Effect of the 2016 Kumamoto earthquakes on preventable hospital admissions: a retrospective cohort study in Japan

BACKGROUND AND OBJECTIVES: The Kumamoto earthquakes struck Kumamoto prefecture, in the southwest part of Japan in April 2016. Physical and mental disorders presenting to hospital increased after the 2016 Kumamoto earthquakes. Impaired access to primary care due to the earthquakes may have contribute...

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Autores principales: Sasabuchi, Yusuke, Matsui, Hiroki, Kotani, Kazuhiko, Lefor, Alan Kawarai, Yasunaga, Hideo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082481/
https://www.ncbi.nlm.nih.gov/pubmed/30002010
http://dx.doi.org/10.1136/bmjopen-2017-021294
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author Sasabuchi, Yusuke
Matsui, Hiroki
Kotani, Kazuhiko
Lefor, Alan Kawarai
Yasunaga, Hideo
author_facet Sasabuchi, Yusuke
Matsui, Hiroki
Kotani, Kazuhiko
Lefor, Alan Kawarai
Yasunaga, Hideo
author_sort Sasabuchi, Yusuke
collection PubMed
description BACKGROUND AND OBJECTIVES: The Kumamoto earthquakes struck Kumamoto prefecture, in the southwest part of Japan in April 2016. Physical and mental disorders presenting to hospital increased after the 2016 Kumamoto earthquakes. Impaired access to primary care due to the earthquakes may have contributed to this increase. However, it is not known whether the 2016 Kumamoto earthquakes affected access to primary care. The objective of the present study was to investigate the impact of the 2016 Kumamoto earthquakes on short-term health conditions by analysing ambulatory care sensitive conditions (ACSCs), using administrative data from Kumamoto prefecture. DESIGN: A retrospective cohort study. SETTING: Residents enrolled in National Health Insurance or Late Elders’ Health Insurance from Kumamoto prefecture, Japan. PARTICIPANTS: All hospital admissions due to ACSCs between 15 March and 16 May in each year from 2013 to 2016. OUTCOME MEASURES: ACSCs are defined as conditions for which appropriate primary care interventions could prevent admission to the hospital. RESULTS: We identified a total of 7921, 18 763 and 85 436 admissions for vaccine, acute and chronic preventable ACSCs, respectively, during the study period. Admissions within 7 days after the 2016 Kumamoto earthquakes increased to 32.6% (10.2, 59.5), 44.1% (27.0, 63.5) and 27.7% (20.2, 35.6) for vaccine-preventable, acute and chronic ACSCs, respectively. However, admissions for ACSCs did not change significantly 30 days after the earthquakes. CONCLUSION: The 2016 Kumamoto earthquakes were associated with increased hospital admissions for ACSCs. The impact of the earthquakes on admissions for ACSCs did not persist for more than 7 days.
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spelling pubmed-60824812018-08-10 Effect of the 2016 Kumamoto earthquakes on preventable hospital admissions: a retrospective cohort study in Japan Sasabuchi, Yusuke Matsui, Hiroki Kotani, Kazuhiko Lefor, Alan Kawarai Yasunaga, Hideo BMJ Open Public Health BACKGROUND AND OBJECTIVES: The Kumamoto earthquakes struck Kumamoto prefecture, in the southwest part of Japan in April 2016. Physical and mental disorders presenting to hospital increased after the 2016 Kumamoto earthquakes. Impaired access to primary care due to the earthquakes may have contributed to this increase. However, it is not known whether the 2016 Kumamoto earthquakes affected access to primary care. The objective of the present study was to investigate the impact of the 2016 Kumamoto earthquakes on short-term health conditions by analysing ambulatory care sensitive conditions (ACSCs), using administrative data from Kumamoto prefecture. DESIGN: A retrospective cohort study. SETTING: Residents enrolled in National Health Insurance or Late Elders’ Health Insurance from Kumamoto prefecture, Japan. PARTICIPANTS: All hospital admissions due to ACSCs between 15 March and 16 May in each year from 2013 to 2016. OUTCOME MEASURES: ACSCs are defined as conditions for which appropriate primary care interventions could prevent admission to the hospital. RESULTS: We identified a total of 7921, 18 763 and 85 436 admissions for vaccine, acute and chronic preventable ACSCs, respectively, during the study period. Admissions within 7 days after the 2016 Kumamoto earthquakes increased to 32.6% (10.2, 59.5), 44.1% (27.0, 63.5) and 27.7% (20.2, 35.6) for vaccine-preventable, acute and chronic ACSCs, respectively. However, admissions for ACSCs did not change significantly 30 days after the earthquakes. CONCLUSION: The 2016 Kumamoto earthquakes were associated with increased hospital admissions for ACSCs. The impact of the earthquakes on admissions for ACSCs did not persist for more than 7 days. BMJ Publishing Group 2018-07-12 /pmc/articles/PMC6082481/ /pubmed/30002010 http://dx.doi.org/10.1136/bmjopen-2017-021294 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Public Health
Sasabuchi, Yusuke
Matsui, Hiroki
Kotani, Kazuhiko
Lefor, Alan Kawarai
Yasunaga, Hideo
Effect of the 2016 Kumamoto earthquakes on preventable hospital admissions: a retrospective cohort study in Japan
title Effect of the 2016 Kumamoto earthquakes on preventable hospital admissions: a retrospective cohort study in Japan
title_full Effect of the 2016 Kumamoto earthquakes on preventable hospital admissions: a retrospective cohort study in Japan
title_fullStr Effect of the 2016 Kumamoto earthquakes on preventable hospital admissions: a retrospective cohort study in Japan
title_full_unstemmed Effect of the 2016 Kumamoto earthquakes on preventable hospital admissions: a retrospective cohort study in Japan
title_short Effect of the 2016 Kumamoto earthquakes on preventable hospital admissions: a retrospective cohort study in Japan
title_sort effect of the 2016 kumamoto earthquakes on preventable hospital admissions: a retrospective cohort study in japan
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082481/
https://www.ncbi.nlm.nih.gov/pubmed/30002010
http://dx.doi.org/10.1136/bmjopen-2017-021294
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