The rate and risk of heat-related illness in hospital emergency departments during the 1995 Chicago heat disaster

被引：23

作者：

Rydman R.J. ^{[1
,2
]}

Rumoro D.P. ^{[3
]}

Silva J.C. ^{[3
]}

Hogan T.M. ^{[3
]}

Kampe L.M. ^{[1
]}

机构：

[1] Departments of Emergency Medicine, Cook County Hospital, Rush University, Chicago

[2] Div. of Hlth. Plcy. and Admin., School of Public Health, University of Illinois, Chicago

[3] Department of Emergency Medicine, Resurrection Medical Center, Chicago

来源：

Journal of Medical Systems | 1999年 / 23卷 / 1期

关键词：

Disaster planning; Emergency medicine informatics; Heat illness; Heat morbidity; Public health surveillance;

D O I：

10.1023/A:1020871528086

中图分类号：

学科分类号：

摘要：

Objectives: To conduct an Emergency Department (ED)-based treated prevalence study of heat morbidity and to estimate the rate and risk of heat morbid events for all Chicago MSA EDs (N = 95; 2.7 million visits per year). Methods: ED patient log data were compiled from 13 randomly selected hospitals located throughout the Chicago MSA during the 2 weeks of the 1995 heat disaster and from the same 2-week period in 1994 (controls). Measurements included: age, sex, date, and time of ED service, up to three ICD-9 diagnoses, and disposition. Results: Heat morbidity for Chicago MSA hospital EDs was calculated at 4,224 (95% CI = 2964-5488) cases. ED heat morbidity increased significantly 5 days prior to the first heat-related death. In 1995, there was an increase in the estimated relative risk for the city = 3.85 and suburbs = 1.89 over the control year of 1994. Conclusions: Real time ED-based computer automated databanks should be constructed to improve public health response to infectious or noninfectious outbreaks. Rapid area-wide M and M tabulations can be used for advancing the effectiveness of community-based prevention programs, and anticipating hospital ED resource allocation.

引用

页码：41 / 56

页数：15

共 53 条

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