Temperatura como um Fator de Risco para Internações Hospitalares em 70 Cidades do MS
DOI:
https://doi.org/10.5902/2179460X21277Keywords:
Temperatura alta. Temperatura baixa. Hospitalização.Abstract
O objetivo deste estudo foi quantificar a carga de morbidade total de internação por doenças respiratórias atribuível a temperatura ambiente não-ideal e as contribuições relativas de calor e frio e de temperaturas moderadas e extremas. Foram coletados dados diários das cidades de Mato Grosso do Sul e de temperaturas máxima e mínimas do ar. Para verificar esta relação utilizou-se o modelo aditivo generalizado de regressão de quasi Poisson. A análise foi ajustada para sazonalidades de longa e curta duração, temperaturas mínima e máxima, sendo adotado nível de significância α=5%. Calculou-se internações atribuíveis para calor e frio, definidas como temperaturas acima e abaixo da temperatura óptima e para temperaturas moderadas e extremos, definidos usando ponto de corte o 2, 5 th e 97, 5 th• percentis. Foram analisados 148.849 internações em vários períodos entre 2004 e 2009. No total, 6,62% (95% de IC- 6.53-6.82) deveu-se a temperatura não óptima nas cidades selecionadas. O percentil temperatura de morbidade mínima variou de aproximadamente o 60º percentil. As temperaturas atribuíveis para internação foram causadas pelo frio (6,38%, 95% de IC 6,04-6,58)do que pelo calor (0,39%, 0,28-0,42). Temperaturas quentes e frias extremas foram responsáveis por (0,75%; 0,71-0,79%). da morbidade total.
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