Accelerated Patient Recovery Through Improved Indoor Environment in Hospital Patient Rooms - an Adaptation Strategy to Urban Heat in View of Climate Change

Witt, Christian; Drozdek, M; Humbsch, Philipp; Kollek, Jenny; Hoffmann, Christina; Bölke, Georg; Nikitina, Tatiana; Hoffmann, Peter; Liebers, Uta

doi:10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6011

Cited by 2 publications

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“…Title and abstract screening of included publications and relevant other literature [ 25 , 26 , 29 ] yielded 469 publications of which one eligible publication was included. One additional abstract from our department was incorporated in the scoping review [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Regarding heat stress, the reported effects of cooling included improved blood pressure and respiratory rate and beneficial changes in cardiac function [ 30 – 32 ]. Particularly positive effects were observed in patients with chronic disease [ 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…Notably, patients with congestive heart failure, coronary heart disease and asthma profited from the controlled room environment. Effects were described as a form of recovery effect from experiencing heat due to the use of air conditioning [ 30 – 32 , 34 ]. The studies showed that equipping patient rooms with air conditioning led to earlier mobilisation [ 30 , 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…This set consisted of five clinical trials [30][31][32][33][34], one cross-sectional study [35] and one case report [36]. Two publications were abstracts from conference proceedings [30,34]. No study reported concrete measures for matching or randomisation of study participants.…”

Section: Hvac Use In the Medical Treatmentmentioning

confidence: 99%

“…The studies showed that equipping patient rooms with air conditioning led to earlier mobilisation [30,31]. One study indicated a reduced length of hospital stay due to the use of radiant cooling [30]. Also, the protective effect of HVAC use in heat illness patients resulted in a reduction of mortality [35].…”

Section: Hvac Use In the Medical Treatmentmentioning

confidence: 99%

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Health effects of heating, ventilation and air conditioning on hospital patients: a scoping review

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Background: In the face of climate change, the protection of vulnerable patients from extreme climatic conditions is of growing interest to the healthcare sector and governments. Inpatients are especially susceptible to heat due to acute illness and/or chronic diseases. Their condition can be aggravated by adverse environmental factors. Installing air conditioning can be seen as an element of public health adaptation because it was shown to improve mortality rates of hospital patients experiencing hot temperatures. Still, the mediating factors and resulting health effects are largely unknown. Method: The PRISMA-ScR guideline was followed for this scoping review. Available evidence on the health effects of Heating, Ventilation, Air Conditioning (HVAC) and fans was searched in Medline, Embase and the Cochrane Library. The focus of the search strategy was on inpatients of the hospital. Grey literature was screened on 14 relevant websites. English and German publications were eligible without restrictions on publication date. Results were charted according to the categories population, intervention, control and outcome together with a qualitative description. Results: The review process yielded eleven publications of which seven were issued after 2003. Seven were clinical trials, three cross-sectional studies and one was a case report. The publications described the installation of HVAC on general wards and in intensive care units. Main topics were heat stress protection and support of thermoregulation, but also the rewarming of hypothermic patients. HVAC use resulted in a recovery effect shown by improved vital signs, reduced cardiac stress, accelerated recuperation and greater physical activity. This protective effect was demonstrated by a shorter hospital stay for patients with respiratory disease and a reduction of mortality for heat illness patients. Conclusion: This scoping review summarises the fragmented evidence on health effects of HVAC and fan utilisation for inpatients. Installing HVAC has the potential to improve patients' outcomes and to make hospital treatment more efficient during heat waves. The application of HVAC could be a promising adaptation measure to mitigate the adverse effects of climate change on health and healthcare systems.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Hvac Use In the Medical Treatmentmentioning

confidence: 99%

Section: Hvac Use In the Medical Treatmentmentioning

confidence: 99%

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Health effects of heating, ventilation and air conditioning on hospital patients: a scoping review

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Hitzestress im Krankenhaus

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ZUSAMMENFASSUNGPatienten mit chronischen Lungenkrankheiten sind von den Auswirkungen zunehmender Hitzewellen besonders betroffen, da die Lunge als „Grenzorgan zur Umwelt“ wirkt. COPD- und Asthma-Patienten reagieren mit verstärkter Bronchokonstriktion und stärkerer Entzündungsreaktion der Bronchialschleimhaut auf Hitzestress, was zur Symptomzunahme bis hin zur Hospitalisierung führen kann. Dies führt auch zu einem Anstieg der Mortalität.Zur Prävention von Hitzestress im Krankenhaus können infrastrukturelle Anpassungen wie ein verbesserter Sonnenschutz oder das Anbringen von Kühldecken (konvektionsfreies Air Conditioning) vorgenommen werden. Ebenso können ein Monitoring der Flüssigkeitsaufnahme, körperliche Schonung und effektive Lüftungsregime Hitzestress abmildern. Im Falle Hitze-assoziierter Exazerbationen von COPD-Erkrankungen liegen erste Hinweise auf den therapeutischen Nutzen einer Krankenzimmer-Klimatisierung mit einer Raumtemperatur von 23° C vor. Hierfür bietet sich aufgrund energetischer und hygienischer Vorteile eine innovative Kühlung mithilfe konvektionsfreier Raumklimatisierung an. So könnte Patienten mit Hitze-assoziierter Krankheitsprogression ein ganzheitliches, über die traditionelle medikamentöse Therapie hinausgehendes, Behandlungskonzept angeboten werden.Bei zukünftig häufigerem und intensiverem Hitzestress wird die Notwendigkeit präventiver Maßnahmen für Patienten mit chronischen Atemwegs-Krankheiten steigen. Zusätzlich wird für besonders vulnerable Gruppen der Bedarf an Raumklimatisierung steigen.

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Accelerated Patient Recovery Through Improved Indoor Environment in Hospital Patient Rooms - an Adaptation Strategy to Urban Heat in View of Climate Change

Cited by 2 publications

References 0 publications

Health effects of heating, ventilation and air conditioning on hospital patients: a scoping review

Health effects of heating, ventilation and air conditioning on hospital patients: a scoping review

Hitzestress im Krankenhaus

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