Susceptibility to Heat-Related Fluid and Electrolyte Imbalance Emergency Department Visits in Atlanta, Georgia, USA
Bibliographic Data
| ID | 15465995 |
|---|---|
| Authors | Leila Heidari (0000-0003-1853-5778, Emory University), Andrea Winquist (Emory University), Mitchel Klein (Emory University), Cassandra R O’Lenick (0000-0003-0936-2406, Emory University), Andrew Grundstein (0000-0002-0574-6253, University of Georgia), Stefanie Ebelt Sarnat (Emory University, corresponding author) |
| Year | 2016 |
| Volume | 13 |
| Issue | 10 |
| Pages | 982-982 |
| Publication date | 2016-10-02 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph13100982 |
| PMID | 27706089 |
| OpenAlex | W2529080657 |
| Language | EN |
| Citations received | 1 |
| References cited | 84 |
Identification of populations susceptible to heat effects is critical for targeted prevention and more accurate risk assessment. Fluid and electrolyte imbalance (FEI) may provide an objective indicator of heat morbidity. Data on daily ambient temperature and FEI emergency department (ED) visits were collected in Atlanta, Georgia, USA during 1993-2012. Associations of warm-season same-day temperatures and FEI ED visits were estimated using Poisson generalized linear models. Analyses explored associations between FEI ED visits and various temperature metrics (maximum, minimum, average, and diurnal change in ambient temperature, apparent temperature, and heat index) modeled using linear, quadratic, and cubic terms to allow for non-linear associations. Effect modification by potential determinants of heat susceptibility (sex; race; comorbid congestive heart failure, kidney disease, and diabetes; and neighborhood poverty and education levels) was assessed via stratification. Higher warm-season ambient temperature was significantly associated with FEI ED visits, regardless of temperature metric used. Stratified analyses suggested heat-related risks for all populations, but particularly for males. This work highlights the utility of FEI as an indicator of heat morbidity, the health threat posed by warm-season temperatures, and the importance of considering susceptible populations in heat-health research
Atlanta · Electrolyte · Emergency department · Pathology · Psychiatry · Chemistry · Climate Change and Health Impacts · Medicine · Renal function and acid-base balance · Thermoregulation and physiological responses · Emergency Medicine
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| Unique citing works | 1 |
|---|---|
| Citations per year | 0,2 |
| Citation span | 2021 - 2021 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |