Association between ambient temperature and stroke risk in high-risk populations: a systematic review

被引:4
作者
Danh, Nathan [1 ]
Ho, Chau [2 ]
Ford, Emily [1 ]
Zhang, Jian [3 ]
Hong, Hua [3 ]
Reid, Christopher [3 ]
Xu, Dan [1 ,2 ,3 ]
机构
[1] Curtin Univ, Fac Hlth Sci, Curtin Med Sch, Perth, WA, Australia
[2] Curtin Univ, Fac Hlth Sci, Curtin Sch Populat Hlth, Perth, WA, Australia
[3] Sun Yat Sen Univ, Affiliated Hosp 1, Dept Neurol, Guangzhou, Peoples R China
关键词
ambient temperature; high cardiovascular risk population; stroke risk; stroke morbidity; stroke mortality; ischaemic stroke; haemorrhagic stroke; CORONARY-HEART-DISEASE; SEASONAL-VARIATION; HEMORRHAGIC STROKES; HOSPITAL ADMISSIONS; TIME-SERIES; MORTALITY; WEATHER; COLD; PRESSURE; EPIDEMIOLOGY;
D O I
10.3389/fneur.2023.1323224
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Significant associations exist between ambient temperature and stroke risk, but results in high cardiovascular risk populations are lacking. This systemic review summarised current evidence on ambient temperature and overall stroke risk in a high cardiovascular risk population. Methods: We performed a systematic literature search across MEDLINE, Embase, PsycINFO, CINAHL, Web of Science, and GEOBASE, from inception to 3 July 2023, to identify all population-based studies. Eligible studies screened by independent reviewers recruited individuals aged 18 years and over, where minimum 80% of participants had a high cerebral vascular disease (CVD) risk profile. The primary outcomes are stroke morbidity and mortality, while the secondary outcomes are morbidity and mortality of ischaemic stroke (IS), intracranial cerebral haemorrhage (ICH), and subarachnoid haemorrhage (SH). Results: The database searches identified 9,025 articles. After removing duplicates, 7,647 articles were screened in title and abstract to identify 380 articles for full-text screening. After the full-text screening of 380 articles by two independent reviewers, 23 articles were included in the review. Conclusion: The evidence for an association between ambient temperature and stroke incidence is that lower temperatures were more likely to increase morbidity and mortality risk of both haemorrhagic and ischaemic stroke in older people. Conversely, higher ambient temperature is significantly associated with intracranial haemorrhage risk, but decreased risk with IS. Higher and lower ambient temperatures consistently increase stroke risks in patients with comorbidities of congestive heart failure and dyslipidaemia. This evidence implies the need to establish clinical guidelines for preventive intervention in patients with high stroke risks during extreme ambient temperatures.
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页数:16
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