for the risk of ER visits for CI and ICH. A generalized quasi-Poisson additive model combined with a distributed lag non-linear model was performed to quantify their association. The results indicated that (i) the highest growth rate of ER visits for ICH occurred in age 38 to 48, whereas an increasing ER admissions for CI maintained at age 38 to 78. (ii) The frequency distribution of UTCI in Beijing peaked at −8 and 30 °C, corresponding to moderate cold stress and moderate heat stress, respectively. (iii) Correlation analysis indicated that ICH morbidity was negatively correlated with UTCI, whereas occurrence of CI showed no significant association with UTCI. (iv) The estimated relative risk of ER visits corresponding to 1 °C change in UTCI, which was then stratified by age and gender, indicated that all sub-groups of ICH patients responded similarly to thermal stress. Namely, there is an immediate ICH risk (UTCI = −13 °C, RR = 1.35, 95% CIs: 1.11–1.63) from cold stress on the onset day, but non-significant impact from heat stress. As for CI occurrences, no effect from cold stress was identified, except for only those aged 45 to 65 were threatened by heat stress (UTCI = 38 °C, RR = 1.64, 95% CIs: 1.10–2.44) on lag 0–2 d. [Display omitted] •Higher proportions of ER admissions for intracerebral hemorrhage were found in middle-aged group than in the elder group.•Number of cerebral infarction patients increased with aging.•A single advanced universal thermal climate index (UTCI) was adopted to quantify the thermal conditions in Beijing, China.•The health impact of UTCI on hemorrhagic and ischemic strokes showed different patterns.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>30743869</pmid><doi>10.1016/j.scitotenv.2018.07.080</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0142-330X</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 0048-9697
ispartof The Science of the total environment, 2018-12, Vol.644, p.1573-1579
issn 0048-9697
1879-1026
language eng
recordid cdi_proquest_miscellaneous_2185573609
source ScienceDirect Freedom Collection
subjects Age of onset
Aged
Beijing
Brain Ischemia - epidemiology
China - epidemiology
Climate
Environmental Exposure - statistics & numerical data
Female
Heat Stress Disorders - epidemiology
Hospitalization
Hot Temperature
Humans
Male
Meteorological condition
Middle Aged
Stroke - epidemiology
Thermal stress
title Differences of hemorrhagic and ischemic strokes in age spectra and responses to climatic thermal conditions
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T17%3A28%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Differences%20of%20hemorrhagic%20and%20ischemic%20strokes%20in%20age%20spectra%20and%20responses%20to%20climatic%20thermal%20conditions&rft.jtitle=The%20Science%20of%20the%20total%20environment&rft.au=Ma,%20Pan&rft.date=2018-12-10&rft.volume=644&rft.spage=1573&rft.epage=1579&rft.pages=1573-1579&rft.issn=0048-9697&rft.eissn=1879-1026&rft_id=info:doi/10.1016/j.scitotenv.2018.07.080&rft_dat=%3Cproquest_cross%3E2185573609%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c371t-bfc3009a85959958a3b9556f8961c1705a35df83c0c42785f68fe426b5869daf3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2185573609&rft_id=info:pmid/30743869&rfr_iscdi=true