Windy weather and low humidity are associated with an increased number of hospital admissions for acute pain and sickle cell disease in an urban environment with a maritime temperate climate

被引:54
作者
Jones, S
Duncan, ER
Thomas, N
Walters, J
Dick, MC
Height, SE
Stephens, AD
Thein, SL
Rees, DC
机构
[1] Kings Coll Hosp London, Dept Paediat Haematol, London SE5 9RS, England
[2] Kingston Univ, Sch Math, Surrey, England
[3] Kings Coll Hosp London, Dept Haematol, London SE5 9RS, England
关键词
sickle cell disease; weather; hospital admissions; wind; humidity;
D O I
10.1111/j.1365-2141.2005.05799.x
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Sickle cell disease (SCD) is characterised by intermittent episodes of acute severe pain, related to vaso-occlusion. Environmental factors are thought to play an important role, and studies in tropical countries have suggested that cold and rainy seasons are associated with increased episodes of acute pain. We have studied retrospectively the number of admissions with acute pain and SCD to King's College Hospital, London, together with daily meteorological records collected locally. Data from 1400 d and 1047 separate admissions were analysed. Increased admissions were significantly associated with increased wind speed and low humidity, but showed no relationship to temperature, rainfall or barometric pressure. The strongest effect was for (maximum wind speed)/humidity, with 464 admissions on days in the lowest two quartiles of this parameter and 582 in the highest quartiles. The effect of high wind and low humidity is likely to be related to skin cooling.
引用
收藏
页码:530 / 533
页数:4
相关论文
共 17 条
[1]
AMJAD H, 1974, BRIT MED J, V4, P54
[2]
Chatfield C., 2000, TIME SERIES FORECAST, DOI DOI 10.1201/9781420036206/TIME-SERIES-FORECASTING-CHRIS-CHATFIELD
[3]
Climatological variables and the incidence of Dengue fever in Barbados [J].
Depradine, CA ;
Lovell, EH .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH, 2004, 14 (06) :429-441
[5]
SICKLE-CELL DISEASE IN NORTH LONDON [J].
KEHINDE, MO ;
MARSH, JCW ;
MARSH, GW .
BRITISH JOURNAL OF HAEMATOLOGY, 1987, 66 (04) :543-547
[6]
Climatic factors and lower respiratory tract infection due to respiratory syncytial virus in hospitalised infants in northern Spain [J].
Lapeña, S ;
Robles, MB ;
Castañón, L ;
Martínez, JP ;
Reguero, S ;
Alonso, MP ;
Fernández, I .
EUROPEAN JOURNAL OF EPIDEMIOLOGY, 2005, 20 (03) :271-276
[7]
The effects of weather and seasonality on hip fracture incidence in older adults [J].
Mirchandani, S ;
Aharonoff, GB ;
Hiebert, R ;
Capla, EL ;
Zuckerman, JD ;
Koval, KJ .
ORTHOPEDICS, 2005, 28 (02) :149-155
[8]
Peripheral vascular response to mild indirect cooling in patients with homozygous sickle cell (SS) disease and the frequency of painful crisis [J].
Mohan, J ;
Marshall, JM ;
Reid, HL ;
Thomas, PW ;
Hambleton, I ;
Serjeant, GR .
CLINICAL SCIENCE, 1998, 94 (02) :111-120
[9]
Asthma aggravation, combustion, and stagnant air [J].
Norris, G ;
Larson, T ;
Koenig, J ;
Claiborn, C ;
Sheppard, L ;
Finn, D .
THORAX, 2000, 55 (06) :466-470
[10]
PAIN IN SICKLE-CELL DISEASE - RATES AND RISK-FACTORS [J].
PLATT, OS ;
THORINGTON, BD ;
BRAMBILLA, DJ ;
MILNER, PF ;
ROSSE, WF ;
VICHINSKY, E ;
KINNEY, TR .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 325 (01) :11-16