NDLI: Outcomes of hospitalizations for common illnesses associated with a comorbid heat-related illness in the United States, 2001

Content Provider	Springer Nature Link
Author	Schmeltz, Michael T. Marcotullio, Peter J. Himmelstein, David U. Woolhandler, Steffie Sembajwe, Grace
Copyright Year	2016
Abstract	This research examines whether inpatients with common illnesses and comorbid heat-related illness (HRI) suffer worse health outcomes and use more hospital resources than similar patients without a diagnosed HRI. We used the Nationwide Inpatient Sample, 2001–2010 to compare outcomes, including inpatient length of stay, number of procedures, total charges, discharge status and death, for hospitalization of common illnesses with and without HRI. We used bivariate and multivariable regressions to identify risk factors for health outcomes among inpatients with common illnesses and comorbid HRI. Stratified analyses examined outcomes according to sociodemographics and hospital characteristics to further identify specific risk factors. Among inpatients with respiratory illnesses, negative outcomes were more frequent when a comorbid HRI was present. Additionally, inpatients with cardiac diseases showed increased mortality when a comorbid HRI was present. Overall, comorbid HRI was not associated with worse outcomes among the other common illnesses analyzed. While heat may precipitate hospital admissions for renal and diabetic conditions, these conditions have similar outcomes whether or not a HRI is present. However, comorbid HRI is associated with worse outcomes for respiratory illness hospitalizations and higher risk of death among cardiac disease hospitalizations.
Starting Page	567
Ending Page	584
Page Count	18
File Format	PDF
ISSN	01650009
Journal	Climatic Change
Volume Number	138
Issue Number	3-4
e-ISSN	15731480
Language	English
Publisher	Springer Netherlands
Publisher Date	2016-07-15
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Climate change Heat-related illness Temperature Heat Respiratory health Atmospheric Sciences Climate Change/Climate Change Impacts
Content Type	Text
Resource Type	Article
Subject	Atmospheric Science Global and Planetary Change

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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