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Effects of Heatwaves on Hospital Admissions for Cardiovascular and Respiratory Diseases, in Southern Vietnam, 2010–2018: Time Series Analysis

Author

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  • Nguyen Thi Trang Nhung

    (Faculty of Fundamental Sciences, Hanoi University of Public Health, Hanoi 10000, Vietnam)

  • Le Tu Hoang

    (Faculty of Fundamental Sciences, Hanoi University of Public Health, Hanoi 10000, Vietnam)

  • Tran Thi Tuyet Hanh

    (Faculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi 10000, Vietnam)

  • Luu Quoc Toan

    (Faculty of Environmental and Occupational Health, Hanoi University of Public Health, Hanoi 10000, Vietnam)

  • Nguyen Duc Thanh

    (Ministry of Health, Hanoi 10000, Vietnam)

  • Nguyen Xuan Truong

    (Ministry of Health, Hanoi 10000, Vietnam)

  • Nguyen Anh Son

    (Ministry of Health, Hanoi 10000, Vietnam)

  • Hoong Van Nhat

    (Ministry of Health, Hanoi 10000, Vietnam)

  • Nguyen Huu Quyen

    (Institute of Hydrology and Meteorology Science and Climate Change, Hanoi 10000, Vietnam)

  • Ha Van Nhu

    (Faculty of Basic Medicine, Hanoi University of Public Health, Hanoi 10000, Vietnam)

Abstract

This study investigated the associations between heatwaves and daily hospital admissions for cardiovascular and respiratory diseases in two provinces in Viet Nam known to be vulnerable to droughts during 2010–2018. This study applied a time series analysis with data extracted from the electronic database of provincial hospitals and meteorological stations from the corresponding province. To eliminate over-dispersion, this time series analysis used Quasi-Poisson regression. The models were controlled for the day of the week, holiday, time trend, and relative humidity. Heatwaves were defined as the maximum temperature exceeding P90th over the period from 2010 to 2018 during at least three consecutive days. Data from 31,191 hospital admissions for respiratory diseases and 29,056 hospitalizations for cardiovascular diseases were investigated in the two provinces. Associations between hospital admissions for respiratory diseases and heatwaves in Ninh Thuan were observed at lag 2, with excess risk (ER = 8.31%, 95% confidence interval: 0.64–16.55%). However, heatwaves were negatively associated with cardiovascular diseases in Ca Mau, which was determined amongst the elderly (age above 60), ER = −7.28%, 95%CI: −13.97–−0.08%. Heatwaves can be a risk factor for hospital admission due to respiratory diseases in Vietnam. Further studies need to be conducted to assert the link between heat waves and cardiovascular diseases.

Suggested Citation

  • Nguyen Thi Trang Nhung & Le Tu Hoang & Tran Thi Tuyet Hanh & Luu Quoc Toan & Nguyen Duc Thanh & Nguyen Xuan Truong & Nguyen Anh Son & Hoong Van Nhat & Nguyen Huu Quyen & Ha Van Nhu, 2023. "Effects of Heatwaves on Hospital Admissions for Cardiovascular and Respiratory Diseases, in Southern Vietnam, 2010–2018: Time Series Analysis," IJERPH, MDPI, vol. 20(5), pages 1-11, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:3908-:d:1076924
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    References listed on IDEAS

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    1. Sue Smith & Alex J. Elliot & Shakoor Hajat & Angie Bone & Chris Bates & Gillian E. Smith & Sari Kovats, 2016. "The Impact of Heatwaves on Community Morbidity and Healthcare Usage: A Retrospective Observational Study Using Real-Time Syndromic Surveillance," IJERPH, MDPI, vol. 13(1), pages 1-12, January.
    2. Cinoo Kang & Chaerin Park & Whanhee Lee & Nazife Pehlivan & Munjeong Choi & Jeongju Jang & Ho Kim, 2020. "Heatwave-Related Mortality Risk and the Risk-Based Definition of Heat Wave in South Korea: A Nationwide Time-Series Study for 2011–2017," IJERPH, MDPI, vol. 17(16), pages 1-12, August.
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    1. Kun Hing Yong & Yen Nee Teo & Mohsen Azadbakht & Hai Phung & Cordia Chu, 2023. "The Scorching Truth: Investigating the Impact of Heatwaves on Selangor’s Elderly Hospitalisations," IJERPH, MDPI, vol. 20(10), pages 1-13, May.
    2. Nguyen Duc Kien & Nguyen H. D. My & Dang Thi Anh Thu & Ton That Canh Tri & Nghiem Hong Son & Thai Khanh Phong & Hoang Cong Tin & Nguyen Hoang Lan & Tran Binh Thang & Bui Dung The & Phung Tri Dung, 2023. "Valuation of a Heatwave Early Warning System for Mitigating Risks Associated with Heat-Related Illness in Central Vietnam," Sustainability, MDPI, vol. 15(21), pages 1-21, October.

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