Heat and hospital admission via the emergency department for people with intellectual disability, autism, and mental disorders in South Korea: a nationwide, time-stratified, case-crossover study

自闭症 急诊科 智力残疾 双相情感障碍 精神科 医学 心理健康 优势比 心情 病理
作者
Jinah Park,Ayoung Kim,Michelle L. Bell,Ho Kim,Whanhee Lee
出处
期刊:The Lancet Psychiatry [Elsevier]
卷期号:11 (5): 359-367 被引量:5
标识
DOI:10.1016/s2215-0366(24)00067-1
摘要

Background Given the anticipated increase in ambient temperature due to climate change, the hazardous effects of heat on health have been extensively studied; however, its impact on people with intellectual disability, autism, and mental illness is largely unknown. We aimed to estimate the association between heat and hospitalisation through the emergency department (ED) among people with these mental disorders. Methods In this nationwide study, we used data from the National Health Insurance Database (NHID) of the National Health Insurance Service, the single universal insurer in South Korea, the claims data for which is based on the ICD-10. We included individuals with identified intellectual disability, autism, and mental disorders (including schizophrenia, bipolar disorder, recurrent depressive disorder, schizoaffective disorder and persistent obsessive-compulsive disorder, Tourette's disorder, and narcolepsy) and we established two control groups of people without these disorders: one including 1 million systematically sampled individuals, and one matched to the cohort based on sex, age, and income group. Data on hospital admission via the ED were obtained from the NHID, including the primary cause of admission and corresponding medical costs, for the warm season (June–September) of the period 2006–2021. We used the Google Earth Engine with the ERA5-Land dataset to collect data on the daily mean temperature. We applied a time-stratified case-crossover design using a distributed lag non-linear model and performed a conditional logistic regression. The risk ratio was estimated as the odds ratio (OR) with calculated odds at the 99th percentile temperature compared with that at the local 75th percentile temperature. We did not include people with lived experience of mental illness in this study. Findings Of the 456 946 people with intellectual disability, autism, or mental disorder in the NHID records, 99 845 were admitted to the ED, including 59 821 (59·9%) males and 40 024 (40·1%) females, and including 29 192 people with intellectual disability, 1428 people with autism, and 69 225 people with mental disorders. We were not able to collect data on ethnicity. The mean age at ED admission was 42·1 years (SD 17·9, range 0–102) for people with intellectual disability, 18·6 years (SD 10·4, range 1–72) for people with autism, and 50·8 years (SD 11·9, range 2–94) for people with mental disorders. The heat OR (odds at the 99th percentile vs 75th percentile of temperature) of ED admission was 1·23 (95% CI 1·11–1·36) for intellectual disability, 1·06 (0·68–1·63) for autism, and 1·20 (1·12–1·29) for mental disorders. People with intellectual disability, female individuals, people living in rural areas, or those with a low-income status were at increased risk of ED admission due to heat. The risk of ED admission due to genitourinary diseases was higher than that from other causes. Annual increase in medical costs attributable to heat among people with intellectual disability, autism, and mental disorders was US$ 224 970 per 100 000 person-years (95% empirical CI 139 784–305 770). Interpretation People with intellectual disability, autism, and mental disorders should be included in groups considered at a high-risk for heat exposure, and heat adaptation policies should be implemented with consideration of these groups and their needs. Funding The National Research Foundation of Korea, Korean Ministry of Environment, and Korean Ministry of Education. Translation For the Korean translation of the abstract see Supplementary Materials section.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
Dr.Li发布了新的文献求助50
刚刚
清浅完成签到,获得积分10
1秒前
王冉冉发布了新的文献求助10
2秒前
3秒前
所所应助zjz采纳,获得30
4秒前
4秒前
小吴同学发布了新的文献求助10
5秒前
量子星尘发布了新的文献求助10
5秒前
5秒前
6秒前
shaocat完成签到 ,获得积分10
6秒前
风中的眼神完成签到,获得积分10
6秒前
CAOHOU应助奋斗水香采纳,获得10
7秒前
俊逸梦蕊完成签到,获得积分10
7秒前
8秒前
典雅牛青关注了科研通微信公众号
8秒前
Xinxxx发布了新的文献求助10
8秒前
illusion完成签到,获得积分10
9秒前
wanci应助王冉冉采纳,获得30
10秒前
树小夏发布了新的文献求助10
11秒前
小吴同学完成签到,获得积分10
11秒前
赘婿应助kk_yang采纳,获得10
12秒前
成就伟祺关注了科研通微信公众号
13秒前
能干的语芙完成签到 ,获得积分10
13秒前
无欲无求傻傻完成签到,获得积分10
13秒前
13秒前
13秒前
尊敬寒松完成签到 ,获得积分10
13秒前
糊涂的麦片完成签到,获得积分10
13秒前
14秒前
14秒前
15秒前
wanci应助wangdafa采纳,获得10
15秒前
竹子co完成签到,获得积分10
15秒前
steventj完成签到,获得积分10
15秒前
yz完成签到 ,获得积分10
16秒前
朴实山兰完成签到,获得积分10
17秒前
tkkdy发布了新的文献求助10
17秒前
蓁蓁发布了新的文献求助10
17秒前
醉熏的鑫发布了新的文献求助10
18秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds第二卷 1200
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038657
求助须知:如何正确求助?哪些是违规求助? 3576306
关于积分的说明 11375198
捐赠科研通 3306108
什么是DOI,文献DOI怎么找? 1819379
邀请新用户注册赠送积分活动 892698
科研通“疑难数据库(出版商)”最低求助积分说明 815066