Heat-related illness in Jinshan District of Shanghai:A retrospective analysis of 70 patients

Mo, Weichun; Gao, Xia; Liu, Shuai; Shen, Junmei; Xu, Ming; Shen, Jie

doi:10.5847/wjem.j.issn.1920-8642.2014.04.008

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…[1][2][3][4][5][6] Exposure to excessive heat can affect brain, liver, kidney, and heart function, generating effects such as heat rash, heat cramp, heat syncope, heat exhaustion, and heat stroke. [7][8][9] The scientific community knows that Earth is getting warmer, due to human actions and atmospheric changes, and the average temperature globally has increased since the beginning of the last century. 10 In the US, the National Centers for Environmental Information (NCEI; Asheville, North Carolina USA) has declared the years 2014 and 2015 to be the warmest recorded across global land and ocean surfaces since records began in 1880.…”

Section: Introductionmentioning

confidence: 99%

Perceptions of, and Practices for Coping with, Heat Exposure among Male Arab Pilgrims to the Hajj, 1436

Almayahi¹,

Kabbash

2019

Prehosp. Disaster med.

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Background:The problems associated with exposure to excessive heat are a key health concern throughout the world, and are likely to become increasingly important as Earth’s climate warms. Heat exposure is particularly problematic when large groups of people gather, but there is relatively little literature on the subject. Islam requires all adherents who are able to undertake a pilgrimage to Mecca (Saudi Arabia), known as the Hajj. This can result in huge numbers of pilgrims travelling to Mecca in the summer months, during which the temperatures can be very high, and to undertake physically demanding activities.Objective:The aim of this study was to identify the perception level of heat-related health issues and the coping behaviors adopted by pilgrims in the face of excessive heat exposure.Methods:A cross-sectional study was conducted in Mecca, Saudi Arabia among male Arab pilgrims performing Hajj of the Islamic calendar year 1436 (Summer 2015). Sample was divided into two strata: domestic pilgrims and international Arabs. A total of 14 camps were selected randomly, seven from each stratum. A total of 412 participants completed the questionnaire.Results:Mean age was 43.48 (SD = 13.42) years. Majority of pilgrims had never performed Hajj before (68.2%). Almost 89.5% among pilgrims more than 40 years of age had more water intake compared to only 76.5% for people under 40 years. Only 7.3% of educated people used to go out at noon time, and almost two-fold of pilgrims with lower educational level did so (15.4%). Approximately 51.8% among those who were aware of Mecca’s weather used cotton clothes, compared to 36.0% among pilgrims unaware of Mecca’s weather.Conclusion:This study reveals the extent of pilgrims’ understanding of, and abilities to cope with, excessive heat and also suggests coping strategies and options for improved understanding of heat-related health issues world-wide.Al Mayahi ZK, Ali Kabbash I. Perceptions of, and practices for coping with, heat exposure among male Arab pilgrims to the Hajj, 1436. Prehosp Disaster Med. 2019;34(2):161–174

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Section: Introductionmentioning

confidence: 99%

Perceptions of, and Practices for Coping with, Heat Exposure among Male Arab Pilgrims to the Hajj, 1436

Almayahi¹,

Kabbash

2019

Prehosp. Disaster med.

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“…While there is some evidence that susceptibility to heat differs according to individual-level susceptibility factors, such as age [6,8,26,27,28], sex [6,26,27,29], race [8,9,30,31,32], as well as community-level factors, such as socioeconomic status [27,33], studies examining heat-related FEI morbidity among potentially sensitive subpopulations remains largely unexplored. Furthermore, susceptibility to heat may differ by presence of co-morbid/pre-existing health conditions and it is possible that such conditions may exacerbate a patient′s risk of dehydration with high temperatures.…”

Section: Introductionmentioning

confidence: 99%

Susceptibility to Heat-Related Fluid and Electrolyte Imbalance Emergency Department Visits in Atlanta, Georgia, USA

Heidari

Winquist

Klein

et al. 2016

IJERPH

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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.

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“…Mid-July to mid-August is the hottest period in the year. 9 Heat illness is an acute disease that results in central nervous system and circulatory system dysfunction due to the discontinuation of human body temperature regulation in a high-temperature environment. Heat illness is divided into mild heat illness and severe heat illness, and severe heat illness includes heat cramp, heat exhaustion, and heat stroke.…”

Section: Discussionmentioning

confidence: 99%

“…This season has elevated temperatures and heat. Mid‐July to mid‐August is the hottest period in the year 9 …”

Section: Discussionmentioning

confidence: 99%

A 3-year retrospective analysis of elderly patients with heat illness

Chen

Zhang

et al. 2018

Hong Kong Journal of Emergency Medicine

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Background: Heat illness in elderly patients has frequently occurred. Because of the difficulties in diagnosis and treatment, it is necessary for us to understand the clinical characteristics of elderly patients with heat illness. Objective: This study presents the demographic, clinical, and laboratory data for elderly patients who presented to our emergency department with heat illness and compares elderly group and non-elderly group to find out characteristics of elderly patient. Methods: We retrospectively analyzed the data of the elderly heat illness patients who had been presented to the emergency department of Jinshan Hospital, Fudan University, between 1 July 2014 and 1 October 2016. Results: There were 64 patients in the study in total and 25 elderly patients (39.1%). The mean age of the elderly patients was 72.8 ± 6.7 years; 18 cases (72%) were male and 7 cases (28%) were female. There were 5 mild cases (20%) and 20 severe cases (80%) in the elderly, which included 1 with heat cramps (5%), 4 with heat exhaustion (20%), and 15 with heat stroke (75%). Lactate dehydrogenase and creatine kinase were significantly higher in the elderly than in the non-elderly (p < 0.0001; t-value = −3.915 and −5.134, respectively). The Acute Physiologic Assessment and Chronic Health Evaluation II score and Modified Early Warning System score were significantly higher in the elderly than in the non-elderly (p < 0.0001; t-value = −6.411 and −4.705, respectively). Age was positively correlated with the Acute Physiologic Assessment and Chronic Health Evaluation II score and Modified Early Warning System score (r 2 = 0.4939 and 0.3317, respectively; p value all <0.0001). The Acute Physiologic Assessment and Chronic Health Evaluation II score was positively correlated with lactate dehydrogenase and creatine kinase (r 2 = 0.4103 and 0.4520, respectively; p value all <0.0001). The Modified Early Warning System score was positively correlated with lactate dehydrogenase and creatine kinase (r 2 = 0.4759 and 0.5850, respectively; p value all <0.0001). There were 19 patients (76%) who improved and 6 patients (24%) who died in the elderly group. Conclusion: Chronic diseases and complications have increased rates in the elderly, who are also more likely to acquire severe heat illness, especially heat stroke. Lactate dehydrogenase and creatine kinase are positively correlated with Acute Physiologic Assessment and Chronic Health Evaluation II scores and Modified Early Warning System scores, which indicates that lactate dehydrogenase and creatine kinase could be good predictors of the severity of heat illness.

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Heat-related illness in Jinshan District of Shanghai:A retrospective analysis of 70 patients

Cited by 3 publications

References 12 publications

Perceptions of, and Practices for Coping with, Heat Exposure among Male Arab Pilgrims to the Hajj, 1436

Perceptions of, and Practices for Coping with, Heat Exposure among Male Arab Pilgrims to the Hajj, 1436

Susceptibility to Heat-Related Fluid and Electrolyte Imbalance Emergency Department Visits in Atlanta, Georgia, USA

A 3-year retrospective analysis of elderly patients with heat illness

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