Risk of cardiovascular events during labor and delivery associated with acute ambient temperature changes - 06/12/21

Doi : 10.1016/j.joclim.2021.100060

Jenna Kanner ^a, Danielle R. Stevens ^a, Carrie J. Nobles ^a, Matthew C.H. Rohn ^a, Sandie Ha ^b, Tuija Männistö ^c, Marion S. Ouidir ^a, Pauline Mendola ^a,^d,^⁎
^a Epidemiology Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, 6710B Rockledge Drive, Bethesda, MD, United States of America
^b Department of Public Health, School of Social Sciences, Humanities and Arts, Health Science Research Institute, University of California, Merced, CA 95343, United States of America
^c Nordlab Oulu City Center, Uusikatu 49 A 1, 90120 Oulu, Finland
^d Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, 270 Farber Hall, Buffalo, NY 14214, United States of America

^⁎Corresponding author.

connectez-vous ou créez un compte

Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.

Connectez-vous pour en bénéficier!

Abstract

Purpose

We assessed acute risk of cardiovascular events at labor/delivery with exposure to ambient temperatures during the week prior to delivery in a low-risk population.

Methods

A case-crossover design evaluated 191 women with cardiovascular events at labor/delivery in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Consecutive Pregnancies Study (Utah, 2002–2010). Using conditional logistic regression models, we estimated the odds ratio (OR) and 95% confidence interval (CI) for each 1 °Celsius (1.8°F) increase in the warm season (May-October) or decrease in the cold season (November-April) in the week prior to delivery compared to two weeks prior and after delivery.

Results

Cardiovascular events during delivery included acute myocardial infarction (n = 1), stroke (n = 29), heart failure (n = 7), cardiac arrest (n = 118), and unspecified (n = 39). Cardiovascular event risk increased by 9% (95% CI: 1.02, 1.18) for every 1 °C increase in average temperature in the week prior to delivery during the warm season and increased 6% (95% CI: 1.00, 1.13) for every 1 °C decrease during the cold season.

Conclusion

Acute temperature changes in the week prior to delivery were associated with increased risk of cardiovascular events at labor/delivery.

Le texte complet de cet article est disponible en PDF.

Keywords : Acute, Blood pressure, Cardiovascular event, Environment, Hypertension, Pregnancy

Plan

Introduction

Materials and methods

Cohort selection

Study design and statistical analysis

Limitations of the study

Strengths of the study

Conclusions

Export

Vol 3

Article 100060- août 2021 Retour au numéro

Article précédent

The impacts of climate change on displaced populations: A call for action
Ayman Ahmed, Nouh Saad Mohamed, Emmanuel Edwar Siddig, Talha Algaily, Suad Sulaiman, Yousif Ali

| Article suivant

Psychometric properties of the Italian version of the Climate Change Anxiety Scale
Matteo Innocenti, Gabriele Santarelli, Vanessa Faggi, Giovanni Castellini, Ilenia Manelli, Gisella Magrini, Ferdinando Galassi, Valdo Ricca

Bienvenue sur EM-consulte, la référence des professionnels de santé.

connectez-vous ou créez un compte

Risk of cardiovascular events during labor and delivery associated with acute ambient temperature changes - 06/12/21

Abstract

Purpose

Methods

Results

Conclusion

Plan

Export citations

Fichier

Contenu

Accès rapides

Mon compte

Aide & support

Plateformes Elsevier Masson

Déclaration CNIL