Repository logo
 
Publication

Impact of heat on emergency hospital admissions related to kidney diseases in Texas: uncovering racial disparities

2024-01Journal article Embargoed access
Simple item page
dc.contributor.authorGuo, Chunyu
dc.contributor.authorGe, Erjia
dc.contributor.authorYu, Manzhu
dc.contributor.authorLi, Changwei
dc.contributor.authorLao, Xiangqian
dc.contributor.authorLi, Shuang
dc.contributor.authorGlaser, Jason
dc.contributor.authorHe, Yongqun
dc.contributor.authorAlmeida-Silva, Marina
dc.contributor.authorMeng, Sisi
dc.contributor.authorSu, Wei-Chung
dc.contributor.authorZhang, Junfeng
dc.contributor.authorLin, Shao
dc.contributor.authorZhang, Kai
dc.date.accessioned2023-12-07T15:50:08Z
dc.date.embargo2025-12-07
dc.date.issued2024-01
dc.description.abstractBackground and objective: While the impact of heat exposure on human health is well-documented, limited research exists on its effect on kidney disease hospital admissions, especially in Texas, a state with diverse demographics and a high heat-related death rate. We aimed to explore the link between high temperatures and emergency kidney disease hospital admissions across 12 Texas Metropolitan Statistical Areas (MSAs) from 2004 to 2013, considering causes, age groups, and ethnic populations. Methods: To investigate the correlation between high temperatures and emergency hospital admissions, we utilized MSA-level hospital admission and weather data. We employed a Generalized Additive Model to calculate the association specific to each MSA and then performed a random effects meta-analysis to estimate the overall correlation. Analyses were stratified by age groups, admission causes, and racial/ethnic disparities. Sensitivity analysis involved lag modifications and ozone inclusion in the model. Results: Our analysis found that each 1 °C increase in temperature was associated with a 1.73 % (95 % CI [1.43, 2.03]) increase in hospital admissions related to all types of kidney diseases. Besides, the effect estimates varied across different age groups and specific types of kidney diseases. We observed statistically significant associations between high temperatures and emergency hospital admissions for Acute Kidney Injury (AKI) (3.34 % (95 % CI [2.86, 3.82])), Kidney Stone (1.76 % (95 % CI [0.94, 2.60])), and Urinary Tract Infections (UTI) (1.06 % (95 % CI [0.61, 1.51])). Our research findings indicate disparities in certain Metropolitan Statistical Areas (MSAs). In Austin, Houston, San Antonio, and Dallas metropolitan areas, the estimated effects are more pronounced for African Americans when compared to the White population. Additionally, in Dallas, Houston, El Paso, and San Antonio, the estimated effects are greater for the Hispanic group compared to the non-Hispanic group. Conclusions: This study finds a strong link between higher temperatures and kidney disease-related hospital admissions in Texas, especially for AKI. Public health actions are necessary to address these temperature-related health risks, including targeted kidney health initiatives. More research is needed to understand the mechanisms and address health disparities among racial/ethnic groups.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGuo C, Ge E, Yu M, Li C, Lao X, Almeida-Silva M, et al. Impact of heat on emergency hospital admissions related to kidney diseases in Texas: uncovering racial disparities. Sci Total Environ. 2024;909:168377.pt_PT
dc.identifier.doi10.1016/j.scitotenv.2023.168377pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/16642
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S0048969723070055pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectHeatpt_PT
dc.subjectEmergency hospital admissionpt_PT
dc.subjectKidney diseasept_PT
dc.subjectHigh temperaturept_PT
dc.titleImpact of heat on emergency hospital admissions related to kidney diseases in Texas: uncovering racial disparitiespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage168377pt_PT
oaire.citation.titleScience of The Total Environmentpt_PT
oaire.citation.volume909pt_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
Impact of heat on emergency hospital admissions related to kidney diseases in Texas_uncovering racial disparities.pdf
Size:
2.01 MB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

ESTeSL - Artigos