Temperatura atmosférica e internações hospitalares por doenças cardíacas no município do Rio de Janeiro.

• Autor(a) principal: Bahia, Lívia Azevedo
• Data de Publicação: 2015
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/4316
• topic: Hot temperature; Hospitalization; Cardiovascular diseases; Temperatura ambiente; Hospitalização; Doenças cardiovasculares; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

The effects of high temperatures on human health represent a large magnitude problem in public health. The atmospheric temperature and air pollution are risk factors for chronic diseases, particularly ischemic heart disease (IHD). The study aimed to analyze the association between atmospheric temperature and hospital admissions for ischemic heart disease in Rio de Janeiro city between 2009 and 2013. Were used time series models, with generalized additive models, Poisson regression to test the hypothesis of association. Confusion as control variables were used the concentrations of air pollutants (ozone and particulate matter) and relative humidity air; It used simple lag method and distributed to assess the impact of change of 1°C in daily hospital admissions. In simple lag model were statistically significant associations for IHD admissions in competing day to heat exposure, both average temperature and for the maximum. In the polynomial distributed lag model, this association was observed with 1 and 2-day lag and the cumulative effect for both average temperature and for the maximum. When stratified by age group, the associations for IHD and heat exposure were not statistically significant in simple lag model for the average and maximum temperatures. By contrast, in polynomial distributed lag model, the correlation between IHD and heat exposure was observed in the range 30-60 years in the cumulative effect for the average temperature; and with a lag of 1 and 2 days to 60 years of age or older to average temperature. These results suggest a positive association between hospital admissions for ischemic heart disease and temperature in the city of Rio de Janeiro. The results of this study provide information for planning investments-conditioned urban areas and the preparation of hospitals to receive emergency related to the effects of heat which is one of the most important consequences of climate change.