Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/102376
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DC Field | Value | Language |
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dc.contributor.author | Zhang, Y. | - |
dc.contributor.author | Nitschke, M. | - |
dc.contributor.author | Krackowizer, A. | - |
dc.contributor.author | Dear, K. | - |
dc.contributor.author | Pisaniello, D. | - |
dc.contributor.author | Weinstein, P. | - |
dc.contributor.author | Tucker, G. | - |
dc.contributor.author | Shakib, S. | - |
dc.contributor.author | Bi, P. | - |
dc.date.issued | 2016 | - |
dc.identifier.citation | BMJ Open, 2016; 6(6):e010666-1-e010666-7 | - |
dc.identifier.issn | 2044-6055 | - |
dc.identifier.issn | 2044-6055 | - |
dc.identifier.uri | http://hdl.handle.net/2440/102376 | - |
dc.description.abstract | Objective: The extreme heatwave of 2009 in South Australia dramatically increased morbidity, with a 14-fold increase in direct heat-related hospitalisation in metropolitan Adelaide. Our study aimed to identify risk factors for the excess morbidity. Design: A matched case–control study of risk factors was conducted. Setting: Patients and matched community controls were interviewed to gather data on demographics, living environment, social support, health status and behaviour changes during the heatwave. Participants: Cases were all hospital admissions with heat-related diagnoses during the 5-day heatwave in 2009. Controls were randomly selected from communities. Outcome measures: Descriptive analyses, simple and multiple conditional logistic regressions were performed. Adjusted ORs (AORs) were estimated. Results: In total, 143 hospital patients and 143 matched community controls were interviewed, with a mean age of 73 years (SD 21), 96% European ethnicity, 63% retired, 36% with high school or higher education, and 8% institutional living. The regression model indicated that compared with the controls, cases were more likely to have heart disease (AOR=13.56, 95% CI 1.27 to 144.86) and dementia (AOR=26.43, 95% CI 1.99 to 350.73). The protective factors included higher education level (AOR=0.48, 95% CI 0.23 to 0.99), having air-conditioner in the bedroom (AOR=0.12, 95% CI 0.02 to 0.74), having an emergency button (AOR=0.09, 95% CI 0.01 to 0.96), using refreshment (AOR=0.10, 95% CI 0.01 to 0.84), and having more social activities (AOR=0.11, 95% CI 0.02 to 0.57). Conclusions: Pre-existing heart disease and dementia significantly increase the risk of direct heat-related hospitalisations during heatwaves. The presence of an air-conditioner in the bedroom, more social activities, a higher education level, use of emergency buttons and refreshments reduce the risk during heatwaves. | - |
dc.description.statementofresponsibility | Y. Zhang, M. Nitschke, A. Krackowizer, K. Dear, D. Pisaniello, P. Weinstein, G. Tucker, S. Shakib, P. Bi | - |
dc.language.iso | en | - |
dc.publisher | BMJ PPublishing Group Ltd | - |
dc.rights | Copyright status unknown. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. | - |
dc.source.uri | http://bmjopen.bmj.com/content/6/6/e010666 | - |
dc.subject | Humans | - |
dc.subject | Patient Admission | - |
dc.subject | Morbidity | - |
dc.subject | Logistic Models | - |
dc.subject | Risk Factors | - |
dc.subject | Case-Control Studies | - |
dc.subject | Disasters | - |
dc.subject | Aged | - |
dc.subject | Aged, 80 and over | - |
dc.subject | Middle Aged | - |
dc.subject | Emergency Service, Hospital | - |
dc.subject | South Australia | - |
dc.subject | Female | - |
dc.subject | Male | - |
dc.subject | Extreme Heat | - |
dc.subject | Protective Factors | - |
dc.title | Risk factors of direct heat-related hospital admissions during the 2009 heatwave in Adelaide, Australia: a matched case-control study | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1136/bmjopen-2015-010666 | - |
dc.relation.grant | ARC | - |
dc.relation.grant | ARC | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Zhang, Y. [0000-0001-6214-2440] | - |
dc.identifier.orcid | Nitschke, M. [0000-0002-8524-7867] | - |
dc.identifier.orcid | Dear, K. [0000-0002-0788-7404] | - |
dc.identifier.orcid | Pisaniello, D. [0000-0002-4156-0608] | - |
dc.identifier.orcid | Weinstein, P. [0000-0001-9860-7166] | - |
dc.identifier.orcid | Tucker, G. [0000-0003-2621-5942] | - |
dc.identifier.orcid | Shakib, S. [0000-0002-7199-5733] | - |
dc.identifier.orcid | Bi, P. [0000-0002-3238-3427] | - |
Appears in Collections: | Aurora harvest 7 Public Health publications |
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