Vol 3, No 3 (2018)
Original article
Published online: 2018-10-25
Atmospheric conditions and the occurrence of out-of-hospital cardiac arrest in Poland — preliminary analysis of poorly understood phenomena
Medical Research Journal 2018;3(3):121-126.
Abstract
Background: The aim of this study was to investigate numerous daily weather conditions and the incidence
of out-of-hospital cardiac arrest (OHCA) in the moderate climate of Poland. The authors particularly
wanted to examine yet poorly explored individual atmospheric parameters that may presumably influence
the incidence of OHCA.
Methods: The retrospective analysis of OHCA cases based on dispatch cards from Emergency Medical
Centre in Opole, Poland covering 2 years (2006–2007). Total of 815 adults with presumed cardiac aetiology
of OHCA was included.
Results: The mean age of the group was 69,2 ± 14,2 years, with the majority of men (63%). No statistically
significant differences were found in the incidence of OHCA regarding analysed weather conditions. In
the subgroup of men, the incidence of OHCA was higher on days with the atmospheric pressure increase
between consecutive days (p = 0.028) with the highest prevalence on days with pressure increase less
than 5 hPa (p = 0.026). In a group of patients ≤ 65 years old the incidence of OHCA was the highest on
days with day-to-day pressure change between 0.1 and 4.9 hPa (p = 0.025).
Conclusions: Among many weather parameters, only a few of them might be significant for the occurrence
of OHCA in the moderate climate of Poland. In the population of men and patients ≤ 65 years old the
incidence of OHCA may be influenced by atmospheric pressure changes.
Keywords: cardiac arrestvariabilitytemperatureatmospheric pressurehumidityweather conditions
References
- Nichol G, Rumsfeld J, Eigel B, et al. American Heart Association Emergency Cardiovascular Care Committee, American Heart Association Council on Cardiopulmonary, Perioperative, and Critical Care, American Heart Association Council on Cardiovascular Nursing, American Heart Association Council on Clinical Cardiology, Quality of Care and Outcomes Research Interdisciplinary Working Group. Essential features of designating out-of-hospital cardiac arrest as a reportable event: a scientific statement from the American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiopulmonary, Perioperative, and Critical Care; Council on Cardiovascular Nursing; Council on Clinical Cardiology; and Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2008; 117(17): 2299–2308.
- Iwami T, Nichol G, Hiraide A, et al. Continuous improvements in "chain of survival" increased survival after out-of-hospital cardiac arrests: a large-scale population-based study. Circulation. 2009; 119(5): 728–734.
- Atwood C, Eisenberg MS, Herlitz J, et al. Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation. 2005; 67(1): 75–80.
- McNally B, Robb R, Mehta M, et al. Centers for Disease Control and Prevention. Out-of-hospital cardiac arrest surveillance --- Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005--December 31, 2010. MMWR Surveill Summ. 2011; 60(8): 1–19.
- Roger VL, Go AS, Lloyd-Jones DM, et al. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2011 update: a report from the American Heart Association. Circulation. 2011; 123(4): e18–e209.
- Paradis NA, Halperin HR, Kern MB, et al. Cardiac arrest: The science and practice of resuscitation medicine, 2nd edn. UK: Cambridge University Press. ; 2007.
- Hayashi S, Toyoshima H, Tanabe N, et al. Daily peaks in the incidence of sudden cardiac death and fatal stroke in Niigata Prefecture. Jpn Circ J. 1996; 60(4): 193–200.
- Herlitz J, Eek M, Holmberg M, et al. Diurnal, weekly and seasonal rhythm of out of hospital cardiac arrest in Sweden. Resuscitation. 2002; 54(2): 133–138.
- Arntz HR, Willich SN, Schreiber C, et al. Diurnal, weekly and seasonal variation of sudden death. Population-based analysis of 24,061 consecutive cases. Eur Heart J. 2000; 21(4): 315–320.
- Seretakis D, Lagiou P, Lipworth L, et al. Changing seasonality of mortality from coronary heart disease. JAMA. 1997; 278(12): 1012–1014.
- Lin S, Luo M, Walker RJ, et al. Extreme high temperatures and hospital admissions for respiratory and cardiovascular diseases. Epidemiology. 2009; 20(5): 738–746.
- Michelozzi P, Accetta G, De Sario M, et al. PHEWE Collaborative Group. High temperature and hospitalizations for cardiovascular and respiratory causes in 12 European cities. Am J Respir Crit Care Med. 2009; 179(5): 383–389.
- Gronlund CJ, Zanobetti A, Schwartz JD, et al. Heat, heat waves, and hospital admissions among the elderly in the United States, 1992-2006. Environ Health Perspect. 2014; 122(11): 1187–1192.
- Chen R, Li T, Cai J, et al. Extreme temperatures and out-of-hospital coronary deaths in six large Chinese cities. J Epidemiol Community Health. 2014; 68(12): 1119–1124.
- Weinbacher M, Martina B, Bart T, et al. Blood pressure and atmospheric pressure. Ann N Y Acad Sci. 1996; 783: 335–336.
- Danet S, Richard F, Montaye M, et al. Unhealthy effects of atmospheric temperature and pressure on the occurrence of myocardial infarction and coronary deaths. A 10-year survey: the Lille-World Health Organization MONICA project (Monitoring trends and determinants in cardiovascular disease). Circulation. 1999; 100(1): E1–E7.
- Szczerbinski S, Ratajczak J, Lach P, et al. Epidemiology and chronobiology of out-of-hospital cardiac arrest in a subpopulation of southern Poland: A two-year observation. Cardiol J. 2018 [Epub ahead of print].
- Boczar D, Molodowicz M, et al. Ludność, ruch naturalny i migracje w województwie oolskim w 2006r. [Poulation, vital statistics and migration of oulation in oolskie voivodshi in 2006]. Urząd Statystyczny we Wrocławiu Wydział Poligrafii w Legnicy; 2007. p 7-20. : Polish.
- Molodowicz M, et al. Ludność, ruch naturalny i migracje w województwie oolskim w 2007r. [Poulation, vital statistics and migration of oulation in oolskie voivodshi in 2007]. Urząd Statystyczny we Wrocławiu Wydział Poligrafii w Legnicy; 2008. p 7-22. : Polish.
- Vicedo-Cabrera AM, Forsberg B, Tobias A, et al. Associations of Inter- and Intraday Temperature Change With Mortality. Am J Epidemiol. 2016; 183(4): 286–293.
- Plavcová E, Kyselý J. Relationships between sudden weather changes in summer and mortality in the Czech Republic, 1986-2005. Int J Biometeorol. 2010; 54(5): 539–551.
- Cheng J, Zhu R, Xu Z, et al. Temperature variation between neighboring days and mortality: a distributed lag non-linear analysis. Int J Public Health. 2014; 59(6): 923–931.
- Guo Y, Barnett AG, Yu W, et al. A large change in temperature between neighbouring days increases the risk of mortality. PLoS One. 2011; 6(2): e16511.
- Onozuka D, Hagihara A. Associations of day-to-day temperature change and diurnal temperature range with out-of-hospital cardiac arrest. Eur J Prev Cardiol. 2017; 24(2): 204–212.
- Abrignani MG, Corrao S, Biondo GB, et al. Influence of climatic variables on acute myocardial infarction hospital admissions. Int J Cardiol. 2009; 137(2): 123–129.
- Verberkmoes NJ, Soliman Hamad MA, Ter Woorst JF, et al. Impact of temperature and atmospheric pressure on the incidence of major acute cardiovascular events. Neth Heart J. 2012; 20(5): 193–196.
- Wang H, Matsumura M, Kakehashi M, et al. Effects of atmospheric temperature and pressure on the occurrence of acute myocardial infarction in Hiroshima City, Japan. Hiroshima J Med Sci. 2006; 55(2): 45–51.
- Houck PD, Lethen JE, Riggs MW, et al. Relation of atmospheric pressure changes and the occurrences of acute myocardial infarction and stroke. Am J Cardiol. 2005; 96(1): 45–51.
- Goerre S, Egli C, Gerber S, et al. Impact of weather and climate on the incidence of acute coronary syndromes. Int J Cardiol. 2007; 118(1): 36–40.
- Tanigawa-Sugihara K, Iwami T, Nishiyama C, et al. Association Between Atmospheric Conditions and Occurrence of Out-of-Hospital Cardiac Arrest. Circulation Journal. 2013; 77(8): 2073–2078.