IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v13y2016i10p982-d79765.html
   My bibliography  Save this article

Susceptibility to Heat-Related Fluid and Electrolyte Imbalance Emergency Department Visits in Atlanta, Georgia, USA

Author

Listed:
  • Leila Heidari

    (Department of Environmental Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA)

  • Andrea Winquist

    (Department of Environmental Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA)

  • Mitchel Klein

    (Department of Environmental Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA)

  • Cassandra O’Lenick

    (Department of Environmental Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA)

  • Andrew Grundstein

    (Department of Geography, Franklin College of Arts and Sciences, The University of Georgia, 210 Field Street, Athens, GA 30602, USA)

  • Stefanie Ebelt Sarnat

    (Department of Environmental Health, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA)

Abstract

Identification of populations susceptible to heat effects is critical for targeted prevention and more accurate risk assessment. Fluid and electrolyte imbalance (FEI) may provide an objective indicator of heat morbidity. Data on daily ambient temperature and FEI emergency department (ED) visits were collected in Atlanta, Georgia, USA during 1993–2012. Associations of warm-season same-day temperatures and FEI ED visits were estimated using Poisson generalized linear models. Analyses explored associations between FEI ED visits and various temperature metrics (maximum, minimum, average, and diurnal change in ambient temperature, apparent temperature, and heat index) modeled using linear, quadratic, and cubic terms to allow for non-linear associations. Effect modification by potential determinants of heat susceptibility (sex; race; comorbid congestive heart failure, kidney disease, and diabetes; and neighborhood poverty and education levels) was assessed via stratification. Higher warm-season ambient temperature was significantly associated with FEI ED visits, regardless of temperature metric used. Stratified analyses suggested heat-related risks for all populations, but particularly for males. This work highlights the utility of FEI as an indicator of heat morbidity, the health threat posed by warm-season temperatures, and the importance of considering susceptible populations in heat-health research.

Suggested Citation

  • Leila Heidari & Andrea Winquist & Mitchel Klein & Cassandra O’Lenick & Andrew Grundstein & Stefanie Ebelt Sarnat, 2016. "Susceptibility to Heat-Related Fluid and Electrolyte Imbalance Emergency Department Visits in Atlanta, Georgia, USA," IJERPH, MDPI, vol. 13(10), pages 1-17, October.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:10:p:982-:d:79765
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/13/10/982/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/13/10/982/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Mengmeng Li & Shaohua Gu & Peng Bi & Jun Yang & Qiyong Liu, 2015. "Heat Waves and Morbidity: Current Knowledge and Further Direction-A Comprehensive Literature Review," IJERPH, MDPI, vol. 12(5), pages 1-28, May.
    2. Harlan, Sharon L. & Brazel, Anthony J. & Prashad, Lela & Stefanov, William L. & Larsen, Larissa, 2006. "Neighborhood microclimates and vulnerability to heat stress," Social Science & Medicine, Elsevier, vol. 63(11), pages 2847-2863, December.
    3. Rochelle Green & Rupa Basu & Brian Malig & Rachel Broadwin & Janice Kim & Bart Ostro, 2010. "The effect of temperature on hospital admissions in nine California counties," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(2), pages 113-121, April.
    4. Hajat, S. & Sheridan, S.C. & Allen, M.J. & Pascal, M. & Laaidi, K. & Yagouti, A. & Bickis, U. & Tobias, A. & Bourque, D. & Armstrong, B.G. & Kosatsky, T., 2010. "Heat-health warning systems: A comparison of the predictive capacity of different approaches to identifying dangerously hot days," American Journal of Public Health, American Public Health Association, vol. 100(6), pages 1137-1144.
    5. Kaiser, R. & Le Tertre, A. & Schwartz, J. & Gotway, C.A. & Daley, W.R. & Rubin, C.H., 2007. "The effect of the 1995 heat wave in Chicago on all-cause and cause-specific mortality," American Journal of Public Health, American Public Health Association, vol. 97(S1), pages 158-162.
    6. Michael T Schmeltz & Grace Sembajwe & Peter J Marcotullio & Jean A Grassman & David U Himmelstein & Stephanie Woolhandler, 2015. "Identifying Individual Risk Factors and Documenting the Pattern of Heat-Related Illness through Analyses of Hospitalization and Patterns of Household Cooling," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-15, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ernesto Infusino & Tommaso Caloiero & Francesco Fusto & Gianfranco Calderaro & Angelo Brutto & Giuseppe Tagarelli, 2021. "Characterization of the 2017 Summer Heat Waves and Their Effects on the Population of an Area of Southern Italy," IJERPH, MDPI, vol. 18(3), pages 1-16, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ghasem Toloo & Gerard FitzGerald & Peter Aitken & Kenneth Verrall & Shilu Tong, 2013. "Evaluating the effectiveness of heat warning systems: systematic review of epidemiological evidence," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(5), pages 667-681, October.
    2. Ine Van den Wyngaert & Katrien De Troeyer & Bert Vaes & Mahmoud Alsaiqali & Bert Van Schaeybroeck & Rafiq Hamdi & Lidia Casas Ruiz & Gijs Van Pottelbergh, 2021. "Impact of Heat Waves on Hospitalisation and Mortality in Nursing Homes: A Case-Crossover Study," IJERPH, MDPI, vol. 18(20), pages 1-8, October.
    3. Alisa L. Hass & Kelsey N. Ellis & Lisa Reyes Mason & Jon M. Hathaway & David A. Howe, 2016. "Heat and Humidity in the City: Neighborhood Heat Index Variability in a Mid-Sized City in the Southeastern United States," IJERPH, MDPI, vol. 13(1), pages 1-19, January.
    4. Michael T. Schmeltz & Elisaveta P. Petkova & Janet L. Gamble, 2016. "Economic Burden of Hospitalizations for Heat-Related Illnesses in the United States, 2001–2010," IJERPH, MDPI, vol. 13(9), pages 1-11, September.
    5. Lin Zhou & Zheng Xin & Li Bai & Fangjun Wan & Yongming Wang & Shaowei Sang & Shouqin Liu & Ji Zhang & Qiyong Liu, 2014. "Perceptions of Heat Risk to Health: A Qualitative Study of Professional Bus Drivers and Their Managers in Jinan, China," IJERPH, MDPI, vol. 11(2), pages 1-16, January.
    6. Scott Sheridan & Adam Kalkstein, 2010. "Seasonal variability in heat-related mortality across the United States," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 55(2), pages 291-305, November.
    7. Robert E. Davis & Wendy M. Novicoff, 2018. "The Impact of Heat Waves on Emergency Department Admissions in Charlottesville, Virginia, U.S.A," IJERPH, MDPI, vol. 15(7), pages 1-16, July.
    8. John Nairn & Bertram Ostendorf & Peng Bi, 2018. "Performance of Excess Heat Factor Severity as a Global Heatwave Health Impact Index," IJERPH, MDPI, vol. 15(11), pages 1-26, November.
    9. Camila I. Donatti & Celia A. Harvey & David Hole & Steven N. Panfil & Hanna Schurman, 2020. "Indicators to measure the climate change adaptation outcomes of ecosystem-based adaptation," Climatic Change, Springer, vol. 158(3), pages 413-433, February.
    10. Susan Williams & Peng Bi & Jonathan Newbury & Guy Robinson & Dino Pisaniello & Arthur Saniotis & Alana Hansen, 2013. "Extreme Heat and Health: Perspectives from Health Service Providers in Rural and Remote Communities in South Australia," IJERPH, MDPI, vol. 10(11), pages 1-19, October.
    11. Janine Wichmann & Zorana Andersen & Matthias Ketzel & Thomas Ellermann & Steffen Loft, 2011. "Apparent Temperature and Cause-Specific Emergency Hospital Admissions in Greater Copenhagen, Denmark," PLOS ONE, Public Library of Science, vol. 6(7), pages 1-7, July.
    12. Min-Liang Chu & Chiao-Yu Shih & Tsung-Cheng Hsieh & Han-Lin Chen & Chih-Wei Lee & Jen-Che Hsieh, 2019. "Acute Myocardial Infarction Hospitalizations between Cold and Hot Seasons in an Island across Tropical and Subtropical Climate Zones—A Population-Based Study," IJERPH, MDPI, vol. 16(15), pages 1-14, August.
    13. Weihua Dong & Zhao Liu & Lijie Zhang & Qiuhong Tang & Hua Liao & Xian'en Li, 2014. "Assessing Heat Health Risk for Sustainability in Beijing’s Urban Heat Island," Sustainability, MDPI, vol. 6(10), pages 1-24, October.
    14. Sara Wilkinson & Renato Castiglia Feitosa, 2015. "Retrofitting Housing with Lightweight Green Roof Technology in Sydney, Australia, and Rio de Janeiro, Brazil," Sustainability, MDPI, vol. 7(1), pages 1-18, January.
    15. De Valck, Jeremy & Beames, Alistair & Liekens, Inge & Bettens, Maarten & Seuntjens, Piet & Broekx, Steven, 2019. "Valuing urban ecosystem services in sustainable brownfield redevelopment," Ecosystem Services, Elsevier, vol. 35(C), pages 139-149.
    16. Tao Chen & Anchang Sun & Ruiqing Niu, 2019. "Effect of Land Cover Fractions on Changes in Surface Urban Heat Islands Using Landsat Time-Series Images," IJERPH, MDPI, vol. 16(6), pages 1-18, March.
    17. Vaneckova, Pavla & Beggs, Paul J. & Jacobson, Carol R., 2010. "Spatial analysis of heat-related mortality among the elderly between 1993 and 2004 in Sydney, Australia," Social Science & Medicine, Elsevier, vol. 70(2), pages 293-304, January.
    18. Maria Papathoma-Koehle & Catrin Promper & Roxana Bojariu & Roxana Cica & András Sik & Kinga Perge & Peter László & Erika Balázs Czikora & Alexandru Dumitrescu & Cosmin Turcus & Marius-Victor Birsan & , 2016. "A common methodology for risk assessment and mapping for south-east Europe: an application for heat wave risk in Romania," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 82(1), pages 89-109, May.
    19. Michael T Schmeltz & Janet L Gamble, 2017. "Risk characterization of hospitalizations for mental illness and/or behavioral disorders with concurrent heat-related illness," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-15, October.
    20. Qunshan Zhao & Elizabeth A. Wentz, 2016. "A MODIS/ASTER Airborne Simulator (MASTER) Imagery for Urban Heat Island Research," Data, MDPI, vol. 1(1), pages 1-9, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:13:y:2016:i:10:p:982-:d:79765. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.