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Temperature might increase the hospital admission risk for rheumatoid arthritis patients in Anqing, China: a time-series study.

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Title: Temperature might increase the hospital admission risk for rheumatoid arthritis patients in Anqing, China: a time-series study.
Authors: Huang, Li-Juan1 (AUTHOR), Zha, Jun-Jing1 (AUTHOR), Cao, Nv-Wei2 (AUTHOR), Zhou, Hao-Yue2 (AUTHOR), Chu, Xiu-Jie2 (AUTHOR), Wang, Hua2 (AUTHOR), Li, Xian-Bao2 (AUTHOR), Li, Bao-Zhu2 (AUTHOR) lbz88730@163.com
Source: International Journal of Biometeorology. Jan2022, Vol. 66 Issue 1, p201-211. 11p.
Subject Terms: *Rheumatoid arthritis, *Hospital admission & discharge, *Cold (Temperature), *Temperature
Abstract: Temperature has been studied in relation to many health outcomes. However, few studies have explored its effect on the risk of hospital admission for rheumatoid arthritis (RA). A distributed lag non-linear model (DLNM) was used to analyze associations between mean temperature, diurnal temperature range (DTR), temperature change between neighboring days (TCN), and daily admissions for RA from 2015 to 2019 in Anqing, China. Subgroup analyses based on age, gender, rheumatoid factors, and admission route were performed. In total, 1456 patients with RA were hospitalized. Regarding the cumulative-lag effects of extreme cold temperature (5th percentile = 3℃), the risks of admissions for RA were increased and highest at lag 0–11 (RR = 2.68, 95% CI: 1.23–5.86). Exposing to low (5th percentile = 1.9℃) and high (95th percentile = 14.2℃) DTRs both had increased risks of RA admission, with highest RRs of 1.40 (95% CI: 1.03–1.91) and 1.24 (95% CI: 1.0–1.53) at lag 0 day, respectively. As for TCN, the marginal risk of admission in RA patients was found when exposed to high TCN (95th percentile = 2.9℃) with the largest single-day effect at lag 10 (RR = 1.11, 95% CI: 1.01–1.23). In subgroup analyses, females were more susceptible to extreme cold temperature, low and high DTRs, and high TCN. In regard to extreme cold temperature, significant risk of hospital admission in females only appeared at lag 2 (RR = 1.48, 95% CI: 1.02–2.15) and lag 0–2 (RR = 2.35, 95% CI: 1.11–4.95). It is clear that RA patients exposed to changing temperature may increase risks of admission. [ABSTRACT FROM AUTHOR]
Database: Energy & Power Source
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Header DbId: enr
DbLabel: Energy & Power Source
An: 154481110
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PubType: Academic Journal
PubTypeId: academicJournal
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  Label: Title
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  Data: Temperature might increase the hospital admission risk for rheumatoid arthritis patients in Anqing, China: a time-series study.
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  Data: <searchLink fieldCode="AR" term="%22Huang%2C+Li-Juan%22">Huang, Li-Juan</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zha%2C+Jun-Jing%22">Zha, Jun-Jing</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cao%2C+Nv-Wei%22">Cao, Nv-Wei</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhou%2C+Hao-Yue%22">Zhou, Hao-Yue</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chu%2C+Xiu-Jie%22">Chu, Xiu-Jie</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wang%2C+Hua%22">Wang, Hua</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Li%2C+Xian-Bao%22">Li, Xian-Bao</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Li%2C+Bao-Zhu%22">Li, Bao-Zhu</searchLink><relatesTo>2</relatesTo> (AUTHOR)<i> lbz88730@163.com</i>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Biometeorology%22">International Journal of Biometeorology</searchLink>. Jan2022, Vol. 66 Issue 1, p201-211. 11p.
– Name: Subject
  Label: Subject Terms
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  Data: *<searchLink fieldCode="DE" term="%22Rheumatoid+arthritis%22">Rheumatoid arthritis</searchLink><br />*<searchLink fieldCode="DE" term="%22Hospital+admission+%26+discharge%22">Hospital admission & discharge</searchLink><br />*<searchLink fieldCode="DE" term="%22Cold+%28Temperature%29%22">Cold (Temperature)</searchLink><br />*<searchLink fieldCode="DE" term="%22Temperature%22">Temperature</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Temperature has been studied in relation to many health outcomes. However, few studies have explored its effect on the risk of hospital admission for rheumatoid arthritis (RA). A distributed lag non-linear model (DLNM) was used to analyze associations between mean temperature, diurnal temperature range (DTR), temperature change between neighboring days (TCN), and daily admissions for RA from 2015 to 2019 in Anqing, China. Subgroup analyses based on age, gender, rheumatoid factors, and admission route were performed. In total, 1456 patients with RA were hospitalized. Regarding the cumulative-lag effects of extreme cold temperature (5th percentile = 3℃), the risks of admissions for RA were increased and highest at lag 0–11 (RR = 2.68, 95% CI: 1.23–5.86). Exposing to low (5th percentile = 1.9℃) and high (95th percentile = 14.2℃) DTRs both had increased risks of RA admission, with highest RRs of 1.40 (95% CI: 1.03–1.91) and 1.24 (95% CI: 1.0–1.53) at lag 0 day, respectively. As for TCN, the marginal risk of admission in RA patients was found when exposed to high TCN (95th percentile = 2.9℃) with the largest single-day effect at lag 10 (RR = 1.11, 95% CI: 1.01–1.23). In subgroup analyses, females were more susceptible to extreme cold temperature, low and high DTRs, and high TCN. In regard to extreme cold temperature, significant risk of hospital admission in females only appeared at lag 2 (RR = 1.48, 95% CI: 1.02–2.15) and lag 0–2 (RR = 2.35, 95% CI: 1.11–4.95). It is clear that RA patients exposed to changing temperature may increase risks of admission. [ABSTRACT FROM AUTHOR]
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1007/s00484-021-02207-9
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 201
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      – SubjectFull: Rheumatoid arthritis
        Type: general
      – SubjectFull: Hospital admission & discharge
        Type: general
      – SubjectFull: Cold (Temperature)
        Type: general
      – SubjectFull: Temperature
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      – TitleFull: Temperature might increase the hospital admission risk for rheumatoid arthritis patients in Anqing, China: a time-series study.
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            NameFull: Huang, Li-Juan
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            NameFull: Zha, Jun-Jing
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            NameFull: Cao, Nv-Wei
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            NameFull: Zhou, Hao-Yue
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            NameFull: Chu, Xiu-Jie
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            NameFull: Wang, Hua
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            – D: 01
              M: 01
              Text: Jan2022
              Type: published
              Y: 2022
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              Value: 66
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            – TitleFull: International Journal of Biometeorology
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