ArticleThe journal of climate change and health
Heatstroke admissions to Northeastern and Southern hospitals in the United States from 2016-2020.
Article in The journal of climate change and health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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3 authors.
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Abstract
Background: Heatstroke is a life-threatening condition representing the most severe manifestation of heat-related illnesses. Increasing global average temperatures are likely to increase the incidence of heatstroke. Methods: We conducted a retrospective, repeated cross-sectional study, using the National Inpatient Sample (NIS) database. We assessed adults hospitalized in the Northeast and South regions of the United States with ICD-10 codes relating to heatstroke. The primary outcome was the number of monthly regional admissions for heatstroke. Multiple logistic and linear regression techniques were used to evaluate secondary outcomes, specifically in-hospital clinical and resource utilization outcomes. Findings: Over the five years studied (2016-2020), more heatstroke admissions occurred in the South (n=3,880) than in the Northeast (n=960). Patients admitted with heatstroke in the South and Northeast regions had similar odds for in-hospital mortality (aOR=0.84, p=0.79). The length of stay in the South was nearly one day longer than in the Northeast (aMD=0.95 days, p=0.02). There was a trend towards higher charges per heatstroke admission in the South compared to the Northeast (aMD=$16,514, p=0.07). Admission rates were positively associated with increasing average monthly temperatures - even after controlling for region and season (p<0.05). Interpretation: Heatstroke is a serious condition, and admissions to our nation's hospitals are likely to increase as our planet gets warmer. Many physiologic, societal, and geographic variables impact vulnerability to heat-related illness. Our society and healthcare systems must actively work towards improving care for those with heat-related illnesses. Funding: Not applicable.
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