Association between rainfall and readmissions of rheumatoid arthritis patients: a time-stratified case-crossover analysis

Xie, Jingui; Zhu, Yongjian; Fan, Yiming; Xin, Ling; Liu, Jian

doi:10.1007/s00484-019-01805-y

Cited by 15 publications

(5 citation statements)

References 36 publications

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“…For example, a questionnaire survey among 394 rheumatic patients in Romania suggested that most people reported an intensification in pain when the weather deteriorated, and this was significant with an increase in humidity or decrease in temperature [ 25 ]. A retrospective cohort study concluded that rainfall exacerbated the joint pain of patients with rheumatoid arthritis to the extent that some were re-admitted to the hospital [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…The results of this study suggest that high humidity leads to a lagged increase in outpatient visits. Previous studies have also shown that rainy or damp weather can exacerbate joint pain symptoms, acting as a trigger for patients compelling them to attend the hospital [ 17 , 24 ]. One theory suggests that tendons, muscles, bones, and areas of scarring have different densities and that cold and damp weather has different effects on the expansion and contraction of different tissue types, which can cause micro-trauma and pain [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…Xie et al [ 24 ] believe that rainy or damp weather not only worsens the symptoms of joint pain but also makes it more difficult for patients to visit the hospital. Therefore, patients that are severely affected wait to see a doctor on the following day, and patients with less pain choose to make an appointment for outpatient service one week later.…”

Section: Discussionmentioning

confidence: 99%

“…It was reported that rheumatic patients would exacerbate symptoms within one week after temperature and humidity change, and we assessed the lagged effect up to 7 days following the start of these two variables to explore whether the effect of the weather condition was immediate or delayed [ 23 , 24 ]. Furthermore, we explored the potential effect of AS risk modification using age (< 65 years and ≥ 65 years) and gender (male and female) [ 24 ].…”

Section: Methodsmentioning

confidence: 99%

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Exposure-lag-response associations between weather conditions and ankylosing spondylitis: a time series study

Xin

Liu

Zhu

et al. 2021

BMC Musculoskelet Disord

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Background Patients with ankylosing spondylitis (AS) have reported that their pain becomes worse when the local weather changes. However, there is limited evidence verifying the short-term associations between meteorological factors and outpatient visits for patients with AS. Therefore, this study evaluates this possible association. Methods Meteorological data and data on daily AS outpatient visits to a general hospital in Hefei, China, from 2014 to 2019 were collected and analysed. Distributed lag nonlinear models and Poisson regression models were employed to determine the association between weather conditions and outpatient visits; the results were also stratified by gender and age. Results High relative humidity is significantly associated with all patient visits in lag 1 (RR = 1.113, 95% CI 1.021 to 1.213) and lag 7 days (RR = 1.115, 95% CI 1.014 to 1.227). A low relative risk to the nadir is observed in lag 4 days (RR = 0.920, 95% CI 0.862 to 0.983). Male and young patients (< 65 years) are more vulnerable to damp weather, and elderly people (≥ 65 years) are significantly affected by high temperatures in lag 7 days (RR = 3.004, 95% CI 1.201 to 7.510). Conclusions Our findings suggest a potential relationship between exposure to weather conditions and increased risk of AS outpatient visits. These results can aid hospitals in preparing for and managing hospital visits by AS patients when the local weather conditions change.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Exposure-lag-response associations between weather conditions and ankylosing spondylitis: a time series study

Xin

Liu

Zhu

et al. 2021

BMC Musculoskelet Disord

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“…Furthermore, a study exactly observed that the number of cataract admissions and phacoemulsification surgeries decreased during the summer (Leong et al 2006). On the other hand, previous studies found that patients were less likely to visit hospitals during bad weather (Lee et al 2016;Ou et al 2005;Xie et al 2019b). So, as a kind of severe weather condition, extreme heat could also prevent cataract patients from visiting doctors since their condition is usually not urgent, thus leading to fewer cataract admissions.…”

Section: )mentioning

confidence: 98%

Association between extreme heat and hospital admissions for cataract patients in Hefei, China

Xie

Zhu

Fan

et al. 2020

Environ Sci Pollut Res

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Cataract is the first cause of blindness and the major cause of visual impairment worldwide. Under conditions of global warming, researchers have begun to give attention to the influence of increasing temperature on cataract patients. Our paper aimed to investigate the association between extreme heat and hospital admissions for cataract in Hefei, China. Based on data from the New Rural Cooperative Medical System and National Meteorological Information Center, we used a generalized additive model and a distributed lag nonlinear model to examine the relationship between extreme heat and hospitalizations for cataract, with consideration of cumulative and lagged effects. When current mean temperature was above 28 °C, each 1 °C rise was associated with a 4% decrease in the number of cataract admissions (RR = 0.96, 95% CI = 0.94–0.98). The cumulative relative risk over 11 days of lag was the lowest, which indicated that every 1 °C increase in mean temperature above 28 °C was associated with a 19% decrease in the number of hospital admissions for cataract (RR = 0.81, 95% CI = 0.75–0.88). In subgroup analyses, the negative association between extreme heat and hospital admissions for cataract was stronger among patients who were not admitted to provincial-level hospitals. In conclusion, this paper found that extreme heat was negatively associated with cataract hospitalizations in Hefei, providing useful information for hospitals and policymakers.

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Climate and human health: a review of publication trends in the International Journal of Biometeorology

Motlogeloa

Fitchett

2023

Int J Biometeorol

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The climate-health nexus is well documented in the field of biometeorology. Since its inception, Biometeorology has in many ways become the umbrella under which much of this collaborative research has been conducted. Whilst a range of review papers have considered the development of biometeorological research and its coverage in this journal, and a few have reviewed the literature on specific diseases, none have focused on the sub-field of climate and health as a whole. Since its first issue in 1957, the International Journal of Biometeorology has published a total of 2183 papers that broadly consider human health and its relationship with climate. In this review, we identify a total of 180 (8.3%, n = 2183) of these papers that specifically focus on the intersection between meteorological variables and specific, named diagnosable diseases, and explore the publication trends thereof. The number of publications on climate and health in the journal increases considerably since 2011. The largest number of publications on the topic was in 2017 (18) followed by 2021 (17). Of the 180 studies conducted, respiratory diseases accounted for 37.2% of the publications, cardiovascular disease 17%, and cerebrovascular disease 11.1%. The literature on climate and health in the journal is dominated by studies from the global North, with a particular focus on Asia and Europe. Only 2.2% and 8.3% of these studies explore empirical evidence from the African continent and South America respectively. These findings highlight the importance of continued research on climate and human health, especially in low- and lower-middle-income countries, the populations of which are more vulnerable to climate-sensitive illnesses.

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Association between rainfall and readmissions of rheumatoid arthritis patients: a time-stratified case-crossover analysis

Cited by 15 publications

References 36 publications

Exposure-lag-response associations between weather conditions and ankylosing spondylitis: a time series study

Exposure-lag-response associations between weather conditions and ankylosing spondylitis: a time series study

Association between extreme heat and hospital admissions for cataract patients in Hefei, China

Climate and human health: a review of publication trends in the International Journal of Biometeorology

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