Hot Spot: impact of July 2011 heat-wave in southern Italy (Apulia) on cardiovascular disease assessed by Emergency Medical Service and tele-medicine support

Brunetti, Nicoletta; Amoruso, Daniele; Dellegrottaglie, Giulia; Giuseppe, G.; Antonelli, G

doi:10.1093/eurheartj/eht308.p2504

European Heart Journal

2013

DOI: 10.1093/eurheartj/eht308.p2504

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Hot Spot: impact of July 2011 heat-wave in southern Italy (Apulia) on cardiovascular disease assessed by Emergency Medical Service and tele-medicine support

Nicoletta Brunetti

Daniele Amoruso²,

Giulia Dellegrottaglie

et al.

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Cited by 3 publications

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“…Clinical usefulness of pre-hospital electrocardiogram assessment has been already in the management and diagnosis of arrhythmias [25,26], in primary [27,28] and secondary prevention of cardiovascular disease [29,30], fast track emergency room triage [31], in climate emergencies [32] or for the assistance of detainees [33,34].…”

mentioning

confidence: 99%

Impact of telemedicine support by remote pre-hospital electrocardiogram on emergency medical service management of subjects with suspected acute cardiovascular disease

Brunetti

Tarantino

Dellegrottaglie

et al. 2015

International Journal of Cardiology

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confidence: 99%

Impact of telemedicine support by remote pre-hospital electrocardiogram on emergency medical service management of subjects with suspected acute cardiovascular disease

Brunetti

Tarantino

Dellegrottaglie

et al. 2015

International Journal of Cardiology

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Telemedicine appointments are more likely to be completed than in-person healthcare appointments: a retrospective cohort study

Cummins,

Tsalatsanis,

Chaphalkar

et al. 2024

JAMIA Open

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Objectives Missed appointments can lead to treatment delays and adverse outcomes. Telemedicine may improve appointment completion because it addresses barriers to in-person visits, such as childcare and transportation. This study compared appointment completion for appointments using telemedicine versus in-person care in a large cohort of patients at an urban academic health sciences center. Materials and Methods We conducted a retrospective cohort study of electronic health record data to determine whether telemedicine appointments have higher odds of completion compared to in-person care appointments, January 1, 2021, and April 30, 2023. The data were obtained from the University of South Florida (USF), a large academic health sciences center serving Tampa, FL, and surrounding communities. We implemented 1:1 propensity score matching based on age, gender, race, visit type, and Charlson Comorbidity Index (CCI). Results The matched cohort included 87 376 appointments, with diverse patient demographics. The percentage of completed telemedicine appointments exceeded that of completed in-person care appointments by 9.2 points (73.4% vs 64.2%, P < .001). The adjusted odds ratio for telemedicine versus in-person care in relation to appointment completion was 1.64 (95% CI, 1.59-1.69, P < .001), indicating that telemedicine appointments are associated with 64% higher odds of completion than in-person care appointments when controlling for other factors. Discussion This cohort study indicated that telemedicine appointments are more likely to be completed than in-person care appointments, regardless of demographics, comorbidity, payment type, or distance. Conclusion Telemedicine appointments are more likely to be completed than in-person healthcare appointments.

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Impacts of extreme heat on emergency medical service calls in King County, Washington, 2007–2012: relative risk and time series analyses of basic and advanced life support

et al. 2016

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BackgroundExposure to excessive heat kills more people than any other weather-related phenomenon, aggravates chronic diseases, and causes direct heat illness. Strong associations between extreme heat and health have been identified through increased mortality and hospitalizations and there is growing evidence demonstrating increased emergency department visits and demand for emergency medical services (EMS). The purpose of this study is to build on an existing regional assessment of mortality and hospitalizations by analyzing EMS demand associated with extreme heat, using calls as a health metric, in King County, Washington (WA), for a 6-year period.MethodsRelative-risk and time series analyses were used to characterize the association between heat and EMS calls for May 1 through September 30 of each year for 2007–2012. Two EMS categories, basic life support (BLS) and advanced life support (ALS), were analyzed for the effects of heat on health outcomes and transportation volume, stratified by age. Extreme heat was model-derived as the 95th (29.7 °C) and 99th (36.7 °C) percentile of average county-wide maximum daily humidex for BLS and ALS calls respectively.ResultsRelative-risk analyses revealed an 8 % (95 % CI: 6–9 %) increase in BLS calls, and a 14 % (95 % CI: 9–20 %) increase in ALS calls, on a heat day (29.7 and 36.7 °C humidex, respectively) versus a non-heat day for all ages, all causes. Time series analyses found a 6.6 % increase in BLS calls, and a 3.8 % increase in ALS calls, per unit-humidex increase above the optimum threshold, 40.7 and 39.7 °C humidex respectively. Increases in “no” and “any” transportation were found in both relative risk and time series analyses. Analysis by age category identified significant results for all age groups, with the 15–44 and 45–64 year old age groups showing some of the highest and most frequent increases across health conditions. Multiple specific health conditions were associated with increased risk of an EMS call including abdominal/genito-urinary, alcohol/drug, anaphylaxis/allergy, cardiovascular, metabolic/endocrine, diabetes, neurological, heat illness and dehydration, and psychological conditions.ConclusionsExtreme heat increases the risk of EMS calls in King County, WA, with effects demonstrated in relatively younger populations and more health conditions than those identified in previous analyses.

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Hot Spot: impact of July 2011 heat-wave in southern Italy (Apulia) on cardiovascular disease assessed by Emergency Medical Service and tele-medicine support

Cited by 3 publications

References 0 publications

Impact of telemedicine support by remote pre-hospital electrocardiogram on emergency medical service management of subjects with suspected acute cardiovascular disease

Impact of telemedicine support by remote pre-hospital electrocardiogram on emergency medical service management of subjects with suspected acute cardiovascular disease

Telemedicine appointments are more likely to be completed than in-person healthcare appointments: a retrospective cohort study

Impacts of extreme heat on emergency medical service calls in King County, Washington, 2007–2012: relative risk and time series analyses of basic and advanced life support

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