Do meteorological factors influence the occurrence of acute aortic dissection? A 10-year retrospective institutional study

Usui, Rena; Mutsuga, Masato; Yoshizumi, Tomo; Oshima, Hideki; Eda, Tadahito; Usui, Akihiko

doi:10.1007/s11748-020-01498-w

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…Another study in Urumqi, Xinjiang divided AAD into “days with AAD” and “days without AAD” and found no significant difference in daily rainfall ( 15 ). Two Japanese studies also reported that daily rainfall with AAD was not significantly different from rainfall without AAD ( 16 , 33 ). However, some studies have shown that rainy days may be a risk factor for cardiovascular disease in the older adult ( 16 , 22 ).…”

Section: Discussionmentioning

confidence: 93%

Risk assessment and disease burden of extreme precipitation on hospitalizations for acute aortic dissection in a subtropical coastal Chinese city

Xiong

Yuan

et al. 2023

Front. Public Health

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BackgroundExtreme precipitation events are becoming more frequent due to climate change. The present study aimed to explore the impacts of extreme precipitation on hospitalizations for acute aortic dissection (AAD) and to identify susceptible populations and quantify the corresponding disease burden.MethodsThe present study used a distributed lag nonlinear model (DLNM) with a quasi-Poisson function to investigate the association between extreme precipitation (≥95th percentile) and the risk of hospitalizations for AAD from 2015 to 2020 in Shantou, Guangdong Province, China.ResultsThe significant adverse effects of extreme precipitation (relative to no precipitation) on daily AAD hospitalizations lasted from lag 5 [relative risk (RR): 1.0318, 95% confidence interval (CI): 1.0067–1.0575] to lag 9 (RR: 1.0297, 95% CI: 1.0045–1.0555) and reached its maximum at lag 7 (RR: 1.0382, 95% CI: 1.0105–1.0665). Males and older adult individuals (≥60 years) were more susceptible to extreme precipitation. A total of 3.68% (118 cases) of AAD hospitalizations were due to extreme precipitation.ConclusionExtreme precipitation was significantly correlated with AAD hospitalizations. Government departments should actively implement extreme precipitation intervention measures to strengthen the protection of males and the older adult (≥60 years) and effectively reduce AAD hospitalizations.

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Section: Discussionmentioning

confidence: 93%

Risk assessment and disease burden of extreme precipitation on hospitalizations for acute aortic dissection in a subtropical coastal Chinese city

Xiong

Yuan

et al. 2023

Front. Public Health

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show abstract

“…[18] found the highest occurrence of ATAAD events in spring and merely the second highest in winter and as well the lowest in summer. Some studies and also one review study [32] already focussed on certain meteorological parameters, especially on air temperature as well as less frequently on air pressure, among others, and found an association with ATAAD events [14,15,20,24,[27][28][29][30][31][33][34][35].…”

Section: Plos Onementioning

confidence: 99%

Patterns in acute aortic dissection and a connection to meteorological conditions in Germany

Kurz,

Mahlke,

Graw

et al. 2024

PLoS ONE

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Acute type A aortic dissection (ATAAD) is a dramatic emergency exhibiting a mortality of 50% within the first 48 hours if not operated. This study found an absolute value of cosine-like seasonal variation pattern for Germany with significantly fewer ATAAD events (Wilcoxon test) for the warm months of June, July, and August from 2005 to 2015. Many studies suspect a connection between ATAAD events and weather conditions. Using ERA5 reanalysis data and an objective weather type classification in a contingency table approach showed that for Germany, significantly more ATAAD events occurred during lower temperatures (by about 4.8 K), lower water vapor pressure (by about 2.6 hPa), and prevailing wind patterns from the northeast. In addition, we used data from a classification scheme for human-biometeorological weather conditions which was not used before in ATAAD studies. For the German region of Berlin and Brandenburg, for 2006 to 2019, the proportion of days with ATAAD events during weather conditions favoring hypertension (cold air advection, in the center of a cyclone, conditions with cold stress or thermal comfort) was significantly increased by 13% (Chi-squared test for difference of proportions). In contrast, the proportion was decreased by 19% for conditions associated with a higher risk for patients with hypotension and therefore a lower risk for patients with hypertension (warm air advection ahead of warm fronts, conditions with no thermal stress or heat stress, in the center of a cyclone with thermal stress). As many studies have shown that hypertension is a risk factor for ATAAD, our findings support the hypothesized relation between ATAAD and hypertension-favoring weather conditions.

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“… 4 , 5 , 6 However, very few studies have examined the association of AAD with temperature and temperature variations, and these studies were generally limited by small sample size. 6 , 7 , 8 , 9 Moreover, all previous studies lack the sub-daily information of AAD onset and therefore only examined the associations on a daily basis, which might attenuate the causality due to the unclear chronological order of exposure and events within the same day. 6 , 9 , 10 As the onset of AAD fluctuates greatly during 24-hours throughout a day, it is therefore critically important to evaluate the association between temperature and AAD onset at hourly level.…”

Section: Introductionmentioning

confidence: 99%

Low temperature and temperature decline increase acute aortic dissection risk and burden: A nationwide case crossover analysis at hourly level among 40,270 patients

Zhang¹,

P²,

Hu³

et al. 2022

The Lancet Regional Health - Western Pacific

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Do meteorological factors influence the occurrence of acute aortic dissection? A 10-year retrospective institutional study

Cited by 5 publications

References 12 publications

Risk assessment and disease burden of extreme precipitation on hospitalizations for acute aortic dissection in a subtropical coastal Chinese city

Risk assessment and disease burden of extreme precipitation on hospitalizations for acute aortic dissection in a subtropical coastal Chinese city

Patterns in acute aortic dissection and a connection to meteorological conditions in Germany

Low temperature and temperature decline increase acute aortic dissection risk and burden: A nationwide case crossover analysis at hourly level among 40,270 patients

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