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Real-World Evidence for the Association between Heat-Related Illness and the Risk of Psychiatric Disorders in Taiwan

This study aimed to investigate the association between the heat-related illness (HRI) and the risk of developing psychiatric disorders. From 2000 to 2015, there were 3126 patients with newly diagnosed HRI selected from the National Health Insurance Research Database, along with 31,260 controls matc...

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Autores principales: Li, Fang-Ling, Chien, Wu-Chien, Chung, Chi-Hsiang, Lai, Chung-Yu, Tzeng, Nian-Sheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9265553/
https://www.ncbi.nlm.nih.gov/pubmed/35805746
http://dx.doi.org/10.3390/ijerph19138087
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author Li, Fang-Ling
Chien, Wu-Chien
Chung, Chi-Hsiang
Lai, Chung-Yu
Tzeng, Nian-Sheng
author_facet Li, Fang-Ling
Chien, Wu-Chien
Chung, Chi-Hsiang
Lai, Chung-Yu
Tzeng, Nian-Sheng
author_sort Li, Fang-Ling
collection PubMed
description This study aimed to investigate the association between the heat-related illness (HRI) and the risk of developing psychiatric disorders. From 2000 to 2015, there were 3126 patients with newly diagnosed HRI selected from the National Health Insurance Research Database, along with 31,260 controls matched for gender and age. Fine and Gray’s analysis was used to compare the risk of psychiatric disorders during the 16 years of follow-up. Among the subjects, 523 of the HRI patients and 3619 of the control group (1774.18 vs. 1193.78 per 100,000 person-years) developed psychiatric disorders. Compared with non-HRI patients, the HRI ones had a 3.849-fold risk of being attacked by psychiatric disorders (95% CI: 3.632–4.369, p < 0.001) after adjusting for potential confounders. The sensitivity analysis revealed that the relationship between the HRI and the listed psychiatric disorders was determined by the exclusion of the first-year psychiatric events after the HRI. In spite of deleting the psychiatric diagnoses of the first five years, the HRI was still correlated with the development of psychiatric disorders with the exception of schizophreniform disorders, posttraumatic stress disorders, and acute stress disorder. Therefore, our findings concluded that the HRI could be a potential influence on the increased hazard of psychiatric disorders.
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spelling pubmed-92655532022-07-09 Real-World Evidence for the Association between Heat-Related Illness and the Risk of Psychiatric Disorders in Taiwan Li, Fang-Ling Chien, Wu-Chien Chung, Chi-Hsiang Lai, Chung-Yu Tzeng, Nian-Sheng Int J Environ Res Public Health Article This study aimed to investigate the association between the heat-related illness (HRI) and the risk of developing psychiatric disorders. From 2000 to 2015, there were 3126 patients with newly diagnosed HRI selected from the National Health Insurance Research Database, along with 31,260 controls matched for gender and age. Fine and Gray’s analysis was used to compare the risk of psychiatric disorders during the 16 years of follow-up. Among the subjects, 523 of the HRI patients and 3619 of the control group (1774.18 vs. 1193.78 per 100,000 person-years) developed psychiatric disorders. Compared with non-HRI patients, the HRI ones had a 3.849-fold risk of being attacked by psychiatric disorders (95% CI: 3.632–4.369, p < 0.001) after adjusting for potential confounders. The sensitivity analysis revealed that the relationship between the HRI and the listed psychiatric disorders was determined by the exclusion of the first-year psychiatric events after the HRI. In spite of deleting the psychiatric diagnoses of the first five years, the HRI was still correlated with the development of psychiatric disorders with the exception of schizophreniform disorders, posttraumatic stress disorders, and acute stress disorder. Therefore, our findings concluded that the HRI could be a potential influence on the increased hazard of psychiatric disorders. MDPI 2022-07-01 /pmc/articles/PMC9265553/ /pubmed/35805746 http://dx.doi.org/10.3390/ijerph19138087 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Li, Fang-Ling
Chien, Wu-Chien
Chung, Chi-Hsiang
Lai, Chung-Yu
Tzeng, Nian-Sheng
Real-World Evidence for the Association between Heat-Related Illness and the Risk of Psychiatric Disorders in Taiwan
title Real-World Evidence for the Association between Heat-Related Illness and the Risk of Psychiatric Disorders in Taiwan
title_full Real-World Evidence for the Association between Heat-Related Illness and the Risk of Psychiatric Disorders in Taiwan
title_fullStr Real-World Evidence for the Association between Heat-Related Illness and the Risk of Psychiatric Disorders in Taiwan
title_full_unstemmed Real-World Evidence for the Association between Heat-Related Illness and the Risk of Psychiatric Disorders in Taiwan
title_short Real-World Evidence for the Association between Heat-Related Illness and the Risk of Psychiatric Disorders in Taiwan
title_sort real-world evidence for the association between heat-related illness and the risk of psychiatric disorders in taiwan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9265553/
https://www.ncbi.nlm.nih.gov/pubmed/35805746
http://dx.doi.org/10.3390/ijerph19138087
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